Medicare Enrolled
Dr. Brian Guz, MD
Urology Physician · St Clair Shores, MI
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Guz 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 →
Are you Dr. Guz?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Guz
Dr. Brian Guz is an urology physician in St Clair Shores, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Guz performed 5,650 Medicare services across 3,729 unique beneficiaries.
Between the years covered by Open Payments, Dr. Guz received a total of $3,183 from 39 pharmaceutical and/or device companies across 116 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology 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. Guz 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.
✓ 20 years in practice
▲ Top 10% volume in MI
$3,183 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,650
Medicare services
Top 10% in MI for urology physician
3,729
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~282 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 |
|---|---|---|---|
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
1,361 | $2 | $6 |
| 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. |
1,062 | $95 | $145 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
433 | $8 | $30 |
| PSA test (prostate cancer screening) | 341 | $18 | $35 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
217 | $50 | $70 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
209 | $41 | $142 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
191 | $189 | $409 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
191 | $66 | $100 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 165 | $131 | $700 |
| 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. |
145 | $123 | $225 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
122 | $66 | $100 |
| 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. |
104 | $67 | $104 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
85 | $8 | $9 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
75 | $20 | $113 |
| 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. |
59 | $10 | $28 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
56 | $108 | $165 |
| Complex urodynamic pressure flow study A test that measures the pressure of urine flow in the bladder during voiding to evaluate how well the bladder and urethra are functioning. |
50 | $293 | $577 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
36 | $7 | $20 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
36 | $5 | $15 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
35 | $99 | $300 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
34 | $5 | $24 |
| Urine calcium level test A laboratory test that measures the amount of calcium present in a urine sample. This test helps evaluate calcium metabolism and kidney function. |
34 | $6 | $15 |
| Carbon dioxide level test A blood test that measures the amount of carbon dioxide in your blood, which helps evaluate your body's acid-base balance and kidney function. |
34 | $5 | $15 |
| Blood chloride level test A laboratory test that measures the amount of chloride in a blood sample. Chloride is an electrolyte that helps maintain fluid balance and acid-base levels in the body. |
34 | $5 | $15 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
34 | $5 | $17 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
34 | $5 | $19 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
34 | $40 | $65 |
| Body fluid pH level test A laboratory test that measures the acidity or alkalinity of a body fluid sample. |
34 | $4 | $5 |
| Urine phosphate level | 34 | $6 | $12 |
| Urine potassium level test A laboratory test that measures the amount of potassium in a urine sample. This test helps evaluate kidney function and electrolyte balance. |
34 | $5 | $8 |
| Urine sodium level test A laboratory test that measures the amount of sodium in a urine sample. This test helps evaluate electrolyte balance and kidney function. |
34 | $5 | $12 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
34 | $4 | $15 |
| Uric acid level test A blood test that measures the amount of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines found in certain foods and drinks. |
34 | $5 | $18 |
| Simple insertion of temporary bladder tube A procedure to place a temporary tube into the bladder. This allows for the drainage of urine from the bladder. |
32 | $49 | $150 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
32 | $11 | $150 |
| Fitting and insertion of vaginal support device A procedure to measure, fit, and insert a device designed to support vaginal structures. |
28 | $59 | $120 |
| Injection, garamycin, gentamicin, up to 80 mg | 27 | $2 | $10 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
19 | $201 | $500 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
19 | $47 | $325 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
18 | $25 | $45 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
16 | $8 | $105 |
| Sex hormone binding globulin level test A blood test that measures the level of sex hormone binding globulin, a protein that binds to sex hormones in the bloodstream. |
15 | $21 | $32 |
| 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. |
15 | $40 | $70 |
| Free testosterone level test A blood test that measures the amount of free testosterone in your body. Free testosterone is the portion of the hormone not bound to proteins and available for use by tissues. |
14 | $25 | $45 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$3,183
Total received (2018-2024)
Avg $455/year across 7 years
Top 44% in MI for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
39
Companies
116
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
$3,159 (99.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$24 (0.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$533
2023
$510
2022
$460
2021
$85
2020
$92
2019
$1,059
2018
$444
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$193
Laborie Medical Technologies Corp.
$83
Sumitomo Pharma America, Inc.
$70
Merck Sharp & Dohme LLC
$64
Antares Pharma, Inc.
