Ian Guerrero, MD
Internal Medicine · Kapolei, HINPI 1639604341
Payments from drug & device makers
Across 1,310 payments — averaging $23.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$5K
- Amgen$4K
- Insmed, Inc.$3K
- AbbVie$3K
- Bayer$2K
- Novo Nordisk$2K
- plus $10K from 26 others
What the payments were for
- Speaking & faculty fees$8053%
- Food & beverage$29,29797%
- Education$1310%
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 |
|---|---|---|
| AstraZeneca | 185 | $5,426 |
| Amgen(2 entities) | 182 | $4,447 |
| Insmed, Inc. | 157 | $3,377 |
| AbbVie(2 entities) | 114 | $2,561 |
| Bayer | 72 | $2,228 |
| Novo Nordisk | 122 | $2,166 |
| Boehringer Ingelheim | 61 | $1,789 |
| Lilly USA, LLC | 72 | $1,747 |
| Amarin Pharma, Inc. | 51 | $1,294 |
| GSK | 84 | $1,221 |
| Gilead | 30 | $647 |
| Pfizer | 25 | $531 |
| Sanofi-aventis U.S. LLC | 35 | $490 |
| Novartis | 28 | $432 |
| Johnson & Johnson | 23 | $359 |
| Merck | 15 | $311 |
| Arbor Pharmaceuticals, Inc. | 11 | $180 |
| Avanir Pharmaceuticals, Inc. | 9 | $159 |
| Exact Sciences | 3 | $149 |
| Teva Pharmaceuticals USA, Inc. | 5 | $124 |
| Otsuka America Pharmaceutical, Inc. | 4 | $102 |
| Kowa Pharmaceuticals America, Inc. | 5 | $100 |
| E.r. Squibb & Sons, L.L.C. | 4 | $80 |
| Radius Health, Inc. | 3 | $68 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $50 |
| Ironwood Pharmaceuticals, Inc | 2 | $45 |
| Neurocrine Biosciences, Inc. | 1 | $38 |
| Biohaven Pharmaceuticals, Inc. | 1 | $35 |
| LEO Pharma Inc. | 1 | $23 |
| Nestle Healthcare Nutrition Inc. | 1 | $20 |
| Insulet Corporation | 1 | $19 |
| Abbott | 1 | $18 |
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
$30,234 in reported general payments places this provider in the 95th percentile of 655 internal medicine providers in Hawaii.
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 |
|---|---|---|
| KrystexxaPegloticase | 29 | $851,623 |
| ArikayceAmikacin Liposomal/Neb.Accessr | 21 | $334,348 |
| JardianceEmpagliflozin | 112 | $145,197 |
| OzempicSemaglutide | 92 | $133,453 |
| FarxigaDapagliflozin Propanediol | 100 | $131,779 |
| KerendiaFinerenone | 81 | $107,445 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 79 | $77,702 |
| LinzessLinaclotide | 50 | $68,900 |
| EliquisApixaban | 36 | $56,188 |
| JanuviaSitagliptin Phosphate | 35 | $45,190 |
| TrulicityDulaglutide | 23 | $42,615 |
| XareltoRivaroxaban | 27 | $38,231 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 29 | $36,154 |
| ProliaDenosumab | 19 | $32,970 |
| MyrbetriqMirabegron | 37 | $28,250 |
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 |
|---|---|---|
| AmgenKrystexxa, Prolia | $4,447 | $884,59448 claims |
| Insmed, Inc.Arikayce | $3,377 | $334,34821 claims |
| Boehringer IngelheimJardiance, Tradjenta, Synjardy Xr | $1,789 | $192,474150 claims |
| Novo NordiskOzempic | $2,166 | $133,45392 claims |
| AstraZenecaFarxiga | $5,426 | $131,779100 claims |
| BayerKerendia | $2,228 | $107,44581 claims |
| MerckJanuvia, Janumet Xr, Janumet | $311 | $100,06979 claims |
| GSKTrelegy Ellipta | $1,221 | $77,70279 claims |
| AbbVieLinzess | $2,561 | $68,90050 claims |
| PfizerEliquis | $531 | $56,18836 claims |
| Lilly USA, LLCTrulicity | $1,747 | $42,61523 claims |
| Johnson & JohnsonXarelto | $359 | $38,23127 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 655 internal medicine providers in Hawaii.
Other internal medicine in Kapolei
- Edward OkimotoKapolei$14K
- Michael SavonaWailuku$520K
- Scott StromattKamuela$385K
- Keith WooHonolulu$106K
- Ronald PerryHonolulu$102K
- Laurie TomHonolulu$95K
- Yusuke MiyataniHonolulu$80K
- Joshua TanHonolulu$76K
- Jose de LeonHonolulu$52K
- Peter DeeHonolulu$49K
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.