Dr. Maninder Guram, M.D.
What this data tells you about Dr. Guram
Dr. Maninder Guram is a gastroenterology in Tomball, TX, with 20 years in practice. Based on federal Medicare data, Dr. Guram performed 124,659 Medicare services across 959 unique beneficiaries.
Between the years covered by Open Payments, Dr. Guram received a total of $1,241 from 27 pharmaceutical and/or device companies across 63 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Guram 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 |
|---|---|---|---|
| Testosterone injection | 121,981 | $0 | $0 |
| Hospital follow-up visit, moderate complexity | 1,022 | $62 | $188 |
| Office visit, established patient (30-39 min) | 570 | $92 | $338 |
| Drug injection, under skin or into muscle | 523 | $11 | $53 |
| Initial hospital admission, moderate complexity | 166 | $98 | $353 |
| New patient office visit (45-59 min) | 102 | $110 | $688 |
| Upper GI endoscopy with biopsy | 80 | $79 | $968 |
| Colonoscopy with biopsy | 53 | $97 | $1,592 |
| Diagnostic exam of large bowel using a flexible endoscope | 36 | $139 | $983 |
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 34 | $192 | $1,399 |
| Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 24 | $161 | $1,884 |
| Control of bleeding of upper large bowel using a flexible endoscope | 20 | $203 | $2,074 |
| Complete ultrasound scan of abdomen | 17 | $60 | $665 |
| Insertion of stomach tube using a flexible endoscope | 16 | $162 | $534 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 15 | $85 | $769 |
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 ›
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 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. Guram is a mixed practice specialist, with above-average Medicare volume (top 0% in TX), and low-engagement industry engagement, with 20 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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