$23
Dendreon Pharmaceuticals LLC
$23
Astellas Pharma US Inc
$21
PROCEPT BioRobotics Corporation
$20
180 Medical, Inc.
$19
Tempus AI, Inc
$17
Top 3 companies account for 65.0% of 2024 payments
All-time payments by company (2018-2024) ›
Integra GPO, LLC
$437
Ferring Pharmaceuticals Inc.
$425
ABBVIE INC.
$296
Teleflex LLC
$266
Astellas Pharma US Inc
$241
Sumitomo Pharma America, Inc.
$142
Myriad Genetic Laboratories, Inc.
$140
Merck Sharp & Dohme LLC
$108
Laborie Medical Technologies Corp.
$99
Allergan, Inc.
$87
180 Medical, Inc.
$85
Augmenix, Inc.
$66
NeoTract Inc.
$60
Dendreon Pharmaceuticals LLC
$57
Progenics Pharmaceuticals, Inc.
$45
Coloplast Corp
$45
Supernus Pharmaceuticals, Inc.
$43
Avadel Specialty Pharmaceuticals, LLC
$41
Antares Pharma, Inc.
$40
Blue Earth Diagnostics Limited
$40
Olympus America Inc.
$38
AbbVie, Inc.
$36
TOLMAR Pharmaceuticals, Inc.
$35
Endo Pharmaceuticals Inc.
$26
Allergan Inc.
$26
Aytu BioScience, Inc
$26
PFIZER INC.
$25
Mission Pharmacal Company
$23
Bayer Healthcare Pharmaceuticals Inc.
$20
PROCEPT BioRobotics Corporation
$20
Zyla Life Sciences
$19
ConvaTec Inc.
$19
Janssen Biotech, Inc.
$18
Tempus AI, Inc
$17
UroGen Pharma, Inc.
$16
UROGEN PHARMA, INC.
$16
Photocure Inc
$15
UROVANT SCIENCES INC
$15
Amgen Inc.
$12
Top 3 companies account for 36.3% of all-time payments
Associated products mentioned in payments ›
ALTIS · AQUABEAM SYSTEM · Androgel · Axumin · BOTOX · BOTOX THERAPEUTIC · CYSVIEW · DORMIA NO-TIP · ELIGARD · Erleada · FIRMAGON · GEMTESA · GENTLECATH · JELMYTO · KEYTRUDA · LUPRON DEPOT · MYRBETRIQ · Myrbetriq · Natesto · Noctiva · Nubeqa · Olympus Resection Disposables · Optilume BPH Drug Coated Balloon Catheter · PROLARIS · PROVENGE · PYLARIFY · Prolia · SPRIX · SpaceOAR · SpeediCath · TOVIAZ · UROLIFT · UroLift · UroPass · Urocit-K · VESICARE · XIAFLEX · XTANDI · XYOSTED · Xtandi
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Urology physicians within 10 mi
142
Per 100K population
16.2
County median income
$76,399
Nearest hospital
HENRY FORD HEALTH ST JOHN HOSPITAL
5.0 mi
5.0 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. Guz is a clinical cardiology specialist, with above-average Medicare volume (top 10% in MI), with low-engagement industry engagement, with 20 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. Guz experienced with automated urinalysis?
Based on Medicare claims data, Dr. Guz performed 1,361 automated urinalysis 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. Guz receive payments from pharmaceutical companies?
Yes. Dr. Guz received a total of $3,183 from 39 companies across 116 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. Guz's costs compare to other urology physicians in St Clair Shores?
Dr. Guz's average Medicare payment per service is $49. 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. Guz) 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 →
Explore related providers
Same specialty & city
Urology Physicians in St Clair Shores
Browse urology physicians in St Clair Shores ranked by procedure volume and transparency data.
Highest volume
Top Urology Physicians in MI
Urology physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Urology Physicians in MI
Which MI urology physicians receive the most from drug and device companies.
By company
Integra GPO, LLC Payments to Doctors
See all physicians who received payments from Integra GPO, LLC.
By company
Ferring Pharmaceuticals Inc. Payments to Doctors
See all physicians who received payments from Ferring Pharmaceuticals Inc.
By company
ABBVIE INC. Payments to Doctors
See all physicians who received payments from ABBVIE INC.
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