Has Ramiro de la Guerra, MD received payments from drug or device companies?

Yes. Drug and device makers reported $1,093 in general payments to Ramiro de la Guerra, MD across 43 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Ramiro de la Guerra, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Ramiro de la Guerra, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Ramiro de la Guerra, MD

Gastroenterology · Pittsburgh, PANPI 1841727898

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 93.1% of the total across 43 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 15 manufacturers reported payments, led by Takeda Pharmaceuticals U.S.A., Inc. at 35.3% of the total. That places this record below the midpoint for gastroenterology clinicians in PA, where the typical reported total is $1,806.

$1,093in general payments, 2019–2025

Across 43 payments — averaging $25.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Takeda Pharmaceuticals U.S.A., Inc.$386
AbbVie$172
Boston Scientific$122
Johnson & Johnson$94
Aimmune Therapeutics, Inc.$62
Sanofi$44
plus $213 from 9 others

What the payments were for

Food & beverage$1,01893%
Education$757%

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
Takeda Pharmaceuticals U.S.A., Inc.	14	$386
AbbVie	9	$172
Boston Scientific	1	$122
Johnson & Johnson	2	$94
Aimmune Therapeutics, Inc.	4	$62
Sanofi	2	$44
Intercept Pharmaceuticals, Inc.	2	$42
Ardelyx, Inc.	2	$40
Ironwood Pharmaceuticals, Inc	1	$25
E.r. Squibb & Sons, L.L.C.	1	$24
Nestle Healthcare Nutrition Inc.	1	$21
Pentax Of America, Inc.	1	$16
Novo Nordisk	1	$16
Phathom Pharmaceuticals, Inc.	1	$15
Indivior Inc.	1	$14

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.

AXIOS$122

How this compares

$1,093 in reported general payments places this provider in the 40th percentile of 935 gastroenterology providers in Pennsylvania.

See all gastroenterology providers in Pennsylvania →

Medicare billing

Part B allowed, 2024

$47,658

Medicare patients

253

Services billed

394

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
Peg 3350-ElectrolyteSodium Chloride/Nahco3/Kcl/Peg	166	$3,861
Colestipol Hcl	20	$2,006
Ursodiol	12	$1,844
Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates	14	$1,090
LoperamideLoperamide Hcl	11	$915
Sucralfate	14	$894
Pantoprazole Sodium	120	$741
Famotidine	30	$446
Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl	23	$347
Dicyclomine Hcl	14	$291
CholestyramineCholestyramine (With Sugar)	12	$254
Omeprazole	74	$184

Paid to pharmacies, not to this prescriber.

Other gastroenterology in Pittsburgh

Miguel RegueiroPittsburgh$1.5M
Sandra El-HachemPittsburgh$472K
Elie AounPittsburgh$323K
Gursimran KochharPittsburgh$217K
Michael BabichPittsburgh$157K
Heitham Abdul-BakiPittsburgh$92K
Katie FarahPittsburgh$55K
Adam PeytonAllentown$985K
Shahin RahimianWaynesboro$592K
Harshit KharaDanville$438K

See the full list for Pennsylvania →

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.

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