Antonio Guasch, MD
Nephrology · Atlanta, GANPI 1508876509
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $3,250 of the $4,112 with a category attached, or 79.0%. Mallinckrodt Enterprises LLC accounts for 96.6% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2019 at $3,972 and has fallen 97.0% since, to $120 in 2025.
Across 6 payments — averaging $685.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mallinckrodt Enterprises LLC$4K
- Apellis Pharmaceuticals, Inc.$120
- Aurinia Pharma U.S., Inc.$20
Across 17 payments — averaging $1725.89 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Travere Therapeutics, Inc.$18K
- Boehringer Ingelheim$10K
- Boehringer Ingelheim RCV GmbH & Co KG$449
- Boehringer Ingelheim France S.a.s.$164
What the payments were for
- Speaking & faculty fees$3,25079%
- Travel & lodging$63215%
- Food & beverage$2105%
- Education$200%
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 |
|---|---|---|
| Mallinckrodt Enterprises LLC | 4 | $3,972 |
| Apellis Pharmaceuticals, Inc. | 1 | $120 |
| Aurinia Pharma U.S., Inc. | 1 | $20 |
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.
- ACTHAR$3,882
How this compares
$4,112 in reported general payments places this provider in the 70th percentile of 388 nephrology providers in Georgia.
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 |
|---|---|---|
| Cinacalcet Hcl | 37 | $8,935 |
| Tacrolimus | 13 | $3,158 |
| Mycophenolate Mofetil | 18 | $2,152 |
| Nifedipine ErNifedipine | 59 | $1,373 |
| Fluconazole | 11 | $1,006 |
| Prednisone | 93 | $390 |
| Tamsulosin Hcl | 26 | $322 |
| Atorvastatin Calcium | 47 | $319 |
| Pantoprazole Sodium | 14 | $188 |
| Metoprolol Succinate | 17 | $169 |
| Famotidine | 11 | $147 |
| Carvedilol | 17 | $111 |
| Potassium Chloride | 12 | $100 |
| Amlodipine Besylate | 18 | $96 |
| Omeprazole | 12 | $91 |
Paid to pharmacies, not to this prescriber.
Other nephrology in Atlanta
- Sheldon ShoreAtlanta$474K
- Christina KleinAtlanta$137K
- Mary MuonekeAtlanta$119K
- Frederic Rahbari OskouiAtlanta$88K
- Tarik LalwaniAtlanta$69K
- Haimanot WasseAtlanta$60K
- Janice LeaAtlanta$21K
- Vandana NiyyarAtlanta$11K
- Gautham ViswanathanAtlanta$10K
- Lara WatkinsAtlanta$8K
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.