Ramiro de la Guerra, MD
Gastroenterology · Pittsburgh, PANPI 1841727898
Payments from drug & device makers
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 35th percentile of 935 gastroenterology providers in Pennsylvania.
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 |
|---|---|---|
| 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
- Jaideep BehariPittsburgh$2.7M
- Miguel RegueiroPittsburgh$1.5M
- Mordechai RabinovitzPittsburgh$1.1M
- David BinionPittsburgh$951K
- Adam SlivkaPittsburgh$902K
- Anna PhillipsPittsburgh$880K
- Sandra El-HachemPittsburgh$817K
- Obaid ShaikhPittsburgh$664K
- Marc SchwartzPittsburgh$507K
- Gursimran KochharPittsburgh$375K
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.