RxDoctor Payments Data

Loida Guevarra, MD

Family Medicine · Victorville, CANPI 1346329331

Payments from drug & device makers

$8,076in general payments, 2019–2025

Across 327 payments — averaging $24.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$2K
  • Abbott$956
  • Bayer$825
  • Lilly USA, LLC$815
  • Amarin Pharma, Inc.$646
  • Amgen$373
  • plus $3K from 33 others

What the payments were for

  • Food & beverage$8,02199%
  • Education$561%

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

19
20
21
22
23
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

$8,076 in reported general payments places this provider in the 90th percentile of 10,533 family medicine providers in California.

See all family medicine providers in California

Medicare billing

Part B allowed, 2024
$64,794
Medicare patients
112
Services billed
757

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
TrulicityDulaglutide38$51,857
FarxigaDapagliflozin Propanediol44$51,079
JardianceEmpagliflozin34$39,799
EliquisApixaban24$39,118
JanuviaSitagliptin Phosphate23$36,311
OzempicSemaglutide29$30,746
DapagliflozinDapagliflozin Propanediol25$20,017
KerendiaFinerenone16$9,903
JanumetSitagliptin Phos/Metformin Hcl11$8,347
Breo ElliptaFluticasone/Vilanterol15$6,675
Atorvastatin Calcium335$3,220
Lantus SolostarInsulin Glargine,hum.Rec.Anlog28$2,284
LantusInsulin Glargine,hum.Rec.Anlog22$2,222
Fenofibrate94$2,065
Icosapent Ethyl11$1,927

Paid to pharmacies, not to this prescriber.

Companies that both paid and supply prescribed drugs

These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.

CompanyPaid to this providerPart D cost of their drugs
Lilly USA, LLCTrulicity$815$51,85738 claims
AstraZenecaFarxiga$1,524$51,07944 claims
MerckJanuvia, Janumet$174$44,65834 claims
Boehringer IngelheimJardiance$282$39,79934 claims
PfizerEliquis$86$39,11824 claims
Novo NordiskOzempic$226$30,74629 claims
BayerKerendia$825$9,90316 claims
GSKBreo Ellipta$42$6,67515 claims
Sanofi-aventis U.S. LLCLantus$279$2,22222 claims

Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 10,533 family medicine providers in California.

Other family medicine in Victorville

See the full list for California

Where these figures come from

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