Covered recipient · General Payments record

ERNESTO C GUERRA

Allopathic & Osteopathic Physicians Internal Medicine Gastroenterology

NPI: 1558366435
CMS profile: 342609
Location: SAN ANTONIO, TX

General Payments · PY2018–2024

$11,580.43

Reported across 704 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,542.22

91 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 payment	Amount	Records
Food and Beverage	$1,542.22	91

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$476.12	38
Janssen Biotech, Inc.	$322.11	21
Gilead Sciences, Inc.	$163.92	7
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$163.71	9
Olympus America Inc.	$140.78	1
Lilly USA, LLC	$71.66	4
Takeda Pharmaceuticals U.S.A., Inc.	$63.33	3
Phathom Pharmaceuticals, Inc.	$54.19	3
IRONWOOD PHARMACEUTICALS, INC	$41.15	2
AIMMUNE THERAPEUTICS, INC.	$17.22	1
QOL Medical, LLC	$14.35	1
Ipsen Biopharmaceuticals, Inc	$13.68	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$2,119.05	143
PY2019	$2,027.73	126
PY2020	$1,254.34	76
PY2021	$1,660.51	93
PY2022	$1,483.03	82
PY2023	$1,493.55	93
PY2024	$1,542.22	91

Payment records · PY2024 (91)

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

Program year 2024 2018 2019 2020 2021 2022 2023 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
ABBVIE INC.	$11.60	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1103846772	CMS
ABBVIE INC.	$20.77	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1103846774	CMS
ABBVIE INC.	$9.96	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1103846776	CMS
ABBVIE INC.	$17.12	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1103846778	CMS
ABBVIE INC.	$11.13	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1103846780	CMS
ABBVIE INC.	$10.70	02/25/2024	Food and Beverage	Undisputed	01/23/2026	1103846782	CMS
ABBVIE INC.	$16.23	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1103846784	CMS
ABBVIE INC.	$17.42	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1103846786	CMS
ABBVIE INC.	$8.91	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1103846788	CMS
ABBVIE INC.	$15.97	04/07/2024	Food and Beverage	Undisputed	01/23/2026	1103846790	CMS
ABBVIE INC.	$11.32	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1103846792	CMS
ABBVIE INC.	$9.06	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1103846794	CMS
ABBVIE INC.	$17.46	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1103846796	CMS
ABBVIE INC.	$10.85	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1103846798	CMS
ABBVIE INC.	$10.22	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1103846800	CMS
ABBVIE INC.	$10.36	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1103846802	CMS
ABBVIE INC.	$20.80	06/09/2024	Food and Beverage	Undisputed	01/23/2026	1103846804	CMS
ABBVIE INC.	$12.44	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1103846806	CMS
ABBVIE INC.	$11.69	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1103846808	CMS
ABBVIE INC.	$8.59	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1103846810	CMS
ABBVIE INC.	$19.59	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1103846812	CMS
ABBVIE INC.	$10.67	07/28/2024	Food and Beverage	Undisputed	01/23/2026	1103846814	CMS
ABBVIE INC.	$9.32	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1103846816	CMS
ABBVIE INC.	$7.39	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1103846818	CMS
ABBVIE INC.	$14.00	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1103846820	CMS
ABBVIE INC.	$14.20	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1103846822	CMS
ABBVIE INC.	$11.25	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1103846824	CMS
ABBVIE INC.	$5.37	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1103846826	CMS
ABBVIE INC.	$10.87	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1103846828	CMS
ABBVIE INC.	$4.93	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1103846830	CMS
ABBVIE INC.	$16.44	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1103846832	CMS
ABBVIE INC.	$16.92	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1103846834	CMS
ABBVIE INC.	$14.55	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1103846836	CMS
ABBVIE INC.	$11.85	11/17/2024	Food and Beverage	Undisputed	01/23/2026	1103846838	CMS
ABBVIE INC.	$8.66	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1103846840	CMS
ABBVIE INC.	$9.47	12/08/2024	Food and Beverage	Undisputed	01/23/2026	1103846842	CMS
ABBVIE INC.	$19.30	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1103846844	CMS
ABBVIE INC.	$8.74	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1103846846	CMS
AIMMUNE THERAPEUTICS, INC.	$17.22	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1146980604	CMS
Gilead Sciences, Inc.	$24.93	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1133787547	CMS
Gilead Sciences, Inc.	$24.89	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1133787549	CMS
Gilead Sciences, Inc.	$27.34	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1133787551	CMS
Gilead Sciences, Inc.	$24.01	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1133787553	CMS
Gilead Sciences, Inc.	$18.07	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1133787555	CMS
Gilead Sciences, Inc.	$20.57	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1133787557	CMS
Gilead Sciences, Inc.	$24.11	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1133787559	CMS
Ipsen Biopharmaceuticals, Inc	$13.68	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1091979438	CMS
IRONWOOD PHARMACEUTICALS, INC	$20.31	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1153755777	CMS
IRONWOOD PHARMACEUTICALS, INC	$20.84	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1153711627	CMS
Janssen Biotech, Inc.	$17.23	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1078756070	CMS
Janssen Biotech, Inc.	$17.58	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1078758083	CMS
Janssen Biotech, Inc.	$0.94	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1078763352	CMS
Janssen Biotech, Inc.	$14.41	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1078757296	CMS
Janssen Biotech, Inc.	$19.92	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1078765403	CMS
Janssen Biotech, Inc.	$21.57	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1078754306	CMS
Janssen Biotech, Inc.	$8.40	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1078767356	CMS
Janssen Biotech, Inc.	$19.25	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1078766879	CMS
Janssen Biotech, Inc.	$14.71	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1078763678	CMS
Janssen Biotech, Inc.	$13.04	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1078758702	CMS
Janssen Biotech, Inc.	$16.34	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1078763526	CMS
Janssen Biotech, Inc.	$19.31	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1078760666	CMS
Janssen Biotech, Inc.	$19.17	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1078759195	CMS
Janssen Biotech, Inc.	$25.00	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1078765515	CMS
Janssen Biotech, Inc.	$14.63	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1078764638	CMS
Janssen Biotech, Inc.	$18.04	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1078755879	CMS
Janssen Biotech, Inc.	$9.73	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1078766691	CMS
Janssen Biotech, Inc.	$14.97	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1078760863	CMS
Janssen Biotech, Inc.	$20.00	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1078764705	CMS
Janssen Biotech, Inc.	$16.14	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1078758377	CMS
Janssen Biotech, Inc.	$1.73	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1078757488	CMS
Lilly USA, LLC	$19.21	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1134969311	CMS
Lilly USA, LLC	$17.73	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1136175228	CMS
Lilly USA, LLC	$17.36	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1136171596	CMS
Lilly USA, LLC	$17.36	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1136170245	CMS
Olympus America Inc.	$140.78	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1108469551	CMS
Phathom Pharmaceuticals, Inc.	$17.57	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1151068271	CMS
Phathom Pharmaceuticals, Inc.	$15.58	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1151068273	CMS
Phathom Pharmaceuticals, Inc.	$21.04	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1151068275	CMS
QOL Medical, LLC	$14.35	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1147720683	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.97	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1153509161	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.11	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1153577635	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$22.46	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1153683599	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$19.01	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1153757783	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.90	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1153634118	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$19.83	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1153669186	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$19.99	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1153660832	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$10.85	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1153690820	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.59	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1153466755	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.34	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1137564561	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$23.53	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1137564563	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.46	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1137564565	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: 2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.