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

MICHAEL JOSEPH GUIRL

Allopathic & Osteopathic Physicians Internal Medicine Gastroenterology

NPI
1962496711
CMS profile
315297
Location
SAN ANTONIO, TX

General Payments · PY2018–2024

$7,380.95

  • Reported across 453 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,420.89

67 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 $1,420.89 67

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $998.93 79
PY2019 $1,211.81 78
PY2020 $549.75 34
PY2021 $1,198.36 71
PY2022 $1,046.97 62
PY2023 $954.24 62
PY2024 $1,420.89 67

Payment records · PY2024 (67)

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

Program year 2024 201820192020202120222023 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. $21.74 01/05/2024 Food and Beverage Undisputed 01/23/2026 1103848968 CMS
ABBVIE INC. $16.42 02/19/2024 Food and Beverage Undisputed 01/23/2026 1103848970 CMS
ABBVIE INC. $16.87 02/28/2024 Food and Beverage Undisputed 01/23/2026 1103848972 CMS
ABBVIE INC. $11.70 02/29/2024 Food and Beverage Undisputed 01/23/2026 1103848974 CMS
ABBVIE INC. $14.79 03/19/2024 Food and Beverage Undisputed 01/23/2026 1103848976 CMS
ABBVIE INC. $19.53 03/22/2024 Food and Beverage Undisputed 01/23/2026 1103848978 CMS
ABBVIE INC. $18.59 03/25/2024 Food and Beverage Undisputed 01/23/2026 1103848980 CMS
ABBVIE INC. $7.32 04/25/2024 Food and Beverage Undisputed 01/23/2026 1103848982 CMS
ABBVIE INC. $17.94 04/29/2024 Food and Beverage Undisputed 01/23/2026 1103848984 CMS
ABBVIE INC. $12.79 05/15/2024 Food and Beverage Undisputed 01/23/2026 1103848986 CMS
ABBVIE INC. $22.49 05/17/2024 Food and Beverage Undisputed 01/23/2026 1103848988 CMS
ABBVIE INC. $17.28 06/05/2024 Food and Beverage Undisputed 01/23/2026 1103848990 CMS
ABBVIE INC. $17.77 06/12/2024 Food and Beverage Undisputed 01/23/2026 1103848992 CMS
ABBVIE INC. $20.63 07/08/2024 Food and Beverage Undisputed 01/23/2026 1103848994 CMS
ABBVIE INC. $18.52 07/12/2024 Food and Beverage Undisputed 01/23/2026 1103848996 CMS
ABBVIE INC. $10.79 08/21/2024 Food and Beverage Undisputed 01/23/2026 1103848998 CMS
ABBVIE INC. $15.13 09/10/2024 Food and Beverage Undisputed 01/23/2026 1103849000 CMS
ABBVIE INC. $8.98 09/11/2024 Food and Beverage Undisputed 01/23/2026 1103849002 CMS
ABBVIE INC. $20.63 11/01/2024 Food and Beverage Undisputed 01/23/2026 1103849004 CMS
ABBVIE INC. $22.26 11/05/2024 Food and Beverage Undisputed 01/23/2026 1103849006 CMS
ABBVIE INC. $5.19 11/22/2024 Food and Beverage Undisputed 01/23/2026 1103849008 CMS
ABBVIE INC. $21.72 11/22/2024 Food and Beverage Undisputed 01/23/2026 1103849010 CMS
AIMMUNE THERAPEUTICS, INC. $20.25 02/02/2024 Food and Beverage Undisputed 01/23/2026 1147017880 CMS
AIMMUNE THERAPEUTICS, INC. $14.05 03/07/2024 Food and Beverage Undisputed 01/23/2026 1147019670 CMS
AIMMUNE THERAPEUTICS, INC. $16.05 10/03/2024 Food and Beverage Undisputed 01/23/2026 1146996892 CMS
Ardelyx, Inc. $19.16 06/17/2024 Food and Beverage Undisputed 01/23/2026 1146683195 CMS
Celltrion USA Inc. $18.22 10/25/2024 Food and Beverage Undisputed 01/23/2026 1075851883 CMS
Celltrion USA Inc. $13.32 11/21/2024 Food and Beverage Undisputed 01/23/2026 1075851885 CMS
Celltrion USA Inc. $15.49 12/17/2024 Food and Beverage Undisputed 01/23/2026 1075851887 CMS
EVOKE PHARMA, INC. $13.66 06/18/2024 Food and Beverage Undisputed 01/23/2026 1127777065 CMS
Gilead Sciences, Inc. $27.93 05/24/2024 Food and Beverage Undisputed 01/23/2026 1133787727 CMS
Gilead Sciences, Inc. $24.04 09/03/2024 Food and Beverage Undisputed 01/23/2026 1133787729 CMS
