Paula Guinnip, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Tahlequah, OKNPI 1023239720
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (53.0%), food and beverage and education — rather than concentrated in one kind of arrangement. Bard Peripheral Vascular, Inc. accounts for 69.0% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2024 at $2,667 and has fallen 91.3% since, to $232 in 2025.
Across 60 payments — averaging $59.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bard Peripheral Vascular, Inc.$2K
- Boston Scientific$404
- Angiodynamics, Inc.$395
- Abiomed$195
- Medicomp Inc$34
- E.r. Squibb & Sons, L.L.C.$32
- plus $48 from 2 others
What the payments were for
- Travel & lodging$1,89953%
- Food & beverage$1,37038%
- Education$3139%
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 |
|---|---|---|
| Bard Peripheral Vascular, Inc. | 20 | $2,473 |
| Boston Scientific | 29 | $404 |
| Angiodynamics, Inc. | 3 | $395 |
| Abiomed | 2 | $195 |
| Medicomp Inc | 2 | $34 |
| E.r. Squibb & Sons, L.L.C. | 2 | $32 |
| Lemaitre Vascular, Inc. | 1 | $29 |
| Heartflow, Inc. | 1 | $19 |
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.
- Venclose Maven Catheter$1,537
- VenaCure 1470 Pro$313
How this compares
$3,582 in reported general payments places this provider in the 55th percentile of 48 thoracic surgery (cardiothoracic vascular surgery) providers in Oklahoma.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Oklahoma →
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 |
|---|---|---|
| EliquisApixaban | 18 | $16,747 |
| OzempicSemaglutide | 12 | $12,663 |
| EntrestoSacubitril/Valsartan | 16 | $12,444 |
| XareltoRivaroxaban | 15 | $10,532 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 13 | $3,178 |
| ClopidogrelClopidogrel Bisulfate | 31 | $348 |
| Amitriptyline Hcl | 16 | $279 |
| Clonidine Hcl | 40 | $229 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 17 | $82 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Tahlequah
- Matthew CooperTulsa$1.1M
- James LongOklahoma City$634K
- Kelly NagasawaTulsa$46K
- Charles ElkinsOklahoma City$42K
- James ReinersmanOklahoma City$40K
- Ajit TharakanTulsa$30K
- Michael PhillipsTulsa$30K
- David VanhooserOklahoma City$25K
- Paul KempeTulsa$18K
- Michael CannonOklahoma City$18K
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.