Who Paid My Doc
James Guerra
Orthopaedic Surgery Naples, FL Medical Doctor
NPI 1437114592 CMS profile 109892
1706 Medical Blvd, Ste 201, Naples, FL 34110
General payments
$2,651,630
Research payments
$0
Ownership & investment interest
$0
Research they led as principal investigator
$43,287
Through program year 2025, James Guerra of Naples, FL is reported in the CMS Open Payments database as having received $2,651,630 across 452 general payments and $0 in research payments paid to them. Separately, studies naming them as principal investigator received $43,287 in research payments, paid to institutions rather than to them.
No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.
General payments for this record sit in the 99th percentile of Orthopaedic Surgery profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
7 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2025 | General | $394,754 | 51 | |
| 2024 | General | $516,251 | 59 | |
| 2023 | General | $694,652 | 90 | |
| 2022 | General | $539,880 | 77 | |
| 2021 | General | $285,377 | 66 | |
| 2020 | General | $137,561 | 51 | |
| 2019 | General | $83,156 | 58 |
Beside peers
- James Guerra
- Orthopaedic Surgery median
- Middle half of Orthopaedic Surgery
- National median
In program year 2025, general payments to James Guerra were reported at $394,754. Among 15,343 Orthopaedic Surgery profiles paid that year, the median was $563 and the middle half received between $147 and $2,717.
Show as a table
| Year | James Guerra | Orthopaedic Surgery median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $83,156 | $644 | $140–$2,844 | $163 |
| 2020 | $137,561 | $312 | $75–$1,860 | $114 |
| 2021 | $285,377 | $520 | $117–$2,495 | $132 |
| 2022 | $539,880 | $598 | $128–$2,731 | $149 |
| 2023 | $694,652 | $461 | $128–$2,264 | $160 |
| 2024 | $516,251 | $497 | $134–$2,475 | $164 |
| 2025 | $394,754 | $563 | $147–$2,717 | $169 |
Breakdown
A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.
Prescribing to Medicare patients
Part D · data year 2024 · 12 drugsPart D claims
1,359
Drug cost
$12,426
Branded share of claims
34.2%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | Brand | 302 | $4,047 | |
| Celecoxib | Generic | 166 | $3,485 | |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | Brand | 148 | $1,589 | |
| Mupirocin | Generic | 116 | $740 | |
| Meloxicam | Generic | 156 | $610 | |
| Zolpidem Tartrate | Generic | 170 | $560 | |
| Methylprednisolone | Generic | 83 | $471 | |
| Tramadol Hcl | Generic | 83 | $299 | |
| Amoxicillin | Generic | 96 | $294 | |
| Oxycontin Oxycodone Hcl | Brand | 15 | $157 |
The 10 drugs with the highest cost, of 12 counted.
Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 18,934 Part D prescribers listed as Orthopedic Surgery; they describe a distribution and say nothing about conduct.
Billing to Medicare
Part B · data year 2024 · 94 billing codesPaid by Medicare
$1,535,245
Medicare patients
1,644
Services billed
31,183
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| Arthritis | 75% | |
| High blood pressure | 65% | |
| Ischemic heart disease | 34% | |
| Diabetes | 18% | |
| Depression | 17% | |
| Cancer | 16% | |
| Osteoporosis | 16% | |
| Chronic kidney disease | 15% |
| Drug given in the clinic | Where | Patients | Services | Paid by Medicare |
|---|---|---|---|---|
| Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327 | Office | 138 | 193 | $104,733 |
| Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702 | Office | 516 | 1,322 | $7,126 |
| Injection, ketorolac tromethamine, per 15 mg J1885 | Office | 35 | 164 | $81 |
Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.
Records
452 reportedEvery payment, record by record
Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.
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Related records
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All Orthopaedic Surgery
Everyone recorded under this specialty, nationwide.
Doctors in Florida
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
What this means
U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.
An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.
Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.