Total Payments
$26,751
2024 Payments
$412.37
Companies
45
Transactions
411
Medicare Patients
1,478
Medicare Billing
$137,988
Payment Breakdown by Category
Education$16,383 (61.2%)
Food & Beverage$6,407 (23.9%)
Travel$1,871 (7.0%)
Consulting$1,600 (6.0%)
Gifts$490.43 (1.8%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Education | $16,383 | 16 | 61.2% |
| Food and Beverage | $6,407 | 353 | 23.9% |
| Travel and Lodging | $1,871 | 14 | 7.0% |
| Consulting Fee | $1,600 | 1 | 6.0% |
| Gift | $490.43 | 27 | 1.8% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Intuitive Surgical, Inc. | $18,500 | 23 | $0 (2021) |
| Caldera Medical, Inc | $2,724 | 17 | $0 (2023) |
| Axonics, Inc. | $832.79 | 26 | $0 (2024) |
| Astellas Pharma US Inc | $552.83 | 31 | $0 (2023) |
| Sumitomo Pharma America, Inc. | $424.84 | 18 | $0 (2024) |
| ABBVIE INC. | $406.03 | 26 | $0 (2023) |
| ASCEND Therapeutics US, LLC | $389.25 | 79 | $0 (2022) |
| Allergan, Inc. | $336.39 | 33 | $0 (2021) |
| Takeda Pharmaceuticals U.S.A., Inc. | $283.72 | 20 | $0 (2022) |
| PFIZER INC. | $243.08 | 17 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $412.37 | 18 | Gynesonics, Inc. ($157.80) |
| 2023 | $883.11 | 37 | Sumitomo Pharma America, Inc. ($289.82) |
| 2022 | $983.18 | 75 | ABBVIE INC. ($159.37) |
| 2021 | $19,804 | 55 | Intuitive Surgical, Inc. ($18,334) |
| 2020 | $293.21 | 11 | Caldera Medical, Inc ($145.73) |
| 2019 | $2,429 | 68 | Caldera Medical, Inc ($1,709) |
| 2018 | $929.02 | 63 | Allergan Inc. ($166.87) |
| 2017 | $1,017 | 84 | Astellas Pharma US Inc ($129.34) |
All Payment Transactions
411 individual payment records from CMS Open Payments — Page 1 of 17
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/17/2024 | Gynesonics, Inc. | SONATA SONOGRAPHY-GUIDED TRANSCERVICAL FIBROID ABLATION SYSTEM (Device) | Food and Beverage | In-kind items and services | $41.81 | General |
| Category: SONATA TRANSCERVICAL FIBROID ABLATION SYSTEM | ||||||
| 12/12/2024 | Sumitomo Pharma America, Inc. | GEMTESA (Drug) | Food and Beverage | In-kind items and services | $29.63 | General |
| Category: UROLOGY | ||||||
| 12/12/2024 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $14.89 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 11/12/2024 | Gynesonics, Inc. | SONATA SONOGRAPHY-GUIDED TRANSCERVICAL FIBROID ABLATION SYSTEM (Device) | Food and Beverage | In-kind items and services | $26.05 | General |
| Category: SONATA TRANSCERVICAL FIBROID ABLATION SYSTEM | ||||||
| 10/14/2024 | PFIZER INC. | PREMARIN (Drug), ESTRING, DUAVEE | Food and Beverage | In-kind items and services | $13.78 | General |
| Category: WOMENS HEALTH | ||||||
| 09/30/2024 | Sumitomo Pharma America, Inc. | MYFEMBREE (Drug) | Food and Beverage | In-kind items and services | $19.42 | General |
| Category: HORMONE THERAPY | ||||||
| 09/24/2024 | Sumitomo Pharma America, Inc. | GEMTESA (Drug) | Food and Beverage | In-kind items and services | $17.86 | General |
| Category: UROLOGY | ||||||
| 07/30/2024 | Sumitomo Pharma America, Inc. | GEMTESA (Drug) | Food and Beverage | In-kind items and services | $19.45 | General |
| Category: UROLOGY | ||||||
