Douglas Guevara
Independent Medical Examiner · Miami, FLNPI 1568923043
Payments from drug & device makers
Across 252 payments — averaging $21.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$685
- AstraZeneca$569
- Mannkind Corporation$527
- Sanofi-aventis U.S. LLC$407
- Xeris Pharmaceuticals, Inc.$382
- Novo Nordisk$284
- plus $3K from 29 others
What the payments were for
- Food & beverage$5,356100%
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 |
|---|---|---|
| Lilly USA, LLC | 39 | $685 |
| AstraZeneca | 17 | $569 |
| Mannkind Corporation | 23 | $527 |
| Sanofi-aventis U.S. LLC | 18 | $407 |
| Xeris Pharmaceuticals, Inc. | 15 | $382 |
| Novo Nordisk | 15 | $284 |
| Esperion Therapeutics, Inc. | 7 | $222 |
| Boehringer Ingelheim | 11 | $211 |
| Amgen | 11 | $207 |
| AbbVie | 13 | $191 |
| Dexcom, Inc. | 6 | $183 |
| Antares Pharma, Inc. | 9 | $142 |
| Abbott | 9 | $142 |
| Bayer | 6 | $133 |
| Lifescan, Inc. | 6 | $111 |
| Amarin Pharma, Inc. | 5 | $107 |
| Intuity Medical Inc | 2 | $101 |
| Zealand Pharma US, Inc. | 5 | $87 |
| BD | 4 | $82 |
| Merck | 5 | $73 |
| Radius Health, Inc. | 4 | $71 |
| Corcept Therapeutics | 4 | $68 |
| Insulet Corporation | 2 | $48 |
| Tandem Diabetes Care, Inc. | 2 | $47 |
| Ultragenyx Pharmaceutical Inc. | 2 | $42 |
| Nestle Healthcare Nutrition Inc. | 2 | $38 |
| IBSA Pharma Inc. | 2 | $30 |
| Cequr Corporation | 1 | $29 |
| Pfizer | 1 | $26 |
| Exact Sciences | 1 | $21 |
| Recordati_rare_diseases_inc. | 1 | $21 |
| EUSA Pharma (US) LLC | 1 | $21 |
| Embecta Corp. | 1 | $18 |
| Roche Diabetes Care, Inc. | 1 | $16 |
| Johnson & Johnson | 1 | $14 |
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
Too few independent medical examiner providers in Floridato place this figure against a meaningful peer group, so we don't.
Other independent medical examiner in Miami
- Lloyd TabbClearwater$120K
- Marc SchneiderFort Myers$11K
- Steven ZanfiniStuart$143
- Poovambur KrishnamurthyTallahassee$75
- Andrew BeachumWinter Park$18
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.