Javier Amione Guerra, MD
Advanced Heart Failure and Transplant Cardiology · San Antonio, TXNPI 1740711696
Payments from drug & device makers
Across 57 payments — averaging $35.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$482
- Abiomed$431
- Stryker$302
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$106
- Cvrx, Inc.$103
- Medtronic$87
- plus $530 from 13 others
What the payments were for
- Food & beverage$2,040100%
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 |
|---|---|---|
| Abbott | 9 | $482 |
| Abiomed | 7 | $431 |
| Stryker | 3 | $302 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $106 |
| Cvrx, Inc. | 13 | $103 |
| Medtronic | 4 | $87 |
| Pfizer | 4 | $74 |
| AstraZeneca | 1 | $74 |
| Impulse Dynamics (USA) Inc. | 1 | $68 |
| Actelion Pharmaceuticals US, Inc. | 2 | $51 |
| Boston Scientific | 2 | $51 |
| Inari Medical, Inc. | 2 | $42 |
| United Therapeutics Corporation | 2 | $36 |
| Boehringer Ingelheim | 1 | $36 |
| Alnylam Pharmaceuticals Inc. | 1 | $23 |
| Scpharmaceuticals Inc. | 1 | $22 |
| Lexicon Pharmaceuticals, Inc. | 1 | $20 |
| E.r. Squibb & Sons, L.L.C. | 1 | $19 |
| Merck | 1 | $15 |
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.
- CARDIOMEMS$376
- FLOWTRIEVER CATHETER, S$148
- CT THROMBECTOMY SYSTEM KIT$148
- FlowTriever$131
- Impella$125
- LifeVest$106
How this compares
$2,040 in reported general payments places this provider in the 10th percentile of 75 advanced heart failure and transplant cardiology providers in Texas.
See all advanced heart failure and transplant cardiology providers in Texas →
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.
Other advanced heart failure and transplant cardiology in San Antonio
- Allen AndersonSan Antonio$615K
- Alejandro Folch SandovalSan Antonio$44K
- Rashonda CarlisleSan Antonio$30K
- Sachin GuptaSan Antonio$25K
- Mahek ShahSan Antonio$11K
- Tamer AmerSan Antonio$11K
- Mohammed AslamSan Antonio$8K
- Mahi AshwathSan Antonio$4K
- Robert GottliebDallas$14.1M
- Martin BerkDallas$1.9M
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.