DANIEL GUERRA

Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease TACOMA, WA NPI 1467535005

General Payments — all program years on this page

$1,304.40

  • Category: General Payments
  • Program years: PY2018–2024
  • Record count: 37
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $421.19 across 9 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $421.199

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2018 $207.915
2019 $211.226
2020 $43.773
2021 $218.825
2022 $104.663
2023 $96.836
2024 $421.199

Records — PY2024 (9)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1076213316 Penumbra, Inc. $22.13 05/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1076213318 Penumbra, Inc. $13.44 05/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1080587471 ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $6.28 09/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1111590588 Amgen Inc. $23.22 03/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1111590590 Amgen Inc. $18.82 07/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119331553 Medtronic, Inc. $22.14 04/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119331555 Medtronic, Inc. $145.75 07/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1152377489 Kestra Medical Technology Services, Inc. $19.85 11/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1154166092 HEARTFLOW, INC. $149.56 05/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.