Guido Torres, MD
Obstetrics & Gynecology · Henderson, NVNPI 1427108604
Payments from drug & device makers
What this record shows
This record is dominated by education: $36,145 of the $39,969 with a category attached, or 90.4%. Intuitive Surgical accounts for 91.5% of it on its own, with 34 other manufacturers making up the rest. Reporting peaked in 2021 at $27,592 and has fallen 99.6% since, to $106 in 2025. Among obstetrics & gynecology clinicians in NV 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 181 payments — averaging $220.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$37K
- AbbVie$702
- Pfizer$402
- Astellas Pharma US Inc$283
- Caldera Medical, Inc$253
- Mayne Pharma Commercial LLC$185
- plus $2K from 29 others
What the payments were for
- Food & beverage$3,82410%
- Education$36,14590%
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 |
|---|---|---|
| Intuitive Surgical | 25 | $36,581 |
| AbbVie(2 entities) | 37 | $702 |
| Pfizer | 21 | $402 |
| Astellas Pharma US Inc | 8 | $283 |
| Caldera Medical, Inc | 1 | $253 |
| Mayne Pharma Commercial LLC | 8 | $185 |
| Vertical Pharmaceuticals, LLC | 9 | $182 |
| Daiichi Sankyo Inc. | 7 | $157 |
| Exeltis, USA Inc. | 6 | $114 |
| Bayer | 6 | $108 |
| Hologic Sales And Service, LLC | 4 | $95 |
| Therapeuticsmd, Inc. | 4 | $85 |
| Evofem Biosciences, Inc. | 4 | $76 |
| Minerva Surgical, Inc | 3 | $74 |
| AMAG Pharmaceuticals, Inc. | 5 | $60 |
| Sage Therapeutics, LLC | 3 | $56 |
| Momentis Surgical Inc. | 1 | $56 |
| Merck | 3 | $44 |
| Myovant Sciences Inc. | 3 | $43 |
| Agile Therapeutics, Inc. | 2 | $43 |
| Coloplast | 3 | $42 |
| Axonics, Inc. | 2 | $40 |
| Sumitomo Pharma America, Inc. | 2 | $40 |
| Boston Scientific | 2 | $39 |
| Johnson & Johnson | 2 | $38 |
| Shield Therapeutics Inc | 1 | $26 |
| Amgen | 1 | $24 |
| Innovation Technologies Inc | 1 | $23 |
| Forte Bio-pharma LLC | 1 | $18 |
| Mylan Pharmaceuticals Inc. | 1 | $17 |
| Avion Pharmaceuticals | 1 | $14 |
| Conmed Corporation | 1 | $14 |
| Olympus America Inc. | 1 | $13 |
| Lupin Inc. | 1 | $12 |
| Organon | 1 | $10 |
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.
- Da Vinci Surgical System$36,110
- Desara$253
- Vertessa$253
How this compares
$39,969 in reported general payments places this provider in the 95th percentile of 308 obstetrics & gynecology providers in Nevada.
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 |
|---|---|---|
| PremproEstrogen,con/M-Progest Acet | 13 | $4,780 |
| EstrogelEstradiol | 15 | $4,634 |
| YuvafemEstradiol | 21 | $2,963 |
| Estradiol | 89 | $2,694 |
| Medroxyprogesterone Acetate | 27 | $285 |
| Oxybutynin Chloride | 15 | $193 |
| Alendronate Sodium | 12 | $42 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerPrempro | $402 | $4,78013 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 308 obstetrics & gynecology providers in Nevada.
Other obstetrics & gynecology in Henderson
- Silvia Ada Bevilacqua McBrideHenderson$23K
- Douglas TanitaHenderson$21K
- Stepanida FreemanHenderson$18K
- Kevin HsiungHenderson$17K
- Chirag VyasHenderson$16K
- Mehran SalekHenderson$13K
- Paula SchwartzHenderson$13K
- Amy Falcone-WhartonHenderson$10K
- Carla TurnerHenderson$9K
- Gerald CasasHenderson$8K
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.