| 06/13/2024 | Axonics, Inc. | Axonics (Device) | Food and Beverage | In-kind items and services | $19.32 | General |
| Category: Urology | ||||||
| 06/11/2024 | Gynesonics, Inc. | SONATA SONOGRAPHY-GUIDED TRANSCERVICAL FIBROID ABLATION SYSTEM (Device) | Food and Beverage | In-kind items and services | $23.68 | General |
| Category: SONATA TRANSCERVICAL FIBROID ABLATION SYSTEM | ||||||
| 05/14/2024 | Ardelyx, Inc. | IBSRELA (Drug) | Food and Beverage | In-kind items and services | $21.88 | General |
| Category: GASTROENTEROLOGY | ||||||
| 05/13/2024 | PFIZER INC. | PREMARIN (Drug), DUAVEE, MYFEMBREE | Food and Beverage | In-kind items and services | $15.60 | General |
| Category: WOMENS HEALTH | ||||||
| 05/01/2024 | Axonics, Inc. | Axonics (Device) | Food and Beverage | In-kind items and services | $14.36 | General |
| Category: Urology | ||||||
| 04/09/2024 | Axonics, Inc. | Axonics (Device) | Food and Beverage | In-kind items and services | $19.72 | General |
| Category: Urology | ||||||
| 03/25/2024 | Gynesonics, Inc. | SONATA SONOGRAPHY-GUIDED TRANSCERVICAL FIBROID ABLATION SYSTEM (Device) | Food and Beverage | In-kind items and services | $36.31 | General |
| Category: SONATA TRANSCERVICAL FIBROID ABLATION SYSTEM | ||||||
| 03/05/2024 | Sumitomo Pharma America, Inc. | MYFEMBREE (Drug) | Food and Beverage | In-kind items and services | $21.63 | General |
| Category: HORMONE THERAPY | ||||||
| 02/07/2024 | Sumitomo Pharma America, Inc. | GEMTESA (Drug) | Food and Beverage | In-kind items and services | $27.03 | General |
| Category: UROLOGY | ||||||
| 01/11/2024 | Gynesonics, Inc. | SONATA SONOGRAPHY-GUIDED TRANSCERVICAL FIBROID ABLATION SYSTEM (Device) | Food and Beverage | In-kind items and services | $29.95 | General |
| Category: SONATA TRANSCERVICAL FIBROID ABLATION SYSTEM | ||||||
| 12/19/2023 | Gynesonics, Inc. | SONATA SONOGRAPHY-GUIDED TRANSCERVICAL FIBROID ABLATION SYSTEM (Device) | Food and Beverage | In-kind items and services | $26.74 | General |
| Category: SONATA TRANSCERVICAL FIBROID ABLATION SYSTEM | ||||||
| 12/16/2023 | Sumitomo Pharma America, Inc. | GEMTESA (Drug) | Food and Beverage | In-kind items and services | $24.49 | General |
| Category: Urology | ||||||
| 12/13/2023 | Axonics, Inc. | Axonics (Device) | Food and Beverage | In-kind items and services | $6.10 | General |
| Category: Urology | ||||||
| 12/04/2023 | Gynesonics, Inc. | SONATA SONOGRAPHY-GUIDED TRANSCERVICAL FIBROID ABLATION SYSTEM (Device) | Food and Beverage | In-kind items and services | $27.72 | General |
| Category: SONATA TRANSCERVICAL FIBROID ABLATION SYSTEM | ||||||
| 11/13/2023 | Sumitomo Pharma America, Inc. | GEMTESA (Drug) | Food and Beverage | In-kind items and services | $28.14 | General |
| Category: Urology | ||||||
| 10/26/2023 | PFIZER INC. | PREMARIN (Drug), ESTRING, MYFEMBREE | Food and Beverage | In-kind items and services | $21.72 | General |
| Category: WOMENS HEALTH | ||||||
| 10/10/2023 | Sumitomo Pharma America, Inc. | MYFEMBREE (Drug) | Food and Beverage | In-kind items and services | $22.35 | General |
| Category: HORMONE THERAPY | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 9 | 472 | 677 | $92,830 | $29,265 |
| 2022 | 4 | 262 | 402 | $54,921 | $29,562 |
