Medicare Enrolled

Dr. Karen Michelle Guiang, D.O.

Internal Medicine · Claremont, CA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
935 W FOOTHILL BLVD, Claremont, CA 91711
6268518880
In practice since 2008 (17 years)
NPI: 1871738344 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Guiang from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Guiang

Dr. Karen Michelle Guiang is an internal medicine specialist in Claremont, CA, with 17 years of NPI registration. Based on federal Medicare data, Dr. Guiang performed 5,837 Medicare services across 1,305 unique beneficiaries.

Between the years covered by Open Payments, Dr. Guiang received a total of $7,088 from 23 pharmaceutical and/or device companies across 376 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Guiang is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 17 years in practice ▲ Top 5% volume in CA $7,088 industry payments

Medicare Practice Summary

Medicare Utilization ↗
5,837
Medicare services
Top 5% in CA for internal medicine
1,305
Unique beneficiaries
$90
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~343 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
4,010 $97 $176
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
589 $64 $120
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
583 $141 $420
Normal saline infusion, 250 cc
Administration of 250 cubic centimeters of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater fluid.
390 $1 $2
Intravenous infusion, 1 hour or less
Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less.
195 $59 $243
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
59 $98 $173
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
11 $117 $245
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
10.0% high complexity
0.0% medium
90.0% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$7,088
Total received (2018-2024)
Avg $1,013/year across 7 years
Top 13% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
23
Companies
376
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,088 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,052
2023
$1,053
2022
$999
2021
$834
2020
$680
2019
$1,363
2018
$1,107

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Gilead Sciences, Inc.
$396
Merck Sharp & Dohme LLC
$195
ABBVIE INC.
$180
GlaxoSmithKline, LLC.
$78
Shionogi Inc
$63
ViiV Healthcare Company
$48
Insmed, Inc.
$45
AIMMUNE THERAPEUTICS, INC.
$32
Paratek Pharmaceuticals, Inc.
$15
Top 3 companies account for 73.3% of 2024 payments
All-time payments by company (2018-2024) ›
Gilead Sciences, Inc.
$1,373
Allergan Inc.
$1,023
ViiV Healthcare Company
$729
Merck Sharp & Dohme Corporation
$715
Cumberland Pharmaceuticals, Inc.
$640
Merck Sharp & Dohme LLC
$570
ABBVIE INC.
$425
Allergan, Inc.
$369
Insmed, Inc.
$318
La Jolla Pharmaceutical Company
$173
Shionogi Inc
$167
AbbVie Inc.
$143
GlaxoSmithKline, LLC.
$78
Paratek Pharmaceuticals, Inc.
$68
Melinta Therapeutics, Inc.
$61
Astellas Pharma US Inc
$42
Theratechnologies Inc.
$37
Theravance Biopharma, Inc.
$34
AIMMUNE THERAPEUTICS, INC.
$32
EMD Serono, Inc.
$29
Nabriva Therapeutics, plc
$23
TETRAPHASE PHARMACEUTICALS, INC.
$21
Melinta Therapeutics, LLC
$20
Top 3 companies account for 44.1% of all-time payments
Associated products mentioned in payments ›
AMBISOME · AVYCAZ · Arikayce · Baxdela · CABENUVA · CALDOLOR · CRESEMBA · DALVANCE · DIFICID · DOVATO · EGRIFTA · Fetroja · GIAPREZA · ISENTRESS · JULUCA · NUZYRA · RECARBRIO · Rezzayo · SEROSTIM · TEFLARO · TRIUMEQ · TROGARZO · VIBATIV · VOWST · Vabomere · Veklury · Vibativ · XERAVA · Xenleta · Xerava · ZERBAXA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an internal medicine specialist in Claremont?
Compare internal medicine physicians in the Claremont area by procedure volume, costs, and industry payment transparency.
Browse internal medicine physicians nearby

Geographic Context

Internal medicine physicians within 10 mi
1,480
Per 100K population
15.0
County median income
$87,760
Nearest hospital
POMONA VALLEY HOSPITAL MEDICAL CENTER
3.4 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Guiang is a mixed practice specialist, with above-average Medicare volume (top 5% in CA), with low-engagement industry engagement in the top 13% of CA peers, with 17 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Guiang experienced with hospital follow-up visit, high complexity?
Based on Medicare claims data, Dr. Guiang performed 4,010 hospital follow-up visit, high complexity services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Guiang receive payments from pharmaceutical companies?
Yes. Dr. Guiang received a total of $7,088 from 23 companies across 376 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Guiang's costs compare to other internal medicine physicians in Claremont?
Dr. Guiang's average Medicare payment per service is $90. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Guiang) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →