Juan Gutierrez, MD
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $41,200 of the $46,890 with a category attached, or 87.9%. Johnson & Johnson accounts for 85.5% of it on its own, with 11 other manufacturers making up the rest. Among surgery clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 49 payments — averaging $956.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$40K
- Intuitive Surgical$4K
- Ethicon Endo-surgery Inc.$1K
- Apollo Endosurgery US Inc$903
- Davol Inc.$229
- Smith+Nephew$156
- plus $150 from 6 others
What the payments were for
- Consulting fees$41,20088%
- Travel & lodging$7072%
- Food & beverage$9832%
- Education$4,0009%
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 |
|---|---|---|
| Johnson & Johnson(3 entities) | 26 | $40,075 |
| Intuitive Surgical | 3 | $4,178 |
| Ethicon Endo-surgery Inc. | 1 | $1,200 |
| Apollo Endosurgery US Inc | 7 | $903 |
| Davol Inc. | 3 | $229 |
| Smith+Nephew | 3 | $156 |
| Endogastric Solutions, Inc | 1 | $61 |
| Medical Device Business Services, Inc. | 1 | $21 |
| Teleflex LLC | 1 | $20 |
| Acell, Inc. | 1 | $18 |
| Innovation Technologies Inc | 1 | $17 |
| Novo Nordisk | 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.
- Da Vinci Surgical System$4,150
- Overstitch$707
- Phasix Mesh$199
- Santyl$125
How this compares
$46,890 in reported general payments places this provider in the 90th percentile of 1,569 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 |
|---|---|---|
| Sucralfate | 17 | $8,083 |
| Omeprazole | 37 | $294 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 35 | $145 |
| Promethazine Hcl | 17 | $105 |
| Ondansetron Hcl | 22 | $88 |
Paid to pharmacies, not to this prescriber.
Other surgery in Ocala
- Andre TeixeiraOcala$731K
- Jorge FlorinWinter Garden$2.2M
- Amit TaggarTampa$1.4M
- Keith KimCelebration$1.1M
- Richard DiciccoTampa$964K
- Elizabeth DovecLakeland$870K
- Christopher DucoinTampa$808K
- Jose ErbellaBradenton$718K
- Anthony GonzalezMiami$686K
- Natan ZundelNorth Miami Beach$596K
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.