Payment overview · 2025
General Payments
$27,286.09
87 reported records · 12 companies
Healthcare provider profile · identity verified
Gerardo Gonzalez-Guardiola, M.D.
Allopathic & Osteopathic Physicians|Surgery|Vascular Surgery · FRISCO, TX · NPI 1609219310
Verified facts
What the public records show
CMS Open Payments records show Gerardo Gonzalez-Guardiola, M.D. received $27,286.09 in general payments during 2025 across 87 reported records.
Bolton Medical Inc accounted for 25.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 25 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Bolton Medical Inc | Unresolved — no canonical attribution shown | $6,868.79 | 25.2% | 25 | 2025 |
| W. L. Gore & Associates, Inc. | Unresolved — no canonical attribution shown | $4,975.21 | 18.2% | 21 | 2025 |
| Shockwave Medical, Inc | Unresolved — no canonical attribution shown | $4,466.91 | 16.4% | 2 | 2025 |
| Wilson Cook Medical Incorporated | Unresolved — no canonical attribution shown | $4,087.79 | 15.0% | 5 | 2025 |
| Cook Medical LLC | Unresolved — no canonical attribution shown | $3,165.18 | 11.6% | 23 | 2025 |
| Cook Incorporated | Unresolved — no canonical attribution shown | $3,060.00 | 11.2% | 1 | 2025 |
| Philips North America LLC | Unresolved — no canonical attribution shown | $312.73 | 1.1% | 3 | 2025 |
| ABIOMED | Unresolved — no canonical attribution shown | $164.78 | 0.6% | 2 | 2025 |
| Cagent Vascular INC | Unresolved — no canonical attribution shown | $87.95 | 0.3% | 2 | 2025 |
| Surmodics, Inc. | Unresolved — no canonical attribution shown | $33.96 | 0.1% | 1 | 2025 |
| Imperative Care, Inc | Unresolved — no canonical attribution shown | $31.61 | 0.1% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $31.18 | 0.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Consulting Fee | $14,860.00 | 9 |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $5,100.00 | 2 |
| Travel and Lodging | $3,920.48 | 6 |
| Food and Beverage | $3,405.61 | 70 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| RELAY THORACIC STENT-GRAFT WITH PLUS DELIVERY SYSTEM Normalized: relay thoracic stent graft with plus delivery system |
Device | Bolton Medical Inc | $4,730.68 | 10 | 2025 |
Source payment records
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| Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter Normalized: shockwave ivl system with the shockwave c2 coronary ivl catheter |
Device | Shockwave Medical, Inc | $4,466.91 | 2 | 2025 |
Source payment records
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| GORE TAG Thoracic Branch Endoprosthesis Normalized: gore tag thoracic branch endoprosthesis |
Device | W. L. Gore & Associates, Inc. | $4,452.85 | 6 | 2025 |
Source payment records
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| ZENITH ALPHA Normalized: zenith alpha |
Device | Cook Medical LLC, Wilson Cook Medical Incorporated | $3,110.30 | 13 | 2025 |
Source payment records
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| COOK Normalized: cook |
Device | Cook Medical LLC, Wilson Cook Medical Incorporated | $2,401.23 | 6 | 2025 |
Source payment records
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| TREO ABDOMINAL STENT-GRAFT SYSTEM Normalized: treo abdominal stent graft system |
Device | Bolton Medical Inc | $2,145.06 | 16 | 2025 |
Source payment records
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| ZENITH SPIRAL-Z Normalized: zenith spiral z |
Device | Cook Medical LLC | $1,741.44 | 9 | 2025 |
Source payment records
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| THORAFLEX HYBRID Normalized: thoraflex hybrid |
Device | Bolton Medical Inc | $233.85 | 4 | 2025 |
Source payment records
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| GORE VIABAHN VBX Balloon Expandable Endo Normalized: gore viabahn vbx balloon expandable endo |
Device | W. L. Gore & Associates, Inc. | $196.59 | 4 | 2025 |
Source payment records
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| EXCLUDER Conformable AAA Endoprosthesis with Active Control Normalized: excluder conformable aaa endoprosthesis with active control |
Device | W. L. Gore & Associates, Inc. | $183.74 | 4 | 2025 |
Source payment records
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| Laser Parts Other Normalized: laser parts other |
