Mauricio Avila Guerra, MD
Neurological Surgery · Saint Louis, MONPI 1487016390
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (42.5%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Medtronic at 33.8% of the total.
Across 94 payments — averaging $130.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$4K
- Globus Medical$3K
- Lifenet Health$3K
- Johnson & Johnson$1K
- Medical Device Business Services, Inc.$465
- Stryker$431
- plus $692 from 7 others
What the payments were for
- Consulting fees$2,00016%
- Travel & lodging$4,41036%
- Food & beverage$5,19342%
- Education$3002%
- Entertainment$3203%
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 |
|---|---|---|
| Medtronic | 35 | $4,130 |
| Globus Medical | 22 | $2,834 |
| Lifenet Health | 4 | $2,585 |
| Johnson & Johnson | 13 | $1,087 |
| Medical Device Business Services, Inc. | 6 | $465 |
| Stryker | 4 | $431 |
| Zavation Medical Products, LLC | 3 | $349 |
| Convatec Inc. | 1 | $141 |
| Alphatec Spine, Inc | 1 | $73 |
| Elite Orthopedics, LLC | 2 | $49 |
| Boston Scientific | 1 | $37 |
| Intuitive Surgical | 1 | $28 |
| Brainlab, Inc. | 1 | $15 |
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.
- MAZOR X SYSTEM$2,952
- Vivigen MIS$2,435
- ELSA$998
- CREO MCS, Fenestrated, Sideloading$419
- EVEREST SPINAL SYSTEM$329
- ExcelsiusGPS Robotic Navigation System$283
- RISE-L . RISE-L A/L$271
- UNID_PASS$260
- YUKON OCT SPINAL SYSTEM$174
- CASCADIA INTERBODY SYSTEM$174
- CAPRI CORPECTOMY CAGE SYSTEM$174
- Sable$173
- NAVLOCK$150
- Quartex$146
- Vivigen MIS Delivery System$141
- AQUACEL Ag Extra$141
- Modulus$128
- SYMPHONY$127
- Teligen$123
- MATRIXNEURO$120
How this compares
$12,223 in reported general payments places this provider in the 75th percentile of 172 neurological surgery providers in Missouri.
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 neurological surgery in Saint Louis
- Neill WrightSaint Louis$1.1M
- Wilson RaySaint Louis$586K
- Camilo MolinaSaint Louis$412K
- Paul SantiagoSaint Louis$368K
- Daniel ScodarySaint Louis$278K
- Daniel HafezSaint Louis$273K
- John OgunladeSaint Louis$220K
- Joshua OsbunSaint Louis$98K
- Adewale BakareSaint Louis$81K
- Eric LeuthardtSaint Louis$78K
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.