Dr. Melissa Guanche, MD
What this data tells you about Dr. Guanche
Dr. Melissa Guanche is a sports medicine (physical medicine & rehabilitation) physician in Miami, FL, with 13 years in practice. Based on federal Medicare data, Dr. Guanche performed 642 Medicare services across 476 unique beneficiaries.
Between the years covered by Open Payments, Dr. Guanche received a total of $135 from 4 pharmaceutical and/or device companies across 5 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sports medicine (physical medicine & rehabilitation) 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. Guanche 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.
Medicare Practice Summary
Medicare Utilization ↗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 (30-39 min) | 259 | $106 | $398 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 129 | $119 | $355 |
| New patient office visit (45-59 min) | 77 | $136 | $531 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 62 | $48 | $167 |
| Injection of lower or sacral spine facet joint using imaging guidance, single level | 35 | $101 | $294 |
| Injection of lower or sacral spine facet joint using imaging guidance, second level | 31 | $61 | $166 |
| X-ray lower and sacral spine, 2-3 views bending views | 17 | $28 | $117 |
| Injection of trigger points, 1-2 muscles | 16 | $42 | $171 |
| Office visit, established patient (20-29 min) | 16 | $78 | $275 |
Industry Payment Transparency
Open Payments through 2023 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2023)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Guanche is a clinical cardiology specialist, with moderate Medicare volume, and low-engagement industry engagement.
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. Guanche experienced with office visit, established patient (30-39 min)?
Does Dr. Guanche receive payments from pharmaceutical companies?
How do Dr. Guanche's costs compare to other sports medicine (physical medicine & rehabilitation) physicians in Miami?
What does Data Coverage mean?
Is this data up to date?
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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.
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