Paul Guillory, MD
Otolaryngology · Alexandria, LANPI 1114918281
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (54.6%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Aerin Medical Inc. accounts for 93.6% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2020 at $4,629 and has fallen 97.7% since, to $108 in 2025. Among otolaryngology clinicians in LA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 66 payments — averaging $177.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Aerin Medical Inc.$11K
- Optinose US, Inc.$257
- Jazz Pharmaceuticals Inc.$141
- GSK$110
- Intersect ENT, Inc.$46
- Acclarent, Inc$45
- plus $155 from 8 others
Across 4 payments — averaging $3990.02 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.
- Aerin Medical Inc.$16K
What the payments were for
- Consulting fees$6,40055%
- Speaking & faculty fees$3,40029%
- Food & beverage$1,91916%
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 |
|---|---|---|
| Aerin Medical Inc. | 35 | $10,964 |
| Optinose US, Inc. | 6 | $257 |
| Jazz Pharmaceuticals Inc. | 3 | $141 |
| GSK | 7 | $110 |
| Intersect ENT, Inc. | 2 | $46 |
| Acclarent, Inc | 3 | $45 |
| Sanofi | 2 | $35 |
| AbbVie | 2 | $31 |
| Sanofi-aventis U.S. LLC | 1 | $20 |
| Olympus America Inc. | 1 | $17 |
| Alk-abello, Inc | 1 | $15 |
| Arbor Pharmaceuticals, Inc. | 1 | $15 |
| Novartis | 1 | $13 |
| Axsome Therapeutics, Inc. | 1 | $10 |
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.
- VIVAER STYLUS$4,547
- VivAer$4,400
- RhinAer$4,400
- RHINAER STYLUS$2,547
- Vivaer RF Stylus$1,462
- Xhance$226
- XYREM$113
How this compares
$11,719 in reported general payments places this provider in the 90th percentile of 218 otolaryngology providers in Louisiana.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Azelastine Hcl | 590 | $13,694 |
| Fluticasone Propionate | 627 | $6,630 |
| Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort | 100 | $5,927 |
| RyaltrisOlopatadine Hcl/Mometasone | 14 | $3,394 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 186 | $2,757 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 24 | $2,622 |
| Ofloxacin | 31 | $1,313 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 86 | $1,000 |
| Neomycin-Polymyxin-HydrocortNeomycin/Polymyxin B/Hydrocort | 16 | $965 |
| Ipratropium Bromide | 28 | $922 |
| Montelukast Sodium | 83 | $747 |
| Mupirocin | 84 | $657 |
| Clotrimazole | 28 | $571 |
| Clindamycin Hcl | 41 | $482 |
| Omeprazole | 44 | $457 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Alexandria
- Joseph BadeauxAlexandria$3K
- Christian WoldAlexandria$3K
- Donald GonzalesNew Orleans$351K
- Kevin McLaughlinCovington$186K
- Adil FatakiaMarrero$148K
- Edward McCoulNew Orleans$92K
- Michael YimShreveport$77K
- Maura CosettiShreveport$64K
- Lizabeth ClarkeNew Iberia$40K
- Henry BarhamBaton Rouge$32K
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.