Luis Guada
Neurological Surgery · Miami, FLNPI 1598297988
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (56.0%), travel and lodging and entertainment — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Penumbra, Inc. at 43.1% of the total. Reporting peaked in 2024 at $11,054 and has fallen 71.6% since, to $3,140 in 2025.
Across 156 payments — averaging $109.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$7K
- Stryker$3K
- Balt USA, LLC$2K
- Medtronic$2K
- Scientia Vascular$868
- AstraZeneca$521
- plus $898 from 6 others
What the payments were for
- Travel & lodging$7,42143%
- Food & beverage$9,58656%
- Entertainment$1111%
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 |
|---|---|---|
| Penumbra, Inc. | 79 | $7,375 |
| Stryker | 20 | $2,982 |
| Balt USA, LLC | 13 | $2,431 |
| Medtronic | 21 | $2,045 |
| Scientia Vascular | 3 | $868 |
| AstraZeneca | 7 | $521 |
| Microvention, Inc. | 3 | $310 |
| Johnson & Johnson | 3 | $192 |
| Qapel Medical Inc | 1 | $148 |
| Route 92 Medical, Inc. | 1 | $111 |
| Imperative Care, Inc | 3 | $106 |
| Neurelis, Inc. | 2 | $31 |
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.
- Penumbra System$4,096
- Optima Coil System$1,857
- Pipeline$1,577
- TARGET$869
- RED 72$799
- NEUROFORM EZ 3$669
- Benchmark$544
- EVOLVE$489
- SURPASS EVOLVE$485
- Carrier Delivery Catheter$394
- Aristotle$344
- Socrates 38$344
- TREVO$194
- WEB Aneurysm Embolization System$177
- FARXIGA$127
- ANDEXXA$125
- BRILINTA$125
- 8F Base Camp Sheath System$111
How this compares
$17,119 in reported general payments places this provider in the 65th percentile of 556 neurological surgery providers in Florida.
Other neurological surgery in Miami
- Eric PetersonMiami$10.1M
- Michael WangMiami$2.2M
- Wilson AsforaMiami$1.3M
- Steven VanniMiami$1.1M
- Timur UrakovMiami$652K
- Samuel GoldsmitMiami$519K
- Robert StarkeMiami$302K
- Ian CoteMiami$231K
- Michael IvanMiami$225K
- James GuestMiami$155K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.