Luis Guevara, DO
Sleep Medicine · Laredo, TXNPI 1083242135
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (53.3%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. Inspire Medical Systems, Inc. accounts for 78.6% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2024 at $2,705 and has fallen 94.6% since, to $145 in 2025.
Across 32 payments — averaging $102.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$3K
- Jazz Pharmaceuticals Inc.$263
- Avadel CNS Pharmaceuticals, LLC$150
- Lilly USA, LLC$109
- Fisher & Paykel Healthcare Inc$51
- Novo Nordisk$31
- plus $99 from 6 others
What the payments were for
- Consulting fees$1505%
- Travel & lodging$1,75653%
- Food & beverage$1,38742%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 16 | $2,590 |
| Jazz Pharmaceuticals Inc. | 3 | $263 |
| Avadel CNS Pharmaceuticals, LLC | 1 | $150 |
| Lilly USA, LLC | 3 | $109 |
| Fisher & Paykel Healthcare Inc | 1 | $51 |
| Novo Nordisk | 2 | $31 |
| Abbott | 1 | $24 |
| Corcept Therapeutics | 1 | $22 |
| Exact Sciences | 1 | $22 |
| Bayer | 1 | $16 |
| AbbVie | 1 | $14 |
| Organon | 1 | $2 |
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
$3,293 in reported general payments places this provider in the 70th percentile of 112 sleep medicine 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.
Other sleep medicine in Laredo
- Gerard MeskillSugar Land$1M
- Vikas JainFrisco$673K
- Amit VermaHouston$493K
- Jerald SimmonsHouston$165K
- James AndrySan Antonio$100K
- William BurkesBeaumont$99K
- Ashwin GowdaAustin$71K
- John DebusDallas$38K
- Peter ObessoTyler$34K
- Karen Hentschel FranksSan Antonio$18K
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.