Javier Guzman, MD
Foot and Ankle Surgery · Venice, FLNPI 1295120756
Payments from drug & device makers
Across 116 payments — averaging $243.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$19K
- Stryker$5K
- Supreme Orthopedic Systems, LLC$2K
- Paragon 28, Inc.$972
- Coastal Medical Technologies LLC$438
- MVP Orthopedics Inc$354
- plus $1K from 9 others
What the payments were for
- Grants$10,00035%
- Travel & lodging$4,55516%
- Food & beverage$4,60716%
- Education$9,12932%
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 |
|---|---|---|
| Arthrex | 40 | $18,586 |
| Stryker | 36 | $4,500 |
| Supreme Orthopedic Systems, LLC | 4 | $2,436 |
| Paragon 28, Inc. | 10 | $972 |
| Coastal Medical Technologies LLC | 6 | $438 |
| MVP Orthopedics Inc | 7 | $354 |
| Johnson & Johnson | 4 | $317 |
| Exactech, Inc. | 2 | $189 |
| Flower Orthopedics Coporation | 1 | $165 |
| Medtronic | 1 | $125 |
| Zimmer Biomet | 1 | $125 |
| Boston Scientific | 1 | $30 |
| Fidia Pharma USA Inc. | 1 | $19 |
| Acera Surgical, Inc. | 1 | $18 |
| GE HealthCare | 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
$28,291 in reported general payments places this provider in the 90th percentile of 850 foot and ankle surgery providers in Florida.
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 |
|---|---|---|
| Methylprednisolone | 307 | $1,740 |
| Celecoxib | 102 | $1,208 |
| Meloxicam | 246 | $649 |
| Tramadol Hcl | 106 | $417 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 41 | $367 |
| Oxycodone Hcl | 61 | $351 |
| Pregabalin | 46 | $285 |
| Gabapentin | 27 | $230 |
| Cyclobenzaprine Hcl | 30 | $223 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 25 | $109 |
| Cephalexin | 13 | $59 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Venice
- Thomas SangiovanniCoral Gables$2.1M
- Shayne JensenPanama City$1.3M
- Thomas RoukisOrlando$1.1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$938K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$814K
- Riquel GonzalezHialeah$612K
- Mario CalaHialeah$544K
- Christopher ReevesLake Mary$437K
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.