Medicare Enrolled

Dr. Guy D Paiement, MD

Adult Reconstructive Orthopaedic Surgery Physician · Los Angeles, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
444 S SAN VICENTE BLVD, Los Angeles, CA 90048
3104239480
In practice since 2006 (19 years)
NPI: 1538249776 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. Paiement 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. Paiement

Dr. Guy D Paiement is an adult reconstructive orthopaedic surgery physician in Los Angeles, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Paiement performed 900 Medicare services across 697 unique beneficiaries.

Between the years covered by Open Payments, Dr. Paiement received a total of $9,635 from 7 pharmaceutical and/or device companies across 20 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in adult reconstructive orthopaedic surgery physician. 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. Paiement 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.

✓ 19 years in practice ▲ 900 Medicare services $9,635 industry payments

Medicare Practice Summary

Medicare Utilization ↗
900
Medicare services
Bottom 41% in CA for adult reconstructive orthopaedic surgery physician
697
Unique beneficiaries
$110
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~47 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
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
355 $50 $218
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
162 $38 $212
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
146 $62 $307
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
84 $28 $125
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.
43 $71 $323
Total knee replacement 32 $1,117 $4,615
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
25 $54 $214
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.
24 $113 $469
Total hip replacement
Surgical procedure to replace the thigh bone and hip joint with artificial components.
18 $1,103 $4,636
Initial hospital admission, low complexity
Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter.
11 $68 $312
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.
5.6% high complexity
18.0% medium
76.4% routine

Industry Payment Transparency

Open Payments through 2023 ↗
$9,635
Total received (2018-2023)
Avg $1,606/year across 6 years
Top 50% in CA for adult reconstructive orthopaedic surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
7
Companies
20
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
$9,635 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$1,708
2022
$69
2021
$88
2020
$147
2019
$7,488
2018
$135

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
Zimmer Biomet Holdings, Inc.
$1,598
DePuy Synthes Sales Inc.
$110
Top 3 companies account for 100.0% of 2023 payments
All-time payments by company (2018-2023) ›
DePuy Synthes Sales Inc.
$7,475
Zimmer Biomet Holdings, Inc.
$1,598
ORTHO DEVELOPMENT CORPORATION
$176
Medical Device Business Services, Inc.
$155
Smith+Nephew, Inc.
$122
HERAEUS MEDICAL, LLC.
$68
Dynasplint Systems Inc.
$40
Top 3 companies account for 96.0% of all-time payments
Associated products mentioned in payments ›
BKS TriMax · CORAIL · Dynasplint · Navio Surgical System · OXFORD PARTIAL KNEE · Oxford · PALACOS · TC3 · TFN ADVANCED · Velys
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 adult reconstructive orthopaedic surgery physician in Los Angeles?
Compare adult reconstructive orthopaedic surgery physicians in the Los Angeles area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Adult reconstructive orthopaedic surgery physicians within 10 mi
30
Per 100K population
0.3
County median income
$87,760
Nearest hospital
CEDARS-SINAI MEDICAL CENTER
0.0 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 2023
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. Paiement is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 19 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. Paiement experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Paiement performed 355 office visit, established patient (20-29 min) 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. Paiement receive payments from pharmaceutical companies?
Yes. Dr. Paiement received a total of $9,635 from 7 companies across 20 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. Paiement's costs compare to other adult reconstructive orthopaedic surgery physicians in Los Angeles?
Dr. Paiement's average Medicare payment per service is $110. 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. Paiement) 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 →