Ralph Guild, MD
Gastroenterology · Oklahoma City, OKNPI 1245208438
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 19 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 8 manufacturers, the largest accounting for just 17.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $197 and has fallen 62.3% since, to $74 in 2024. That places this record below the midpoint for gastroenterology clinicians in OK, where the typical reported total is $4,832.
Across 19 payments — averaging $30.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$104
- Incyte Corporation$93
- Takeda Pharmaceuticals U.S.A., Inc.$87
- Olympus America Inc.$82
- Amarin Pharma, Inc.$76
- Scpharmaceuticals Inc.$67
- plus $72 from 2 others
Across 12 payments — averaging $3214.23 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.
- Ironwood Pharmaceuticals, Inc$39K
What the payments were for
- Food & beverage$582100%
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
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 |
|---|---|---|
| Merck | 8 | $104 |
| Incyte Corporation | 1 | $93 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $87 |
| Olympus America Inc. | 5 | $82 |
| Amarin Pharma, Inc. | 1 | $76 |
| Scpharmaceuticals Inc. | 1 | $67 |
| Novo Nordisk | 1 | $66 |
| Micro-tech Endoscopy USA, Inc. | 1 | $7 |
How this compares
$582 in reported general payments places this provider in the 20th percentile of 133 gastroenterology 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 | 11 | $6,315 |
| Gavilyte-CPeg3350/Sod Sulf,bicarb,cl/Kcl | 31 | $527 |
| Omeprazole | 12 | $222 |
| Pantoprazole Sodium | 27 | $220 |
Paid to pharmacies, not to this prescriber.
Other gastroenterology in Oklahoma City
- George SalemOklahoma City$1.2M
- Tauseef AliOklahoma City$536K
- Pooja SinghalOklahoma City$140K
- Hussein BitarOklahoma City$120K
- Trushar PatelOklahoma City$49K
- Matthew McBrideOklahoma City$33K
- Sanjay SikkaOklahoma City$31K
- Tony TranOklahoma City$11K
- Ahmad Al-TaeeOklahoma City$11K
- Sumit WaliaOklahoma City$10K
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.