Manrique Guerrero, MD
Surgical Critical Care · Las Vegas, NVNPI 1780055889
Payments from drug & device makers
What this record shows
This record is dominated by education: $10,000 of the $16,003 with a category attached, or 62.5%. Intuitive Surgical accounts for 62.5% of it on its own, with 11 other manufacturers making up the rest. 2025 is the largest year on record at $10,724, more than ten times the $815 reported in 2021.
Across 88 payments — averaging $181.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$10K
- Zimmer Biomet$3K
- Acera Surgical, Inc.$1K
- Atricure, Inc.$702
- Integra Lifesciences Corporation$389
- Polynovo North America LLC$256
- plus $457 from 6 others
What the payments were for
- Travel & lodging$5293%
- Food & beverage$5,47334%
- Education$10,00062%
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 |
|---|---|---|
| Intuitive Surgical | 7 | $10,004 |
| Zimmer Biomet | 33 | $2,746 |
| Acera Surgical, Inc. | 10 | $1,450 |
| Atricure, Inc. | 12 | $702 |
| Integra Lifesciences Corporation | 4 | $389 |
| Polynovo North America LLC | 9 | $256 |
| Biotissue Holdings Inc. | 3 | $185 |
| Davol Inc. | 2 | $102 |
| Baxter Healthcare | 3 | $57 |
| Avita Medical Americas, LLC | 3 | $52 |
| Boston Scientific | 1 | $42 |
| Kerecis Limited | 1 | $20 |
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.
- DAVINCI XI$10,000
- Restrata Wound Matrix$1,430
- AdvantageRib$1,399
- RIBFIX BLU ADVANTAGE$388
- INTEGRA MESHED BILAYER WOUND MATRIX$381
- INTEGRA WOUND MATRIX (IWM)$381
- PRIMATRIX$381
- INTEGRA DERMAL REGENERATION TEMPLATE$381
- INTEGRA FLOWABLE WOUND MATRIX$381
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$311
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$260
How this compares
$16,003 in reported general payments places this provider in the 85th percentile of 24 surgical critical care providers in Nevada.
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 surgical critical care in Las Vegas
- Casey ThomasLas Vegas$801K
- Carmen FloresLas Vegas$103K
- Jocelyn BurkeLas Vegas$30K
- Laura CrankshawLas Vegas$8K
- Kitae KimLas Vegas$7K
- Jeremy AndersonLas Vegas$6K
- Shakira BurtonLas Vegas$4K
- Allison McNickleLas Vegas$2K
- Allan MacintyreLas Vegas$2K
- Kevin KuruvillaLas Vegas$848
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.