Gilead Sciences, Inc. $24.60 11/13/2024 Food and Beverage Undisputed 01/23/2026 1133787731 CMS
Ipsen Biopharmaceuticals, Inc $31.66 03/20/2024 Food and Beverage Undisputed 01/23/2026 1091974415 CMS
Ipsen Biopharmaceuticals, Inc $23.64 04/06/2024 Food and Beverage Undisputed 01/23/2026 1091974411 CMS
IRONWOOD PHARMACEUTICALS, INC $28.47 04/17/2024 Food and Beverage Undisputed 01/23/2026 1153768060 CMS
Janssen Biotech, Inc. $14.96 01/24/2024 Food and Beverage Undisputed 01/23/2026 1078758637 CMS
Janssen Biotech, Inc. $11.48 04/02/2024 Food and Beverage Undisputed 01/23/2026 1078756988 CMS
Janssen Biotech, Inc. $19.92 04/02/2024 Food and Beverage Undisputed 01/23/2026 1078762120 CMS
Janssen Biotech, Inc. $30.68 05/15/2024 Food and Beverage Undisputed 01/23/2026 1078758191 CMS
Janssen Biotech, Inc. $14.73 05/30/2024 Food and Beverage Undisputed 01/23/2026 1078759634 CMS
Janssen Biotech, Inc. $14.00 06/19/2024 Food and Beverage Undisputed 01/23/2026 1078758111 CMS
Janssen Biotech, Inc. $19.66 06/20/2024 Food and Beverage Undisputed 01/23/2026 1078759590 CMS
Janssen Biotech, Inc. $19.97 07/17/2024 Food and Beverage Undisputed 01/23/2026 1078754808 CMS
Janssen Biotech, Inc. $17.13 08/12/2024 Food and Beverage Undisputed 01/23/2026 1078766416 CMS
Janssen Biotech, Inc. $18.84 08/28/2024 Food and Beverage Undisputed 01/23/2026 1078761948 CMS
Janssen Biotech, Inc. $29.87 11/26/2024 Food and Beverage Undisputed 01/23/2026 1078760385 CMS
Janssen Biotech, Inc. $19.97 12/13/2024 Food and Beverage Undisputed 01/23/2026 1078759086 CMS
Lilly USA, LLC $34.91 02/22/2024 Food and Beverage Undisputed 01/23/2026 1135195400 CMS
Madrigal Pharmaceuticals $17.16 09/26/2024 Food and Beverage Undisputed 01/23/2026 1144168164 CMS
Madrigal Pharmaceuticals $20.88 11/21/2024 Food and Beverage Undisputed 01/23/2026 1144168168 CMS
Merck Sharp & Dohme LLC $23.23 04/03/2024 Food and Beverage Undisputed 01/23/2026 1141876294 CMS
PFIZER INC. $19.96 11/08/2024 Food and Beverage Undisputed 01/23/2026 1131160739 CMS
Phathom Pharmaceuticals, Inc. $14.59 04/08/2024 Food and Beverage Undisputed 01/23/2026 1151068357 CMS
Phathom Pharmaceuticals, Inc. $16.45 08/05/2024 Food and Beverage Undisputed 01/23/2026 1151068359 CMS
Phathom Pharmaceuticals, Inc. $124.98 12/06/2024 Food and Beverage Undisputed 01/23/2026 1151068361 CMS
QOL Medical, LLC $24.55 07/22/2024 Food and Beverage Undisputed 01/23/2026 1147726954 CMS
QOL Medical, LLC $21.20 09/12/2024 Food and Beverage Undisputed 01/23/2026 1147726956 CMS
Regeneron Healthcare Solutions, Inc. $30.36 01/19/2024 Food and Beverage Undisputed 01/23/2026 1114061481 CMS
Regeneron Healthcare Solutions, Inc. $16.10 09/30/2024 Food and Beverage Undisputed 01/23/2026 1114061483 CMS
Regeneron Healthcare Solutions, Inc. $31.06 12/09/2024 Food and Beverage Undisputed 01/23/2026 1114061485 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.78 07/15/2024 Food and Beverage Undisputed 01/23/2026 1153747544 CMS
Takeda Pharmaceuticals U.S.A., Inc. $27.86 01/15/2024 Food and Beverage Undisputed 01/23/2026 1137564768 CMS
Takeda Pharmaceuticals U.S.A., Inc. $25.18 03/28/2024 Food and Beverage Undisputed 01/23/2026 1137564772 CMS
Takeda Pharmaceuticals U.S.A., Inc. $24.23 04/04/2024 Food and Beverage Undisputed 01/23/2026 1137564776 CMS
Takeda Pharmaceuticals U.S.A., Inc. $23.43 07/19/2024 Food and Beverage Undisputed 01/23/2026 1137564779 CMS
Takeda Pharmaceuticals U.S.A., Inc. $24.15 10/03/2024 Food and Beverage Undisputed 01/23/2026 1137564783 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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