Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

ISMAEL GUERRA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1528432267
CMS profile
10788371
Location
HARLINGEN, TX

General Payments · PY2021–2024

$782.81

  • Reported across 47 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$247.67

13 records · 0 disputed

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

How these totals are 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $247.67 13

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
SANOFI-AVENTIS U.S. LLC $116.44 6
GlaxoSmithKline, LLC. $49.31 3
Acerta Pharma LLC $34.13 2
Phadia US Inc. $28.30 1
Takeda Pharmaceuticals U.S.A., Inc. $19.49 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $133.39 10
PY2022 $175.58 12
PY2023 $226.17 12
PY2024 $247.67 13

Payment records · PY2024 (13)

Sorted by paying entity, then date · as published by CMS

Program year 2024 202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
AstraZeneca Pharmaceuticals LP $16.88 04/17/2024 Food and Beverage Undisputed 01/23/2026 1105577198 CMS
AstraZeneca Pharmaceuticals LP $17.25 07/10/2024 Food and Beverage Undisputed 01/23/2026 1105546707 CMS
GlaxoSmithKline, LLC. $16.61 02/26/2024 Food and Beverage Undisputed 01/23/2026 1116583749 CMS
GlaxoSmithKline, LLC. $16.35 08/12/2024 Food and Beverage Undisputed 01/23/2026 1116399872 CMS
GlaxoSmithKline, LLC. $16.35 10/07/2024 Food and Beverage Undisputed 01/23/2026 1116492403 CMS
Phadia US Inc. $28.30 09/19/2024 Food and Beverage Undisputed 01/23/2026 1067579660 CMS
SANOFI-AVENTIS U.S. LLC $18.24 01/23/2024 Food and Beverage Undisputed 01/23/2026 1139975109 CMS
SANOFI-AVENTIS U.S. LLC $20.04 03/28/2024 Food and Beverage Undisputed 01/23/2026 1139975129 CMS
SANOFI-AVENTIS U.S. LLC $18.39 05/16/2024 Food and Beverage Undisputed 01/23/2026 1139975137 CMS
SANOFI-AVENTIS U.S. LLC $18.03 08/13/2024 Food and Beverage Undisputed 01/23/2026 1139975147 CMS
SANOFI-AVENTIS U.S. LLC $17.87 09/23/2024 Food and Beverage Undisputed 01/23/2026 1139975165 CMS
SANOFI-AVENTIS U.S. LLC $23.87 11/19/2024 Food and Beverage Undisputed 01/23/2026 1139975189 CMS
Takeda Pharmaceuticals U.S.A., Inc. $19.49 05/13/2024 Food and Beverage Undisputed 01/23/2026 1137756926 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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