Robert Guevara, MD
Family Medicine · Harlingen, TXNPI 1447310776
Payments from drug & device makers
Across 134 payments — averaging $30.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Teva Pharmaceuticals USA, Inc.$1K
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$687
- Alkermes, Inc.$515
- Otsuka America Pharmaceutical, Inc.$371
- Neurocrine Biosciences, Inc.$369
- Johnson & Johnson$255
- plus $523 from 11 others
What the payments were for
- Food & beverage$3,75191%
- Education$3589%
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 |
|---|---|---|
| Teva Pharmaceuticals USA, Inc. | 51 | $1,389 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 12 | $687 |
| Alkermes, Inc. | 21 | $515 |
| Otsuka America Pharmaceutical, Inc. | 10 | $371 |
| Neurocrine Biosciences, Inc. | 9 | $369 |
| Johnson & Johnson | 11 | $255 |
| Vanda Pharmaceuticals Inc. | 3 | $138 |
| Coopersurgical, Inc. | 1 | $100 |
| Ironshore Pharmaceuticals Inc. | 3 | $52 |
| Lundbeck LLC | 2 | $46 |
| AbbVie | 2 | $37 |
| Sunovion Pharmaceuticals Inc. | 2 | $35 |
| Corium, LLC | 2 | $35 |
| Indivior Inc. | 2 | $30 |
| Axsome Therapeutics, Inc. | 1 | $19 |
| Medline Industries LP | 1 | $17 |
| E.r. Squibb & Sons, L.L.C. | 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.
- LYBALVI$1,000
- CAPLYTA$604
- UZEDY$249
- INGREZZA$238
- Austedo XR$220
- AUSTEDO$124
- REXULTI$123
- INVEGA TRINZA$105
- INVEGA SUSTENNA$105
- Uterine Manipulators & Injectors$100
How this compares
$4,109 in reported general payments places this provider in the 80th percentile of 8,760 family medicine providers in Texas.
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 |
|---|---|---|
| AustedoDeutetrabenazine | 62 | $565,199 |
| Invega SustennaPaliperidone Palmitate | 80 | $245,615 |
| Invega TrinzaPaliperidone Palmitate | 31 | $239,961 |
| Austedo XrDeutetrabenazine | 11 | $163,482 |
| IngrezzaValbenazine Tosylate | 19 | $145,747 |
| Abilify MaintenaAripiprazole | 43 | $106,076 |
| AristadaAripiprazole Lauroxil | 23 | $77,026 |
| RexultiBrexpiprazole | 46 | $66,596 |
| Wellbutrin XlBupropion Hcl | 18 | $45,064 |
| LybalviOlanzapine/Samidorphan Malate | 26 | $43,398 |
| TrintellixVortioxetine Hydrobromide | 74 | $38,023 |
| CaplytaLumateperone Tosylate | 22 | $37,899 |
| Lurasidone Hcl | 165 | $27,046 |
| Effexor XrVenlafaxine Hcl | 21 | $16,317 |
| Divalproex Sodium ErDivalproex Sodium | 233 | $15,485 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Teva Pharmaceuticals USA, Inc.Austedo, Austedo Xr | $1,389 | $728,68273 claims |
| Johnson & JohnsonInvega Sustenna, Invega Trinza | $255 | $485,576111 claims |
| Otsuka America Pharmaceutical, Inc.Abilify Maintena, Rexulti | $371 | $172,67289 claims |
| Neurocrine Biosciences, Inc.Ingrezza | $369 | $145,74719 claims |
| Alkermes, Inc.Aristada, Lybalvi | $515 | $120,42449 claims |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta | $687 | $37,89922 claims |
| AbbVieVraylar | $37 | $15,40912 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 80th percentile of 8,760 family medicine providers in Texas.
Other family medicine in Harlingen
- Douglas DenhamSan Antonio$68.5M
- Vicki MillerPasadena$58.3M
- Hareshkumar BogharaDesoto$30.3M
- Earl MartinTomball$30.1M
- Lisa HollowayHouston$30.1M
- William SegerFort Worth$27.5M
- Veronica FragosoHouston$24.5M
- Joel SolisMcAllen$21.1M
- George AtieeSan Antonio$19.9M
- Bonnie ColvilleHouston$19.6M
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.