Hamza Guend, MD
Colon & Rectal Surgery · Cincinnati, OHNPI 1902110364
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,804 of the $4,829 with a category attached, or 78.8%. 14 manufacturers reported payments, led by Intuitive Surgical at 47.1% of the total. Reporting peaked in 2019 at $2,403 and has fallen 77.6% since, to $539 in 2025.
Across 45 payments — averaging $107.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$2K
- Allen Medical Systems$800
- Abbott$721
- Boston Scientific$130
- Johnson & Johnson$128
- AbbVie$125
- plus $653 from 8 others
What the payments were for
- Speaking & faculty fees$1,02521%
- Food & beverage$3,80479%
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 |
|---|---|---|
| Intuitive Surgical | 26 | $2,272 |
| Allen Medical Systems | 1 | $800 |
| Abbott | 5 | $721 |
| Boston Scientific | 1 | $130 |
| Johnson & Johnson(2 entities) | 2 | $128 |
| AbbVie | 1 | $125 |
| Phathom Pharmaceuticals, Inc. | 1 | $125 |
| Coloplast | 1 | $123 |
| E.r. Squibb & Sons, L.L.C. | 1 | $122 |
| Axonics, Inc. | 1 | $116 |
| Covidien LP | 1 | $107 |
| KCI USA, Inc. | 2 | $35 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $13 |
| Medtronic | 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.
- Da Vinci Surgical System$961
- Yellofins Stirrups with Lift Assist$800
- ESPRIT$347
- Axonics$247
- DA VINCI SP$225
- JETI$176
- JETi All In One Non-Sterile Kit$173
- Skyrizi$125
- VOQUEZNA$125
- ALTIS$123
- ZEPOSIA$122
- Tremfya$107
How this compares
$4,829 in reported general payments places this provider in the 70th percentile of 101 colon & rectal surgery providers in Ohio.
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 |
|---|---|---|
| Hydrocortisone | 17 | $269 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 13 | $165 |
| Metronidazole | 47 | $64 |
| Ciprofloxacin Hcl | 44 | $48 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Cincinnati
- Janice RaffertyCincinnati$164K
- Ian PaquetteCincinnati$7K
- John FrankelCincinnati$5K
- Jonathan SnyderCincinnati$3K
- Carla JustinianoCincinnati$2K
- Vincent ObiasCleveland$124K
- David RosenCleveland$102K
- Jean AshburnCleveland$81K
- Matthew KaladyColumbus$66K
- Anna SpivakCleveland$54K
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.