Cesar Guerrero, MD
Neurological Surgery · Miami, FLNPI 1386829554
Payments from drug & device makers
What this record shows
E.r. Squibb & Sons, L.L.C. accounts for 77.1% of it on its own, with 3 other manufacturers making up the rest. 2024 is the largest year on record at $1,513, more than ten times the $42 reported in 2019. That places this record below the midpoint for neurological surgery clinicians in FL, where the typical reported total is $5,245.
Across 21 payments — averaging $93.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$2K
- Medtronic$210
- Straumann USA LLC$197
- Stryker$42
Across 13 payments — averaging $70,189 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.
- E.r. Squibb & Sons, L.L.C.$884K
- IBSA Institut Biochimique SA$28K
What the payments were for
- Travel & lodging$97250%
- Food & beverage$99050%
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C. | 14 | $1,513 |
| Medtronic | 1 | $210 |
| Straumann USA LLC | 5 | $197 |
| Stryker | 1 | $42 |
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.
- INTELLIS$210
How this compares
$1,962 in reported general payments places this provider in the 30th percentile of 556 neurological surgery providers in Florida.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 211 | $7,309 |
| Gabapentin | 336 | $3,110 |
| Diclofenac Sodium | 195 | $2,998 |
| Baclofen | 211 | $1,860 |
| Celecoxib | 29 | $1,768 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 56 | $1,481 |
| Oxycodone Hcl | 52 | $1,332 |
| Naproxen | 73 | $734 |
| Tramadol Hcl | 70 | $580 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 22 | $493 |
| Pregabalin | 22 | $459 |
| Cyclobenzaprine Hcl | 35 | $395 |
| Methocarbamol | 31 | $378 |
| Ibuprofen | 40 | $335 |
| Tizanidine Hcl | 18 | $281 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Miami
- Eric PetersonMiami$10.1M
- Michael WangMiami$2.2M
- Wilson AsforaMiami$1.3M
- Steven VanniMiami$1.1M
- Timur UrakovMiami$652K
- Samuel GoldsmitMiami$519K
- Robert StarkeMiami$302K
- Ian CoteMiami$231K
- Michael IvanMiami$225K
- James GuestMiami$155K
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.