Carlos Guerra Londono, MD
Anesthesiology · Detroit, MINPI 1659723575
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $3,500 of the $5,312 with a category attached, or 65.9%. BD accounts for 66.3% of it on its own, with 2 other manufacturers making up the rest. Among anesthesiology clinicians in MI 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 15 payments — averaging $354.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- BD$4K
- Edwards Lifesciences$2K
- Heron Therapeutics, Inc.$46
Across 18 payments — averaging $20,076 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.
- Edwards Lifesciences$188K
- GE HealthCare$90K
- BD$84K
What the payments were for
- Consulting fees$3,50066%
- Travel & lodging$1,40726%
- Food & beverage$4058%
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 |
|---|---|---|
| BD | 2 | $3,520 |
| Edwards Lifesciences | 12 | $1,746 |
| Heron Therapeutics, Inc. | 1 | $46 |
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.
- HemoSphere$1,557
How this compares
$5,312 in reported general payments places this provider in the 95th percentile of 1,299 anesthesiology providers in Michigan.
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.
Other anesthesiology in Detroit
- Zachary WeinermanDetroit$24K
- Thomas RodziewiczDetroit$15K
- Roger HaddadDetroit$13K
- Peter KhouryDetroit$13K
- Nancy GhalebDetroit$11K
- Joseph HannaDetroit$5K
- Joseph SandersDetroit$5K
- Gaurav ChauhanDetroit$5K
- Amanbir DhadeDetroit$5K
- Mohamed OsmanDetroit$4K
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.