Device | Philips North America LLC | $153.15 | 1 | 2025 |
Source payment records
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| Other Rental Normalized: other rental |
Device | Philips North America LLC | $137.78 | 1 | 2025 |
Source payment records
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| Serrantor Normalized: serrantor |
Device | Cagent Vascular INC | $87.95 | 2 | 2025 |
Source payment records
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| GORE TAG Conformable Thoracic Endoprosthesis Normalized: gore tag conformable thoracic endoprosthesis |
Device | W. L. Gore & Associates, Inc. | $65.76 | 3 | 2025 |
Source payment records
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| GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis Normalized: gore excluder thoracoabdominal branch endoprosthesis |
Device | W. L. Gore & Associates, Inc. | $34.98 | 1 | 2025 |
Source payment records
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| Pounce Thrombectomy Normalized: pounce thrombectomy |
Device | Surmodics, Inc. | $33.96 | 1 | 2025 |
Source payment records
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| Pounce Thrombectomy System Normalized: pounce thrombectomy system |
Device | Surmodics, Inc. | $33.96 | 1 | 2025 |
Source payment records
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| Pounce Venous Thrombectomy System Normalized: pounce venous thrombectomy system |
Device | Surmodics, Inc. | $33.96 | 1 | 2025 |
Source payment records
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| Sublime 014 Rx PTA Balloon Dilatation Catheter Normalized: sublime 014 rx pta balloon dilatation catheter |
Device | Surmodics, Inc. | $33.96 | 1 | 2025 |
Source payment records
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| Sublime Microcatheter, 018, 200cm, Straight Normalized: sublime microcatheter 018 200cm straight |
Device | Surmodics, Inc. | $33.96 | 1 | 2025 |
Source payment records
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| SYMPHONY CATHETER Normalized: symphony catheter |
Device | Imperative Care, Inc | $31.61 | 1 | 2025 |
Source payment records
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| ESPRIT Normalized: esprit |
Device | Abbott Laboratories | $31.18 | 1 | 2025 |
Source payment records
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| GORE EXCLUDER Iliac Branch Endoprosthesis Normalized: gore excluder iliac branch endoprosthesis |
Device | W. L. Gore & Associates, Inc. | $24.04 | 1 | 2025 |
Source payment records
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| Labosys Normalized: labosys |
Device | Philips North America LLC | $21.80 | 1 | 2025 |
Source payment records
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| GORE EXCLUDER AAA Endoprosthesis Normalized: gore excluder aaa endoprosthesis |
Device | W. L. Gore & Associates, Inc. | $17.25 | 2 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
None of this doctor’s payer companies has same-entity product evidence that passes the publication threshold. The site does not infer company ownership, affiliates, or generic manufacturers.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Clopidogrel | Clopidogrel Bisulfate | 17 | suppressed |
| Eliquis | Apixaban | 15 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 14 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $27,286.09 · 87 records | Bolton Medical Inc | COOK, ESPRIT, EXCLUDER Conformable AAA Endoprosthesis with Active Control, GORE EXCLUDER AAA Endoprosthesis, GORE EXCLUDER Iliac Branch Endoprosthesis, GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis, GORE TAG Conformable Thoracic Endoprosthesis, GORE TAG Thoracic Branch Endoprosthesis, GORE VIABAHN VBX Balloon Expandable Endo, Labosys, Laser Parts Other, Other Rental, Pounce Thrombectomy, Pounce Thrombectomy System, Pounce Venous Thrombectomy System, RELAY THORACIC STENT-GRAFT WITH PLUS DELIVERY SYSTEM, SYMPHONY CATHETER, Serrantor, Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter, Sublime 014 Rx PTA Balloon Dilatation Catheter, Sublime Microcatheter, 018, 200cm, Straight, THORAFLEX HYBRID, TREO ABDOMINAL STENT-GRAFT SYSTEM, ZENITH ALPHA, ZENITH SPIRAL-Z | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error