Medicare Enrolled
Dr. Alcinto Guirand, M.D.
Pain Medicine (Physical Medicine & Rehabilitation) Physician · Johnstown, PA
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. Guirand 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. Guirand
Dr. Alcinto Guirand is a pain medicine physician in Johnstown, PA, with 14 years of NPI registration. Based on federal Medicare data, Dr. Guirand performed 726 Medicare services across 488 unique beneficiaries.
Between the years covered by Open Payments, Dr. Guirand received a total of $18,119 from 80 pharmaceutical and/or device companies across 864 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain 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. Guirand 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.
✓ 14 years in practice
▲ 726 Medicare services
$18,119 industry payments
Medicare Practice Summary
Medicare Utilization ↗726
Medicare services
Bottom 27% in PA for pain medicine (physical medicine & rehabilitation) physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
488
Unique beneficiaries
$65
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~52 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 |
|---|---|---|---|
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
183 | $70 | $474 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
95 | $82 | $532 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
71 | $42 | $181 |
| 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. |
50 | $60 | $209 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
39 | $97 | $648 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
39 | $55 | $327 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
37 | $21 | $179 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
36 | $29 | $125 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
35 | $140 | $814 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
35 | $45 | $335 |
| 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. |
34 | $35 | $144 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
21 | $75 | $484 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
20 | $27 | $109 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
16 | $95 | $587 |
| 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. |
15 | $88 | $322 |
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 ↗$18,119
Total received (2018-2024)
Avg $2,588/year across 7 years
Top 6% in PA for pain medicine (physical medicine & rehabilitation) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
80
Companies
864
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
$17,918 (98.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$200 (1.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,874
2023
$1,860
2022
$2,868
2021
$2,822
2020
$2,037
2019
$3,113
2018
$2,545
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$1,234
Teva Pharmaceuticals USA, Inc.
$680
EMD Serono, Inc.
$160
ABBVIE INC.
$158
Neurocrine Biosciences, Inc.
$88
Lundbeck LLC
$83
PFIZER INC.
$65
UCB, Inc.
$52
Bioventus LLC
$49
ACADIA Pharmaceuticals Inc
$38
Lilly USA, LLC
$34
MITSUBISHI TANABE PHARMA AMERICA, INC.
$31
Vanda Pharmaceuticals Inc.
$26
Ipsen Biopharmaceuticals, Inc
$25
SK Life Science, Inc.
$24
Takeda Pharmaceuticals U.S.A., Inc.
$23
Biogen, Inc.
$21
Otsuka America Pharmaceutical, Inc.
$20
CSL Behring
$18
JAZZ PHARMACEUTICALS INC.
$17
Virtus Pharmaceuticals LLC
$15
Collegium Pharmaceutical, Inc.
$13
Top 3 companies account for 72.2% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$7,478
Teva Pharmaceuticals USA, Inc.
$2,310
ABBVIE INC.
$645
Amgen Inc.
$502
Alexion Pharmaceuticals, Inc.
$421
UCB, Inc.
$398
Lundbeck LLC
$380
Sunovion Pharmaceuticals Inc.
$323
AbbVie Inc.
$323
Novartis Pharmaceuticals Corporation
$255
Neurocrine Biosciences, Inc.
$239
Acorda Therapeutics, Inc
$200
Kyowa Kirin, Inc.
$189
SI-BONE, Inc.
$181
PFIZER INC.
$179
BioDelivery Sciences International, Inc.
$171
EMD Serono, Inc.
$160
Otsuka America Pharmaceutical, Inc.
$158
Collegium Pharmaceutical, Inc.
$156
Horizon Pharma plc
$150
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$150
Greenwich Biosciences, Inc.
$142
Janssen Pharmaceuticals, Inc
$136
ACADIA Pharmaceuticals Inc
$132
Biohaven Pharmaceutical Holding Company Ltd.
$128
Allergan, Inc.
$124
Eisai Inc.
$113
Upsher-Smith Laboratories LLC
$110
Ipsen Biopharmaceuticals, Inc
$107
Biogen, Inc.
$105
JAZZ PHARMACEUTICALS INC.
$103
Sentynl Therapeutics, Inc.
$97
Lilly USA, LLC
$90
Bioventus LLC
$81
Medtronic USA, Inc.
$77
MITSUBISHI TANABE PHARMA AMERICA, INC.
$73
Harmony Biosciences LLC
$72
SK Life Science, Inc.
$72
Nevro Corp.
$72
Mitsubishi Tanabe Pharma America, Inc.
$69
Scilex Pharmaceuticals Inc.
$69
US WorldMeds, LLC
$65
Allergan Inc.
$65
Biohaven Pharmaceuticals, Inc.
$62
Jazz Pharmaceuticals Inc.
