Steven Guidera, MD
Interventional Cardiology · Doylestown, PANPI 1497798078
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.2% of the total across 199 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 28 manufacturers reported payments, led by Edwards Lifesciences at 26.6% of the total. Reporting peaked in 2022 at $1,532 and has fallen 85.7% since, to $219 in 2025. That places this record below the midpoint for interventional cardiology clinicians in PA, where the typical reported total is $6,486.
Across 199 payments — averaging $28.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Edwards Lifesciences$2K
- Medtronic$747
- Abiomed$724
- AstraZeneca$459
- Shockwave Medical, Inc$376
- Abbott$270
- plus $2K from 22 others
Across 43 payments — averaging $5979.26 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.
- Amgen$181K
- Abbott$65K
- AstraZeneca$12K
What the payments were for
- Travel & lodging$55910%
- Food & beverage$5,13590%
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 |
|---|---|---|
| Edwards Lifesciences | 19 | $1,512 |
| Medtronic(2 entities) | 25 | $747 |
| Abiomed | 16 | $724 |
| AstraZeneca | 24 | $459 |
| Shockwave Medical, Inc | 16 | $376 |
| Abbott | 3 | $270 |
| Boston Scientific | 22 | $220 |
| Johnson & Johnson | 9 | $155 |
| Amgen | 7 | $144 |
| Novartis | 8 | $126 |
| E.r. Squibb & Sons, L.L.C. | 8 | $122 |
| Teleflex LLC | 3 | $119 |
| Sanofi-aventis U.S. LLC | 5 | $88 |
| Merck | 4 | $83 |
| Cordis US CORP. | 2 | $83 |
| Novo Nordisk | 5 | $79 |
| Pfizer | 4 | $56 |
| Chiesi USA, Inc. | 3 | $51 |
| Cardiovascular Systems Inc. | 3 | $47 |
| Amarin Pharma, Inc. | 3 | $44 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 3 | $42 |
| Cardinal Health 200 LLC | 1 | $33 |
| Actelion Pharmaceuticals US, Inc. | 1 | $27 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $22 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $21 |
| Biotronik Inc. | 1 | $20 |
| Penumbra, Inc. | 1 | $14 |
| Terumo Medical Corporation | 1 | $11 |
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.
How this compares
$5,694 in reported general payments places this provider in the 40th percentile of 281 interventional cardiology providers in Pennsylvania.
See all interventional cardiology 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 |
|---|---|---|
| EliquisApixaban | 200 | $265,679 |
| Repatha SureclickEvolocumab | 43 | $47,943 |
| EntrestoSacubitril/Valsartan | 37 | $44,570 |
| XareltoRivaroxaban | 36 | $42,863 |
| JardianceEmpagliflozin | 27 | $29,490 |
| Atorvastatin Calcium | 370 | $5,673 |
| Metoprolol Succinate | 207 | $2,933 |
| Rosuvastatin Calcium | 157 | $2,648 |
| Losartan Potassium | 116 | $1,932 |
| ClopidogrelClopidogrel Bisulfate | 86 | $1,529 |
| Diltiazem 24hr Er (La)Diltiazem Hcl | 14 | $1,404 |
| Amiodarone Hcl | 35 | $1,199 |
| Amlodipine Besylate | 159 | $1,124 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 34 | $1,044 |
| Ramipril | 37 | $933 |
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 |
|---|---|---|
| PfizerEliquis | $56 | $265,679200 claims |
| NovartisEntresto | $126 | $44,57037 claims |
| Johnson & JohnsonXarelto | $155 | $42,86336 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 40th percentile of 281 interventional cardiology providers in Pennsylvania.
Other interventional cardiology in Doylestown
- Nishant SethiScranton$1.3M
- Matthew BeckerErie$1M
- William GrayWynnewood$753K
- Jon GeorgePhiladelphia$637K
- Shailendra SinghAllentown$470K
- Sanjog KalraPhiladelphia$444K
- James HarveyChambersburg$442K
- Taisei KobayashiPhiladelphia$384K
- Antonis PratsosBroomall$377K
- Ronald FieldsNew Hope$373K
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.