Medicare Enrolled
Dr. Alex Guevara, D.O.
Family Medicine · Fort Worth, TX
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. 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. Guevara
Dr. Alex Guevara is a family medicine specialist in Fort Worth, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Guevara performed 8,428 Medicare services across 920 unique beneficiaries.
Between the years covered by Open Payments, Dr. Guevara received a total of $15,261 from 66 pharmaceutical and/or device companies across 771 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. 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.
✓ 20 years in practice
▲ Top 2% volume in TX
$15,261 industry payments
Medicare Practice Summary
Medicare Utilization ↗8,428
Medicare services
Top 2% in TX for family medicine
920
Unique beneficiaries
$17
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~421 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 |
|---|---|---|---|
| Allergy skin test A diagnostic test performed to identify specific allergies by applying or introducing allergenic extracts to the body. The procedure measures the patient's immune response to various potential allergens. |
3,024 | $3 | $10 |
| Allergy immunotherapy preparation A professional service involving the preparation and administration of one or more antigens. |
1,960 | $11 | $21 |
| Magnesium sulfate injection, per 500 mg An injection of magnesium sulfate administered in 500 mg increments. |
528 | $1 | $20 |
| 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. |
421 | $87 | $190 |
| Injection, potassium chloride, per 2 meq | 325 | $0 | $20 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
231 | $118 | $377 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
228 | $8 | $38 |
| 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. |
183 | $66 | $115 |
| 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. |
172 | $40 | $100 |
| Unclassified drug A medication that does not fit into standard HCPCS or CPT classification categories. |
131 | $2 | $231 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
120 | $12 | $40 |
| 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. |
112 | $9 | $72 |
| Prolonged office E/M service, first 15 minutes This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service. |
106 | $22 | $99 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
87 | $3 | $50 |
| Pyridoxine HCl injection, 100 mg An injection of pyridoxine hydrochloride, a form of vitamin B6, administered at a dose of 100 mg. |
85 | $9 | $50 |
| Additional sequential IV infusion, 1 hour or less This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less. |
66 | $22 | $65 |
| Concurrent intravenous infusion Administration of medication or fluid into a vein for therapy, prevention, or diagnosis while another infusion is being given. |
66 | $15 | $40 |
| Intravenous drug injection A procedure involving the administration of a medication or substance directly into a vein. |
66 | $29 | $65 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
65 | $50 | $145 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
55 | $10 | $100 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
51 | $1 | $40 |
| Stool test for hidden blood (FIT) A laboratory test that analyzes a stool sample to detect hidden blood using an immunoassay method. |
49 | $14 | $50 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
49 | $127 | $230 |
| Normal saline infusion, 1000 cc Administration of 1000 cc of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater solution. |
49 | $2 | $100 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
46 | $1 | $24 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
33 | $25 | $55 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
26 | $0 | $58 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
24 | $5 | $50 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
19 | $24 | $125 |
| Infectious agent smear test A laboratory test that involves examining a sample under a microscope to identify infectious agents. |
19 | $5 | $17 |
| Lidocaine HCl injection for IV infusion, 10 mg Administration of a 10 mg dose of lidocaine hydrochloride via intravenous infusion. |
17 | $0 | $25 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
15 | $25 | $55 |
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.
3.1% high complexity
16.1% medium
80.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$15,261
Total received (2018-2024)
Avg $2,180/year across 7 years
Top 2% in TX for family medicine
66
Companies
771
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
$13,974 (91.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,287 (8.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,423
2023
$1,579
2022
$2,494
2021
$2,615
2020
$1,731
2019
$3,009
2018
$2,409
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$2,883
Novo Nordisk Inc
$1,468
Amarin Pharma Inc.
$957
Gilead Sciences, Inc.
$898
Boehringer Ingelheim Pharmaceuticals, Inc.
$884
Lilly USA, LLC
$853
Amgen Inc.
$500
GlaxoSmithKline, LLC.
$485
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$437
Merck Sharp & Dohme Corporation
$429
SANOFI-AVENTIS U.S. LLC
$425
Janssen Pharmaceuticals, Inc
$423
Bayer HealthCare Pharmaceuticals Inc.
$386
Corcept Therapeutics
$341
Kowa Pharmaceuticals America, Inc.
$310
Abbott Laboratories
$303
RedHill Biopharma Inc.
$237
Bayer Healthcare Pharmaceuticals Inc.
$211
Esperion Therapeutics, Inc.
$159
Optinose US, Inc.
$150
PFIZER INC.
$141
AbbVie Inc.
$138
Mannkind Corporation
$118
Neos Therapeutics, LP
$115
ABBVIE INC.
$110
ARBOR PHARMACEUTICALS, INC.
