Andres Maymi Guerra, DPM
Foot Surgery · Mayaguez, PRNPI 1598726952
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (49.8%), food and beverage and education — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Orthofix Medical, Inc. at 40.4% of the total.
Across 58 payments — averaging $122.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$3K
- Acumed LLC$2K
- Arthrex$1K
- Arteriocyte Medical Systems, Inc.$280
- Kerecis Limited$183
- Sanara Medtech Inc.$176
- plus $621 from 7 others
What the payments were for
- Travel & lodging$3,53550%
- Food & beverage$2,19931%
- Education$1,37219%
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.
| Company | Payments | Total |
|---|---|---|
| Orthofix Medical, Inc. | 36 | $2,869 |
| Acumed LLC | 5 | $1,577 |
| Arthrex | 5 | $1,399 |
| Arteriocyte Medical Systems, Inc. | 2 | $280 |
| Kerecis Limited | 2 | $183 |
| Sanara Medtech Inc. | 1 | $176 |
| Stryker | 1 | $165 |
| Acera Surgical, Inc. | 1 | $159 |
| Treace Medical Concepts, Inc. | 1 | $78 |
| Zimmer Biomet | 1 | $78 |
| Organogenesis Inc. | 1 | $50 |
| KCI USA, Inc. | 1 | $50 |
| Medtronic | 1 | $42 |
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.
- TrueLok$2,975
- OsteoMed$2,235
- ACUMED$767
- CellerateRx$176
- ORTHOLOC$165
- Restrata Wound Matrix$159
- Magellan$123
- TrueLok Ring Fixation System$106
- TRUELOK SYSTEM$104
How this compares
Too few foot surgery providers in Puerto Ricoto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| CiclopiroxCiclopirox Olamine | 269 | $7,394 |
| Ciclopirox | 60 | $4,053 |
| Terbinafine Hcl | 208 | $3,131 |
| Cefadroxil | 263 | $2,305 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 76 | $1,133 |
| Silver Sulfadiazine | 110 | $974 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 34 | $429 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 12 | $372 |
| Clindamycin Hcl | 46 | $311 |
| Ciprofloxacin Hcl | 74 | $297 |
| SsdSilver Sulfadiazine | 30 | $260 |
| Meloxicam | 90 | $246 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 38 | $145 |
| Mupirocin | 12 | $124 |
| Levofloxacin | 19 | $109 |
Paid to pharmacies, not to this prescriber.
Other foot surgery in Mayaguez
- Michael Forte MalaveMayaguez$3K
- Waleska DonatoMayaguez$162
- Jaime Escalona ColmeneroSan Juan$2K
- Gary DereshCarolina$1K
- France LarinCaguas$1K
- Lourdes RiveraBayamon$266
- Hilda Aviles VargasPonce$234
- Luis Torres SerrantBayamon$89
- Guillermo CarrasquilloPonce$79
- Rafael OppenheimerIsabela$78
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.