Anna Guanche, MD
Dermatology · Calabasas, CANPI 1982658761
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $55,730 of the $80,555 with a category attached, or 69.2%. 20 manufacturers reported payments, led by AbbVie at 58.9% of the total. Among dermatology clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 211 payments — averaging $381.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$47K
- Musculoskeletal Transplant Foundation Inc.$14K
- Galderma Laboratories, L.p.$13K
- Merz North America, Inc.$6K
- Sun Pharmaceutical Industries Inc.$184
- Misonix Inc$115
- plus $567 from 14 others
What the payments were for
- Consulting fees$55,73069%
- Speaking & faculty fees$17,97022%
- Travel & lodging$1,9412%
- Food & beverage$4,9146%
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 |
|---|---|---|
| AbbVie(2 entities) | 132 | $47,452 |
| Musculoskeletal Transplant Foundation Inc. | 9 | $13,522 |
| Galderma Laboratories, L.p. | 29 | $13,024 |
| Merz North America, Inc. | 8 | $5,692 |
| Sun Pharmaceutical Industries Inc. | 8 | $184 |
| Misonix Inc | 1 | $115 |
| Incyte Corporation | 3 | $81 |
| Sanofi | 2 | $73 |
| Journey Medical Corporation | 3 | $71 |
| Arcutis Biotherapeutics, Inc. | 3 | $61 |
| Amgen(2 entities) | 2 | $52 |
| Solta Medical, A Division Of Bausch Health US, LLC | 2 | $47 |
| Revance Therapeutics, Inc. | 1 | $26 |
| Novartis | 2 | $25 |
| LNHC, Inc | 1 | $25 |
| Mission Pharmacal Company | 1 | $24 |
| Lilly USA, LLC | 1 | $23 |
| Dermavant Sciences, Inc. | 1 | $21 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $20 |
| Verrica Pharmaceuticals Inc. | 1 | $17 |
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.
- BOTOX$38,687
- BOTOX COSMETIC$6,138
- XEOMIN$1,773
How this compares
$80,555 in reported general payments places this provider in the 95th percentile of 1,875 dermatology providers in California.
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 |
|---|---|---|
| Clobetasol Propionate | 26 | $1,885 |
| Ketoconazole | 13 | $261 |
| Triamcinolone Acetonide | 26 | $220 |
| Mupirocin | 19 | $78 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Calabasas
- Hal WeitzbuchCalabasas$471K
- Paul YamauchiSanta Monica$2.9M
- Jennifer SoungSanta Ana$2.8M
- Robert GreenbergLivermore$2.6M
- Neal BhatiaSan Diego$2.5M
- April ArmstrongLos Angeles$2.3M
- Jeffrey CrowleyBakersfield$2.1M
- Jashin WuCorona$2M
- Raja SivamaniSacramento$1.9M
- Tien NguyenFountain Valley$1.2M
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.