$106
Merck Sharp & Dohme LLC
$98
Arbor Pharmaceuticals, Inc.
$94
Horizon Therapeutics plc
$92
Astellas Pharma US Inc
$88
Horizon Pharma plc
$88
OptiNose US, Inc.
$87
Phathom Pharmaceuticals, Inc.
$86
Althera Pharmaceuticals LLC
$79
Novartis Pharmaceuticals Corporation
$72
VIVUS, Inc.
$70
Antares Pharma, Inc.
$68
Vertical Pharmaceuticals, LLC
$61
Genentech USA, Inc.
$59
Ferring Pharmaceuticals Inc.
$56
Paratek Pharmaceuticals, Inc.
$54
Azurity Pharmaceuticals, Inc.
$53
Takeda Pharmaceuticals U.S.A., Inc.
$51
Nabriva Therapeutics, plc
$51
IDORSIA PHARMACEUTICALS US INC
$44
Allergan Inc.
$39
Xeris Pharmaceuticals, Inc.
$38
Shire North American Group Inc
$37
Exact Sciences Corporation
$36
Dexcom, Inc.
$36
Regeneron Healthcare Solutions, Inc.
$27
Boston Scientific Corporation
$23
SI-BONE, Inc.
$18
BOSTON SCIENTIFIC CORPORATION
$18
MITSUBISHI TANABE PHARMA AMERICA, INC.
$18
Noden Pharma USA Inc
$18
Eisai Inc.
$16
CeQur Corporation
$15
SI-BONE, INC.
$13
Lupin Inc.
$13
Novum Pharma, LLC
$13
Orexigen Therapeutics, Inc.
$13
Exeltis, USA Inc.
$13
Zyla Life Sciences
$13
Adhera Therapeutics, Inc.
$12
Medtronic Vascular, Inc.
$12
Top 3 companies account for 34.8% of total payments
Associated products mentioned in payments ›
AFREZZA · AIRSUPRA · Adzenys XR-ODT · Aemcolo · Aimovig · Alcortin A · BASAGLAR · BELSOMRA · BREO · BREZTRI · BYDUREON · BYSTOLIC · CHANTIX · CONTRAVE · CeQur Simplicity · Cologuard Collection Kit · DIABETES - DISEASE · DUEXIS · Dayvigo · Descovy · Dexcom G6 Transmitter · EDARBI · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EUFLEXXA · Edarbi · Edarbyclor · FARXIGA · FREESTYLE LIBRE · FreeStyle Libre · FreeStyle Libre blood glucose Flash Monitoring System · GENERAL FEMALE SUI · GLYXAMBI · Horizant · IFUSE IMPLANT · INVOKANA · JANUVIA · JARDIANCE · Kerendia · Korlym · LINZESS · LIVALO · LOKELMA · LORZONE · LYRICA · Livalo · MOUNJARO · MYRBETRIQ · Movantik · Myrbetriq · NEXLETOL · NOCDURNA · NO_PRODUCT · NUZYRA · OFEV · OTREXUP · Otezla · Ozempic · PAXLOVID · PENNSAID · PRALUENT · PREMARIN · PRESTALIA · Proclaim IPG · Prolia · QSYMIA · QUVIVIQ · RADICAVA · RAYOS · RECORLEV · RELEXXII · Ranexa · Repatha · Roszet · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SOLOSEC · STEGLATRO · SYMBICORT · SYNJARDY · SYNTHROID · TEKTURNA · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · TZIELD · Talicia · Trintellix · Truvada · TurboHawk · UBRELVY · VIBERZI · VIMOVO · VOQUEZNA · Vascepa · Veozah · Victoza · Vitafol Ultra · WaveWriter Alpha Prime 16 · Wegovy · XARELTO · XIFAXAN · XYOSTED · Xenleta · Xhance · Xofluza · ZORVOLEX · ZORYVE · iFuse Implant
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 (92%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for family medicine in TX.
Equivalent to $181 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
1,013
Per 100K population
47.4
County median income
$81,905
Nearest hospital
JPS HEALTH NETWORK
6.6 mi
6.6 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. Guevara is a mixed practice specialist, with above-average Medicare volume (top 2% in TX), with low-engagement industry engagement in the top 2% of TX peers, with 20 years of NPI registration.
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. Guevara experienced with allergy skin test?
Based on Medicare claims data, Dr. Guevara performed 3,024 allergy skin test 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. Guevara receive payments from pharmaceutical companies?
Yes. Dr. Guevara received a total of $15,261 from 66 companies across 771 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. Guevara's costs compare to other family medicine physicians in Fort Worth?
Dr. Guevara's average Medicare payment per service is $17. 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. 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 →
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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. 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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