$62
Banner Life Sciences, LLC
$59
Daiichi Sankyo Inc.
$54
GENZYME CORPORATION
$49
BANNER LIFE SCIENCES, LLC
$45
Avanir Pharmaceuticals, Inc.
$45
Electronic Waveform Lab, Inc.
$42
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$42
Xeris Pharmaceuticals, Inc.
$40
Philips Electronics North America Corporation
$40
Amneal Pharmaceuticals LLC
$40
LivaNova USA, Inc.
$39
Nuvectra Corporation
$37
CSL Behring
$34
Impax Laboratories, Inc.
$30
Vanda Pharmaceuticals Inc.
$26
Takeda Pharmaceuticals U.S.A., Inc.
$23
Merz North America, Inc.
$21
Advanced Respiratory, Inc
$19
Shionogi Inc
$18
ARBOR PHARMACEUTICALS, INC.
$17
Amylyx Pharmaceuticals, Inc.
$17
Bausch Health US, LLC
$15
PORTOLA PHARMACEUTICALS, LLC
$15
Virtus Pharmaceuticals LLC
$15
Neurelis, Inc.
$14
GE HealthCare
$14
Mallinckrodt Hospital Products Inc.
$14
Arbor Pharmaceuticals, Inc.
$14
RedHill Biopharma Inc.
$14
Bayer HealthCare Pharmaceuticals Inc.
$13
Medtronic, Inc.
$13
Kaleo, Inc.
$12
AstraZeneca Pharmaceuticals LP
$12
Ferring Pharmaceuticals Inc.
$11
Merck Sharp & Dohme Corporation
$11
Top 3 companies account for 57.6% of all-time payments
Associated products mentioned in payments ›
(8874) InCourage · ACTHAR · AIMOVIG · AJOVY · AMPYRA · ANDEXXA · APTIOM · AUSTEDO · Aimovig · Algovita · Austedo XR · Axium INS DRG IPG · BAFIERTAM · BELBUCA · BELSOMRA · BOTOX · BRILINTA · BUNAVAIL 2.1 mg 30-count box · Belbuca · Betaseron · Briviact · DRG IPGs · DUOPA · DUROLANE · DYSPORT · Durolane · Dysport · EMGALITY · EPIDIOLEX · ETERNA · EUFLEXXA · Epidiolex · Evzio · Fycompa · GILENYA · HYQVIA · Hizentra · Horizant · INBRIJA · INGREZZA · INTELLIS · INTERSTIM · Infinity DBS Pulse Generators · KESIMPTA · KEVEYIS · KRYSTEXXA · KYNMOBI · LEMTRADA · LEVORPHANOL TARTRATE · LYRICA · Levorphanol · Levorphanol Tartrate · Lucemyra/Lofexidine · MAYZENT · MIGRANAL · Morphabond ER · Movantik · NORTHERA · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Neupro · Nourianz · Nuedexta · Nymalize · OCTRODE · ONGENTYS · Octrode SCS Leads · Omnia · Ongentys · PAXLOVID · PENNSAID · PONVORY · PROCLAIM · Ponvory · Proclaim Family of SCS IPGs · Proclaim IPG · Prodigy Family of SCS IPGs · QUDEXY XR Topiramate Extended Release Capsules · QULIPTA · RADICAVA · RELISTOR · RELYVRIO · REXULTI · RYTARY · Radicava · SCS IPGs · SCS leads · SKYCLARYS · SOLIRIS · SPINRAZA · SUNOSI · Senza Spinal Cord Stimulation System · Soliris · Symproic · TOSYMRA SUMATRIPTAN NASAL SPRAY · The Vest System Model 105 Home Care · UBRELVY · ULTOMIRIS · VALTOCO · VNS Therapy · VNS Therapy SenTiva Model 1000 Generator · VUMERITY · VYEPTI · Vimpat · Wakix · XEOMIN · XTAMPZA · XTAMPZAER · XYREM · XYWAV · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · iFuse Implant · inCourage
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. Total industry engagement is in the top 6% for pain medicine (physical medicine & rehabilitation) physician in PA.
Geographic Context
Pain medicine physicians within 10 mi
1
Per 100K population
0.8
County median income
$56,292
Nearest hospital
CONEMAUGH MEMORIAL MEDICAL CENTER
7.0 mi
7.0 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. Guirand is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 6% of PA peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Guirand experienced with injection into lower spine canal with imaging guidance?
Based on Medicare claims data, Dr. Guirand performed 183 injection into lower spine canal with imaging guidance 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. Guirand receive payments from pharmaceutical companies?
Yes. Dr. Guirand received a total of $18,119 from 80 companies across 864 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. Guirand's costs compare to other pain medicine physicians in Johnstown?
Dr. Guirand's average Medicare payment per service is $65. 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. Guirand) 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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