Medicare Enrolled
Dr. Bernadette Guia, N.P.
Nurse Practitioner - Family · Panorama City, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. Guia 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. Guia
Dr. Bernadette Guia is a nurse practitioner - family in Panorama City, CA, with 10 years of NPI registration. Based on federal Medicare data, Dr. Guia performed 34,560 Medicare services across 3,241 unique beneficiaries.
Between the years covered by Open Payments, Dr. Guia received a total of $1,392 from 22 pharmaceutical and/or device companies across 71 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - family. 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. Guia 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.
✓ 10 years in practice
▲ Top 0% volume in CA
$1,392 industry payments
Medicare Practice Summary
Medicare Utilization ↗34,560
Medicare services
Top 0% in CA for nurse practitioner - family
3,241
Unique beneficiaries
$16
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~3,456 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 |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
19,035 | $5 | $8 |
| Allergy skin test A diagnostic test performed to identify specific allergies by applying or introducing allergenic extracts to the body. The procedure measures the patient's immune response to various potential allergens. |
10,381 | $3 | $5 |
| 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. |
1,997 | $63 | $109 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
426 | $4 | $4 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
306 | $148 | $240 |
| Removal of thickened skin growths, 2-4 This procedure involves the removal of two to four benign, thickened skin growths. It is a minor surgical intervention to eliminate non-cancerous skin lesions. |
289 | $64 | $100 |
| Toenail/fingernail removal, 6+ nails Surgical removal of six or more fingernails or toenails. This procedure involves the excision of multiple nails during a single session. |
288 | $33 | $55 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
279 | $186 | $315 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
227 | $10 | $25 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
196 | $144 | $245 |
| Autonomic nervous system testing with heart rate response to deep breathing This test evaluates the function of the autonomic nervous system by measuring how the heart rate changes in response to deep breathing. |
153 | $63 | $105 |
| Destruction of birthmark, larger than 50 sq cm This procedure involves the removal or destruction of a birthmark that covers an area larger than 50 square centimeters. |
138 | $468 | $715 |
| Bilateral facial and neck nerve muscle paralysis injection Injection of a chemical agent to paralyze muscles in the face and neck on both sides. |
128 | $111 | $170 |
| Home visit, established patient, low complexity A physician visits an existing patient at their residence to provide care involving a low level of medical decision making. The visit lasts at least 30 minutes. |
113 | $49 | $95 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
98 | $119 | $150 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
79 | $131 | $235 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
73 | $76 | $135 |
| Pneumococcal vaccine, 13-valent | 72 | $245 | $250 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
70 | $28 | $60 |
| 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. |
69 | $61 | $130 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
41 | $14 | $18 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
39 | $54 | $145 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
24 | $10 | $35 |
| 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. |
21 | $50 | $90 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
18 | $1 | $10 |
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.
0.9% high complexity
57.5% medium
41.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,392
Total received (2021-2024)
Avg $348/year across 4 years
Top 17% in CA for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
22
Companies
71
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
$1,392 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$347
2023
$311
2022
$262
2021
$472
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$165
Novo Nordisk Inc
$40
Lundbeck LLC
$37
IRONWOOD PHARMACEUTICALS, INC
$35
AIMMUNE THERAPEUTICS, INC.
$26
Sumitomo Pharma America, Inc.
$25
Lilly USA, LLC
$19
Top 3 companies account for 69.8% of 2024 payments
All-time payments by company (2021-2024) ›
ABBVIE INC.
$317
AbbVie Inc.
$215
Smith+Nephew, Inc.
$122
Novo Nordisk Inc
$105
Ironwood Pharmaceuticals, Inc
$91
Takeda Pharmaceuticals U.S.A., Inc.
$57
Boehringer Ingelheim Pharmaceuticals, Inc.
$52
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$52
Amarin Pharma Inc.
$39
Dexcom, Inc.
$37
Lundbeck LLC
$37
Lilly USA, LLC
$37
IRONWOOD PHARMACEUTICALS, INC
$35
GlaxoSmithKline, LLC.
$31
Bayer Healthcare Pharmaceuticals Inc.
$27
AIMMUNE THERAPEUTICS, INC.
$26
Sumitomo Pharma America, Inc.
$25
Astellas Pharma US Inc
$22
Esperion Therapeutics, Inc.
$19
Sunovion Pharmaceuticals Inc.
$17
AstraZeneca Pharmaceuticals LP
$15
SANOFI-AVENTIS U.S. LLC
$15
Top 3 companies account for 47.0% of all-time payments
Associated products mentioned in payments ›
AREXVY · COLLAGENASE SANTYL · CREON · Dexcom G6 Transmitter · FARXIGA · GEMTESA · JARDIANCE · Kerendia · LINZESS · Linzess · MYRBETRIQ · NEXLETOL · REXULTI · RYBELSUS · Rybelsus · TOUJEO · TRINTELLIX · TRULICITY · VIBERZI · Vascepa · Wegovy · XIFAXAN · ZENPEP
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.
Geographic Context
Family nurse practitioners within 10 mi
2,767
Per 100K population
28.1
County median income
$87,760
Nearest hospital
KAISER FOUNDATION HOSPITAL - PANORAMA CITY
0.0 mi
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 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. Guia is a mixed practice specialist, with above-average Medicare volume (top 0% in CA), with low-engagement industry engagement in the top 17% of CA peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Guia experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Guia performed 19,035 botox injection, per unit 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. Guia receive payments from pharmaceutical companies?
Yes. Dr. Guia received a total of $1,392 from 22 companies across 71 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. Guia's costs compare to other family nurse practitioners in Panorama City?
Dr. Guia's average Medicare payment per service is $16. 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. Guia) 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 →
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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.
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