Alcinto Guirand, MD
Pain Medicine · Johnstown, PANPI 1710243787
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.4% of the total across 977 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 60 manufacturers reported payments, led by Abbott at 37.2% of the total. Among pain medicine clinicians in PA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 977 payments — averaging $19.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$7K
- Teva Pharmaceuticals USA, Inc.$3K
- AbbVie$1K
- UCB, Inc.$576
- Lundbeck LLC$485
- AstraZeneca$470
- plus $6K from 54 others
What the payments were for
- Speaking & faculty fees$1031%
- Food & beverage$18,62599%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- PROCLAIM$1,019
- Proclaim Family of SCS IPGs$788
- ETERNA$305
How this compares
$18,728 in reported general payments places this provider in the 90th percentile of 294 pain medicine providers in Pennsylvania.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Gabapentin | 69 | $844 |
| Baclofen | 22 | $512 |
| Methocarbamol | 34 | $319 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 13 | $262 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $236 |
| Methylprednisolone | 22 | $157 |
| Tramadol Hcl | 21 | $45 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Johnstown
- Peter PryzbylkowskiPhiladelphia$506K
- Yeshvant NavalgundGreensburg$388K
- Jack SmithWilliamsport$324K
- Sanjay GuptaBala Cynwyd$241K
- Vwaire OrhurhuWilliamsport$191K
- Philip KimBryn Mawr$128K
- Ajay WasanPittsburgh$66K
- Sanjay ShahSpring House$64K
- Soon JungAllentown$58K
- Bruce NicholsonAllentown$58K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.