Paul Guske, MD
General Surgery · Hoffman Estates, ILNPI 1952361511
Payments from drug & device makers
What this record shows
This record is dominated by education: $22,000 of the $30,666 with a category attached, or 71.7%. Intuitive Surgical accounts for 82.3% of it on its own, with 35 other manufacturers making up the rest. Reporting peaked in 2020 at $17,369 and has fallen 84.5% since, to $2,686 in 2025. Among general surgery clinicians in IL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 200 payments — averaging $153.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$25K
- Medical Device Business Services, Inc.$2K
- Endo Pharmaceuticals Inc.$576
- Medtronic$453
- Integra Lifesciences Corporation$337
- Novo Nordisk$309
- plus $2K from 30 others
What the payments were for
- Travel & lodging$4,14914%
- Food & beverage$4,51815%
- Education$22,00072%
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 | 33 | $25,249 |
| Medical Device Business Services, Inc. | 6 | $1,544 |
| Endo Pharmaceuticals Inc. | 51 | $576 |
| Medtronic | 8 | $453 |
| Integra Lifesciences Corporation | 11 | $337 |
| Novo Nordisk | 7 | $309 |
| Smith+Nephew | 11 | $226 |
| Pacira Pharmaceuticals Incorporated | 7 | $221 |
| Johnson & Johnson | 5 | $207 |
| Hologic Sales And Service, LLC | 6 | $141 |
| TELA Bio, Inc. | 6 | $125 |
| Baxter Healthcare | 1 | $117 |
| Davol Inc. | 3 | $116 |
| Stryker | 1 | $110 |
| Heron Therapeutics, Inc. | 4 | $102 |
| Vertex | 4 | $96 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $81 |
| Covidien LP | 2 | $75 |
| W. L. Gore & Associates, Inc. | 4 | $73 |
| Lexington Medical, Inc. | 1 | $69 |
| Kowa Pharmaceuticals America, Inc. | 4 | $66 |
| Innocoll Pharmaceuticals Limited | 4 | $66 |
| Aroa Biosurgery Incorporated | 2 | $48 |
| Mimedx Group, Inc. | 2 | $36 |
| Braintree Laboratories, Inc. | 2 | $32 |
| Innovation Technologies Inc | 1 | $22 |
| TEI Biosciences Inc | 1 | $22 |
| KCI USA, Inc. | 1 | $21 |
| Palette Life Sciences, Inc. | 1 | $19 |
| Lilly USA, LLC | 1 | $18 |
| Shire North American Group Inc | 1 | $15 |
| Olympus America Inc. | 1 | $15 |
| Focal Therapeutics, Inc. | 1 | $14 |
| Baudax Bio Inc. | 1 | $14 |
| Acera Surgical, Inc. | 1 | $14 |
| Acell, Inc. | 1 | $13 |
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.
- Da Vinci Surgical System$24,581
- LINX Reflux Management System$1,579
- Signia$170
- TISSEEL$117
- NIM Vital$111
- 1588 HD 3 CHIP CAMERA$110
- Harmonic$107
- Saxenda$104
How this compares
$30,666 in reported general payments places this provider in the 95th percentile of 41 general surgery providers in Illinois.
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 |
|---|---|---|
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 37 | $2,504 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 70 | $618 |
| Omeprazole | 14 | $232 |
| Metronidazole | 15 | $77 |
Paid to pharmacies, not to this prescriber.
Other general surgery in Hoffman Estates
- James KaneHoffman Estates$27K
- Peter RantisHoffman Estates$26K
- Phillip CacioppoElk Grove Village$29K
- Gavish PatelPeoria$10K
- Mark AndersonChicago$365
- Robert GellerMelrose Park$211
- Mohammed ArainDowners Grove$171
- Douglas WisemanChicago$0
- Ciaran BradleyGlen Ellyn$0
- Delinda WillsPeoria$0
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.