Who Paid My Doc
Shireen Guide
Pediatric Dermatology Palo Alto, CA Medical Doctor
NPI 1033287180 CMS profile 274051
725 Welch Rd, Palo Alto, CA 94304
General payments
$40,595
Research payments
$41,440
Ownership & investment interest
$0
Research they led as principal investigator
$528,299
Through program year 2025, Shireen Guide of Palo Alto, CA is reported in the CMS Open Payments database as having received $40,595 across 297 general payments and $41,440 in research payments paid to them. Separately, studies naming them as principal investigator received $528,299 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 93rd percentile of Pediatric Dermatology profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
9 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2025 | General | $6,203 | 65 | |
| 2024 | General | $4,518 | 26 | |
| 2024 | Research | $10,991 | 6 | |
| 2023 | General | $26,481 | 63 | |
| 2023 | Research | $30,449 | 14 | |
| 2022 | General | $1,107 | 42 | |
| 2021 | General | $869 | 37 | |
| 2020 | General | $399 | 17 | |
| 2019 | General | $1,018 | 47 |
Beside peers
- Shireen Guide
- Pediatric Dermatology median
- Middle half of Pediatric Dermatology
- National median
In program year 2025, general payments to Shireen Guide were reported at $6,203. Among 172 Pediatric Dermatology profiles paid that year, the median was $302 and the middle half received between $110 and $2,128.
Show as a table
| Year | Shireen Guide | Pediatric Dermatology median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $1,018 | $280 | $89–$1,853 | $163 |
| 2020 | $399 | $263 | $71–$2,376 | $114 |
| 2021 | $869 | $227 | $69–$1,800 | $132 |
| 2022 | $1,107 | $289 | $69–$1,516 | $149 |
| 2023 | $26,481 | $537 | $114–$3,255 | $160 |
| 2024 | $4,518 | $437 | $114–$2,693 | $164 |
| 2025 | $6,203 | $302 | $110–$2,128 | $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 · 10 drugsPart D claims
339
Drug cost
$2,037,369
Branded share of claims
29.2%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Vyjuvek Beremagene Geperpavec-Svdt | Brand | 86 | $2,007,559 | |
| Opzelura Ruxolitinib Phosphate | Brand | 13 | $25,577 | |
| Ketoconazole | Generic | 68 | $1,008 | |
| Fluorouracil | Generic | 15 | $818 | |
| Tacrolimus | Generic | 11 | $808 | |
| Fluocinonide | Generic | 19 | $612 | |
| Triamcinolone Acetonide | Generic | 53 | $453 | |
| Minoxidil | Generic | 34 | $323 | |
| Cephalexin | Generic | 17 | $142 | |
| Finasteride | Generic | 23 | $69 |
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 13,550 Part D prescribers listed as Dermatology; they describe a distribution and say nothing about conduct.
Billing to Medicare
Part B · data year 2024 · 73 billing codesPaid by Medicare
$204,018
Medicare patients
304
Services billed
5,156
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| High blood pressure | 60% | |
| Arthritis | 44% | |
| Ischemic heart disease | 20% | |
| Osteoporosis | 17% | |
| Diabetes | 16% | |
| Depression | 16% | |
| Cancer | 15% | |
| Chronic kidney disease | 13% |
| Drug given in the clinic | Where | Patients | Services | Paid by Medicare |
|---|---|---|---|---|
| Injection, fluorouracil, 500 mg J9190 | Office | 20 | 27 | $63 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301 | Office | 12 | 15 | $11 |
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.
Payments and prescribing
First 5 of 17 products · payments 2024Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.
| Product | Paid by | Related payments | Part D claims | Part B services |
|---|---|---|---|---|
| VYJUVEK |
|
$3,661 | 86 | — |
| DUPIXENT |
|
$76 | — | — |
| RINVOQ |
|
$74 | — | — |
| COSENTYX |
|
$67 | — | — |
| Zoryve |
|
$52 | — | — |
A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.
See all 17 in the dashboard with a free accountRecords
317 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.
Other Pediatric Dermatology in California
Lawrence Eichenfield
Pediatric Dermatology · San Diego, CA
Dawn Eichenfield
Pediatric Dermatology · San Diego, CA
Joyce Teng
Pediatric Dermatology · Palo Alto, CA
Brandie Metz
Pediatric Dermatology · Irvine, CA
Ilka Netravali
Pediatric Dermatology · Palo Alto, CA
Maria Buethe
Pediatric Dermatology · Orange, CA
Related records
Pediatric Dermatology in California
Practitioners in the same specialty and state, ranked by reported value.
All Pediatric Dermatology
Everyone recorded under this specialty, nationwide.
Doctors in California
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.