Cesar Guerrero, MD
Dermatology · Grenada, MSNPI 1720378169
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $865 of the $1,055 with a category attached, or 82.0%. It is spread thinly across 16 manufacturers, the largest accounting for just 18.4% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $281, 2.1 times the $136 reported in 2019. That places this record below the midpoint for dermatology clinicians in MS, where the typical reported total is $4,621.
Across 33 payments — averaging $31.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$194
- Kerecis Limited$153
- Stryker$136
- Abbott$126
- Convatec Inc.$92
- Sun Pharmaceutical Industries Inc.$92
- plus $262 from 10 others
What the payments were for
- Food & beverage$86582%
- Education$19018%
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 6 | $194 |
| Kerecis Limited | 6 | $153 |
| Stryker | 1 | $136 |
| Abbott | 2 | $126 |
| Convatec Inc. | 4 | $92 |
| Sun Pharmaceutical Industries Inc. | 1 | $92 |
| Mallinckrodt Hospital Products Inc. | 2 | $58 |
| Myriad Genetic Laboratories, Inc. | 2 | $51 |
| Lilly USA, LLC | 2 | $33 |
| Stemline Therapeutics Inc. | 1 | $23 |
| Organogenesis Inc. | 1 | $21 |
| Merz North America, Inc. | 1 | $19 |
| Amgen | 1 | $16 |
| Johnson & Johnson | 1 | $14 |
| Dermavant Sciences, Inc. | 1 | $14 |
| Pfizer | 1 | $12 |
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.
- VSP ORTHOGNATHIC$136
How this compares
$1,055 in reported general payments places this provider in the 25th percentile of 78 dermatology providers in Mississippi.
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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 16 | $106,401 |
| Clobetasol Propionate | 218 | $7,890 |
| Ketoconazole | 250 | $4,523 |
| Triamcinolone Acetonide | 314 | $3,835 |
| Betamethasone Dipropionate | 64 | $3,034 |
| Tranexamic Acid | 40 | $1,811 |
| Metronidazole | 35 | $1,333 |
| Hydrocortisone | 121 | $1,085 |
| CiclopiroxCiclopirox Olamine | 30 | $993 |
| Minocycline Hcl | 55 | $940 |
| ValacyclovirValacyclovir Hcl | 32 | $938 |
| Doxycycline Hyclate | 48 | $828 |
| Clindamycin Phosphate | 14 | $554 |
| Hydroxyzine Hcl | 37 | $488 |
| Terbinafine Hcl | 32 | $215 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Grenada
- Jeremy JacksonJackson$450K
- Lindsey ZubritskyOcean Springs$349K
- Maureen OffiahHattiesburg$275K
- Lyndsay ShippOxford$246K
- Steven ShapiroHattiesburg$165K
- Joseph TerracinaGreenville$86K
- Thy HuynhJackson$51K
- Patrick BolerClinton$44K
- Jeffrey HouinTupelo$27K
- Robert BrodellJackson$26K
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.