Medicare Enrolled

Dr. Emiliana Franco Ladron De Guevara, MD

Hospitalist Physician · Jacksonville, FL
Practice pattern: Cardiac & Cardiac— Practice combining cardiac and cardiac services
Low-engagement
14534 OLD SAINT AUGUSTINE RD STE 3420, Jacksonville, FL 32258
9044938001
In practice since 2010 (15 years)
NPI: 1356654339 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. Franco Ladron De Guevara 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. Franco Ladron De Guevara

Dr. Emiliana Franco Ladron De Guevara is a hospitalist physician in Jacksonville, FL, with 15 years in practice. Based on federal Medicare data, Dr. Franco Ladron De Guevara performed 4,281 Medicare services across 3,499 unique beneficiaries.

Between the years covered by Open Payments, Dr. Franco Ladron De Guevara received a total of $3,170 from 24 pharmaceutical and/or device companies across 159 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in hospitalist 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. Franco Ladron De Guevara is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 15 years in practice▲ Top 2% volume in FL$ $3,170 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,281
Medicare services
Top 2% in FL for hospitalist physician
3,499
Unique beneficiaries
$51
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~285 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)1,252$91$320
Echocardiogram, transthoracic557$52$175
Electrocardiogram (EKG), 12-lead321$10$69
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician287$16$55
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician284$11$37
Nuclear medicine studies of heart muscle at rest and with stress and spect238$58$195
Hospital follow-up visit, moderate complexity162$62$179
EKG interpretation and report159$6$30
Anticoagulant management of patient taking warfarin145$8$29
Prothrombin time test (blood clotting)139$4$11
New patient office visit (45-59 min)124$121$423
Initial hospital admission, moderate complexity114$105$341
Ultrasound of heart, follow-up80$19$63
Ultrasound of heart with color-depicted blood flow, rate and valve function75$2$8
Heart muscle strain imaging58$9$94
Ultrasound of heart blood flow, valves and chambers, follow-up46$5$19
Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional41$17$63
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent40$7$21
Electrocardiogram (ecg) 2-day continuous with review by health care professional29$14$47
Office visit, established patient (20-29 min)28$52$228
Heart rhythm review and interpretation of continous external ekg over 8-15 days27$17$68
Ultrasound of heart blood flow, valves and chambers27$14$45
Ultrasound of heart with probe in esophagus, with report22$84$272
External shock to heart to regulate heart beat13$86$391
Ultrasound of heart during rest, exercise and/or drug-induced stress with report13$50$175
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.
17.4% high complexity
22.9% medium
59.7% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$3,170
Total received (2018-2024)
Avg $453/year across 7 years
Top 6% in FL for hospitalist physician
24
Companies
159
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
$3,008 (94.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$162 (5.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$598
2023
$470
2022
$316
2021
$616
2020
$557
2019
$379
2018
$232

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$611
Novartis Pharmaceuticals Corporation
$334
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$332
Janssen Pharmaceuticals, Inc
$305
PFIZER INC.
$293
Astellas Pharma US Inc
$162
SANOFI-AVENTIS U.S. LLC
$147
Abbott Laboratories
$146
AstraZeneca Pharmaceuticals LP
$143
Merck Sharp & Dohme LLC
$125
Siemens Medical Solutions USA, Inc.
$125
Boehringer Ingelheim Pharmaceuticals, Inc.
$64
Novo Nordisk Inc
$60
E.R. Squibb & Sons, L.L.C.
$52
SCPHARMACEUTICALS INC.
$48
Kiniksa Pharmaceuticals, Ltd.
$40
Gilead Sciences, Inc.
$37
iRhythm Technologies, Inc.
$34
Alnylam Pharmaceuticals Inc.
$33
Boston Scientific Corporation
$19
Actelion Pharmaceuticals US, Inc.
$18
Amarin Pharma Inc.
$14
Merck Sharp & Dohme Corporation
$13
Medtronic Vascular, Inc.
$13
Top 3 companies account for 40.3% of total payments
Associated products mentioned in payments ›
Arcalyst · BRILINTA · CAMZYOS · Corlanor · ELIQUIS · ENTRESTO · FARXIGA · FUROSCIX · HawkOne · JARDIANCE · LEQVIO · LOKELMA · LifeVest · MULTAQ · MitraClip System · ONPATTRO · OPSUMIT · PRADAXA · PRALUENT · Repatha · VERQUVO · VYNDAQEL · Vascepa · WATCHMAN · Wegovy · XARELTO · ZIO Patch
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 (95%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for hospitalist physician in FL.

Equivalent to $74 per 100 Medicare services performed
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Geographic Context

Hospitalist Physicians within 10 mi
90
Per 100K population
8.9
County median income
$68,447
Nearest hospital
ASCENSION ST VINCENT'S ST JOHNS COUNTY
4.9 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Franco Ladron De Guevara is a cardiac & cardiac specialist, with above-average Medicare volume (top 2% in FL), and high industry engagement (low-engagement, top 6%), with 15 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Franco Ladron De Guevara experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Franco Ladron De Guevara performed 1,252 office visit, established patient (30-39 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. Franco Ladron De Guevara receive payments from pharmaceutical companies?
Yes. Dr. Franco Ladron De Guevara received a total of $3,170 from 24 companies across 159 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. Franco Ladron De Guevara's costs compare to other hospitalist physicians in Jacksonville?
Dr. Franco Ladron De Guevara's average Medicare payment per service is $51. 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. Franco Ladron De Guevara) 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. The Transparency Score measures 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 →