Dr. James Guerra, MD
What this data tells you about Dr. Guerra
Dr. James Guerra is an orthopedic surgery in Naples, FL, with 19 years in practice. Based on federal Medicare data, Dr. Guerra performed 27,209 Medicare services across 6,269 unique beneficiaries.
Between the years covered by Open Payments, Dr. Guerra received a total of $2,323,194 from 11 pharmaceutical and/or device companies across 437 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Guerra 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 |
|---|---|---|---|
| Physical therapy exercise, per 15 min | 11,673 | $20 | $56 |
| Manual therapy (hands-on treatment), per 15 min | 7,254 | $17 | $51 |
| Office visit, established patient (30-39 min) | 2,051 | $96 | $241 |
| Betamethasone steroid injection | 1,294 | $5 | $25 |
| Aspiration and/or injection of fluid large joint using ultrasound guidance | 760 | $79 | $192 |
| Shoulder X-ray, 2+ views | 674 | $27 | $66 |
| X-ray of knee, 4 or more views | 616 | $35 | $88 |
| New patient office visit (45-59 min) | 434 | $121 | $319 |
| Functional activity therapy | 321 | $29 | $70 |
| Evaluation for physical therapy, typically 20 minutes | 199 | $77 | $189 |
| Hip X-ray, 2-3 views | 169 | $36 | $89 |
| Office visit, established patient (20-29 min) | 164 | $59 | $172 |
| Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 164 | $560 | $1,514 |
| Evaluation for physical therapy, typically 30 minutes | 146 | $77 | $189 |
| Neuromuscular re-education therapy, per 15 min | 107 | $25 | $65 |
| Removal of extensive shoulder joint tissue using an endoscope | 101 | $105 | $1,211 |
| Partial removal of collar bone at shoulder using an endoscope | 101 | $392 | $1,376 |
| Shaving of part of shoulder bone and repair of ligament using an endoscope | 101 | $151 | $988 |
| Total knee replacement | 89 | $1,123 | $2,581 |
| Repair of knee joint with drilling and or scraping of joint using an endoscope | 87 | $566 | $1,324 |
| Joint injection, major joint | 82 | $46 | $127 |
| Removal of knee cartilage using an endoscope | 80 | $118 | $1,081 |
| Removal of joint lining from multiple knee joint compartments using an endoscope | 77 | $230 | $1,307 |
| Relocation of one muscle of shoulder or upper arm | 64 | $558 | $2,557 |
| Prosthetic repair of shoulder joint, total shoulder | 64 | $1,260 | $2,905 |
| Release of tendon of shoulder joint | 63 | $302 | $1,381 |
| Injection, ketorolac tromethamine, per 15 mg | 56 | $0 | $10 |
| Repair of shoulder rotator cuff using an endoscope | 43 | $933 | $2,140 |
| X-ray of elbow, minimum of 3 views | 25 | $26 | $62 |
| Aspiration and/or injection of fluid from medium joint using ultrasound guidance | 24 | $68 | $171 |
| X-ray of knee, 1-2 views | 22 | $28 | $65 |
| Total hip replacement | 21 | $1,125 | $2,585 |
| Removal or relocation of biceps tendon | 20 | $331 | $1,520 |
| X-ray of elbow, 2 views | 19 | $20 | $56 |
| Removal of deep implant from bone | 16 | $192 | $1,177 |
| Limited ultrasound scan of joint or other extremity structure except blood vessels | 16 | $35 | $106 |
| Repair and tightening of shoulder joint capsule | 12 | $815 | $2,245 |
Industry Payment Transparency
Open Payments through 2024 ↗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 (2024)
Associated products mentioned in payments ›
Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 1% for orthopedic surgery in FL.
Geographic Context
5.2 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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Guerra is a mixed practice specialist, with above-average Medicare volume (top 1% in FL), and high industry engagement (mixed engagement, top 1%), with 19 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
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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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