Caryn Guerini Candela
Adult Health · Chardon, OHNPI 1891939591
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 316 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 31 manufacturers, the largest accounting for just 12.7% — the pattern of someone who eats at a lot of different presentations. Among adult health clinicians in OH 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 316 payments — averaging $18.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$728
- AstraZeneca$674
- Johnson & Johnson$611
- Boehringer Ingelheim$529
- Amgen$509
- Pfizer$400
- plus $2K from 25 others
What the payments were for
- Food & beverage$5,749100%
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.
| Company | Payments | Total |
|---|---|---|
| Novartis | 49 | $728 |
| AstraZeneca | 30 | $674 |
| Johnson & Johnson | 36 | $611 |
| Boehringer Ingelheim | 33 | $529 |
| Amgen | 27 | $509 |
| Pfizer | 25 | $400 |
| E.r. Squibb & Sons, L.L.C. | 17 | $391 |
| Sanofi-aventis U.S. LLC | 12 | $205 |
| Impulse Dynamics (USA) Inc. | 9 | $197 |
| Atricure, Inc. | 9 | $179 |
| Novo Nordisk | 8 | $164 |
| Bayer | 8 | $151 |
| Merck | 8 | $139 |
| United Therapeutics Corporation | 5 | $97 |
| Esperion Therapeutics, Inc. | 5 | $85 |
| Bridgebio Pharma, Inc. | 3 | $83 |
| Lexicon Pharmaceuticals, Inc. | 3 | $75 |
| Kiniksa Pharmaceuticals International, PLC | 4 | $63 |
| Abbott | 3 | $55 |
| Scpharmaceuticals Inc. | 3 | $53 |
| Regeneron Healthcare Solutions, Inc. | 3 | $51 |
| Actelion Pharmaceuticals US, Inc. | 3 | $50 |
| Heartflow, Inc. | 1 | $45 |
| Azurity Pharmaceuticals, Inc. | 2 | $42 |
| Lilly USA, LLC | 2 | $40 |
| Astellas Pharma US Inc | 2 | $28 |
| Itamar Medical Inc | 2 | $27 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $21 |
| Lundbeck LLC | 1 | $20 |
| Inspire Medical Systems, Inc. | 1 | $19 |
| Medtronic | 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.
How this compares
$5,749 in reported general payments places this provider in the 90th percentile of 1,184 adult health providers in Ohio.
Other adult health in Chardon
- Bonnie MohlerCanton$338K
- Andrew GuinigundoCincinnati$215K
- Gabriella McCartyWestlake$177K
- Karen SteffeyLyndhurst$145K
- Marie ChambersCenterville$134K
- Susan FlickCleveland$131K
- Teresa ShafferBoardman$102K
- Jesse McClainYoungstown$79K
- Lucretia LongColumbus$76K
- Marybeth RivardColumbus$41K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.