RxDoctor Payments Data

Jeffrey Guardino, MD

Cardiovascular Disease · Menlo Park, CANPI 1679537302

Payments from drug & device makers

$1,037in general payments, 2019–2025

Across 6 payments — averaging $172.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Edwards Lifesciences$641
  • Biosense Webster, Inc.$274
  • Boston Scientific$122

What the payments were for

  • Food & beverage$1,037100%

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

24
25

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.

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

$1,037 in reported general payments places this provider in the 35th percentile of 2,184 cardiovascular disease providers in California.

See all cardiovascular disease providers in California

Medicare billing

Part B allowed, 2024
$816,393
Medicare patients
1,137
Services billed
5,609

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

DrugClaimsCost to plans & patients
EliquisApixaban285$435,015
XareltoRivaroxaban108$149,658
JardianceEmpagliflozin36$53,105
FarxigaDapagliflozin Propanediol42$46,051
Repatha SureclickEvolocumab45$45,368
NexletolBempedoic Acid31$30,458
Olmesartan Medoxomil451$14,646
Ezetimibe348$13,136
Metoprolol Succinate622$11,330
Atorvastatin Calcium844$8,950
Eplerenone110$8,638
Rosuvastatin Calcium444$8,171
Propafenone Hcl ErPropafenone Hcl27$7,585
Diltiazem 24hr Er (Cd)Diltiazem Hcl180$6,367
Amlodipine Besylate387$4,337

Paid to pharmacies, not to this prescriber.

Other cardiovascular disease in Menlo Park

See the full list for California

Where these figures come from

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