Karen Guerrero, MD
Dermatology · Live Oak, TXNPI 1588670780
Payments from drug & device makers
Across 350 payments — averaging $18.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Amgen$435
- Lilly USA, LLC$401
- Johnson & Johnson$391
- E.r. Squibb & Sons, L.L.C.$378
- UCB, Inc.$361
- plus $3K from 29 others
What the payments were for
- Food & beverage$6,15297%
- Education$1653%
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 |
|---|---|---|
| AbbVie(2 entities) | 84 | $1,596 |
| Amgen | 20 | $435 |
| Lilly USA, LLC | 21 | $401 |
| Johnson & Johnson | 20 | $391 |
| E.r. Squibb & Sons, L.L.C. | 30 | $378 |
| UCB, Inc. | 14 | $361 |
| LEO Pharma Inc. | 15 | $317 |
| Novartis | 17 | $304 |
| Pfizer | 21 | $293 |
| Regeneron Healthcare Solutions, Inc. | 16 | $251 |
| Dermavant Sciences, Inc. | 12 | $222 |
| Arcutis Biotherapeutics, Inc. | 12 | $204 |
| Galderma Laboratories, L.p. | 11 | $189 |
| Sanofi | 8 | $160 |
| Incyte Corporation | 8 | $145 |
| Sun Pharmaceutical Industries Inc. | 6 | $109 |
| Mayne Pharma Commercial LLC | 4 | $84 |
| Bristol Myers Squibb | 5 | $76 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 5 | $65 |
| Boehringer Ingelheim | 2 | $54 |
| Almirall LLC | 3 | $41 |
| Revance Therapeutics, Inc. | 1 | $27 |
| Krystal Biotech Inc | 1 | $26 |
| Integra Lifesciences Corporation | 1 | $24 |
| Janssen Scientific Affairs, LLC | 1 | $19 |
| Helsinn Therapeutics (U.S.), Inc. | 1 | $18 |
| DUSA Pharmaceuticals, Inc. | 1 | $18 |
| Organon | 2 | $17 |
| Kerecis Limited | 1 | $16 |
| Kyowa Kirin, Inc. | 1 | $15 |
| Strata Skin Sciences, Inc. | 1 | $15 |
| Sientra, Inc. | 1 | $13 |
| Aclaris Therapeutics, Inc. | 1 | $12 |
| Journey Medical Corporation | 2 | $10 |
| Prugen, Inc. Pharmaceuticals | 1 | $8 |
How this compares
$6,317 in reported general payments places this provider in the 55th percentile of 1,098 dermatology 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Humira(Cf) PenAdalimumab | 20 | $130,947 |
| Clobetasol Propionate | 132 | $5,581 |
| Tacrolimus | 23 | $2,723 |
| Fluorouracil | 24 | $2,371 |
| Doxycycline Monohydrate | 64 | $1,853 |
| Ketoconazole | 109 | $1,571 |
| Doxycycline Hyclate | 57 | $1,439 |
| Metronidazole | 17 | $947 |
| Triamcinolone Acetonide | 74 | $815 |
| Mycophenolate Mofetil | 12 | $794 |
| Clindamycin Phosphate | 34 | $736 |
| Fluocinonide | 21 | $722 |
| Betamethasone Dipropionate | 12 | $658 |
| Desonide | 25 | $474 |
| Nystatin | 21 | $435 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Live Oak
- Stephen TyringWebster$14.1M
- Edward LainAustin$12M
- Mark LeeSan Antonio$10.9M
- John BrowningSan Antonio$10.7M
- Craig TellerBellaire$7.7M
- Patricia LeeWebster$7.2M
- Jennifer CatherDallas$4.9M
- Michael MigdenHouston$3.7M
- Martin MenterDallas$3.7M
- Janet DuboisAustin$3.5M
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.