RxDoctor Payments Data

Michael Guice, MD

General Practice · Los Angeles, CANPI 1215944285

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 12 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 5 manufacturers reported payments, led by Salix Pharmaceuticals, A Division Of Bausch Health US, LLC at 35.9% of the total. Reporting peaked in 2019 at $118 and has fallen 77.1% since, to $27 in 2025. That places this record below the midpoint for general practice clinicians in CA, where the typical reported total is $211.

$256in general payments, 2019–2025

Across 12 payments — averaging $21.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$92
  • Sanofi-aventis U.S. LLC$75
  • Amgen$47
  • Bayer$24
  • Novo Nordisk$19
$52,703in research payments, 2019–2025

Across 18 payments — averaging $2927.97 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Pfizer$51K
  • Amarin Pharma, Inc.$2K
  • GSK$500
  • Merck$171

What the payments were for

  • Food & beverage$256100%

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
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.

How this compares

$256 in reported general payments places this provider in the 50th percentile of 12,963 general practice providers in California.

See all general practice providers in California →

Medicare billing

Part B allowed, 2024
$7,841
Medicare patients
16
Services billed
52

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
TrulicityDulaglutide77$94,673
EliquisApixaban14$17,348
Tresiba Flextouch U-200Insulin Degludec16$16,504
JanuviaSitagliptin Phosphate12$13,866
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog37$11,113
ZenpepLipase/Protease/Amylase13$10,899
Nifedipine ErNifedipine103$3,462
Celecoxib65$2,947
Albuterol Sulfate HfaAlbuterol Sulfate53$2,131
Potassium Chloride88$1,652
Labetalol Hcl47$1,618
Metformin Hcl101$1,146
Gabapentin76$1,075
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen33$936
Levothyroxine Sodium54$926

Paid to pharmacies, not to this prescriber.

Other general practice in Los Angeles

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Where these figures come from

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