| 2021 | 12 | 430 | 596 | $114,378 | $54,131 |
| 2020 | 8 | 314 | 417 | $60,275 | $25,028 |
Total Patients
1,478
Total Services
2,092
Medicare Billing
$137,988
Procedure Codes
33
All Medicare Procedures & Services
33 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 133 | 216 | $22,912 | $8,165 | 35.6% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 79 | 98 | $17,542 | $4,982 | 28.4% |
| 57288 | Creation of sling around urethra in female to control leakage | Facility | 2023 | 12 | 12 | $14,400 | $4,733 | 32.9% |
| 51700 | Simple bladder irrigation and/or instillation | Office | 2023 | 12 | 65 | $11,297 | $3,416 | 30.2% |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | Office | 2023 | 85 | 85 | $12,750 | $3,044 | 23.9% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 34 | 37 | $7,239 | $2,226 | 30.8% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Office | 2023 | 11 | 11 | $2,420 | $1,562 | 64.5% |
| 82274 | Stool analysis for blood, by fecal hemoglobin determination by immunoassay | Office | 2023 | 60 | 60 | $1,500 | $931.71 | 62.1% |
| 81003 | Automated urinalysis test | Office | 2023 | 46 | 93 | $2,770 | $204.60 | 7.4% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 155 | 283 | $42,047 | $26,134 | 62.2% |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | Office | 2022 | 80 | 80 | $12,000 | $2,902 | 24.2% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2022 | 11 | 11 | $594.00 | $464.59 | 78.2% |
| 81003 | Automated urinalysis test | Office | 2022 | 16 | 28 | $280.00 | $62.13 | 22.2% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 149 | 246 | $33,948 | $19,700 | 58.0% |
| 57425 | Surgical vaginal defect repair using an endoscope | Facility | 2021 | 12 | 12 | $13,200 | $8,512 | 64.5% |
| 57288 | Creation of sling around bladder canal (urethra) to control leakage | Facility | 2021 | 20 | 20 | $24,000 | $7,988 | 33.3% |
| 51729 | Complex measurement of pressure of urine flow in bladder (cystometrogram) with bladder canal (urethra) pressure and voiding pressure studies | Office | 2021 | 19 | 19 | $10,811 | $5,344 | 49.4% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 51 | 63 | $5,785 | $3,431 | 59.3% |
| 51700 | Bladder irrigation and/or instillation | Office | 2021 | 11 | 57 | $6,875 | $2,986 | 43.4% |
| 51797 | Insertion of device into the abdomen with measurement of pressure and urine flow rate | Office | 2021 | 19 | 19 | $4,940 | $2,598 | 52.6% |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | Office | 2021 | 64 | 64 | $9,686 | $2,339 | 24.1% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 12 | 12 | $2,376 | $972.06 | 40.9% |
| 81003 | Automated urinalysis test | Office | 2021 | 43 | 54 | $540.00 | $113.34 | 21.0% |
| 51741 | Electronic assessment of bladder emptying | Office | 2021 | 19 | 19 | $2,080 | $100.13 | 4.8% |
| 82270 | Stool analysis for blood to screen for colon tumors | Office | 2021 | 11 | 11 | $137.00 | $48.18 | 35.2% |
About Dr. James Guiler, MD
Dr. James Guiler, MD is a Obstetrics & Gynecology healthcare provider based in Lexington, Kentucky. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 10/27/2005. The National Provider Identifier (NPI) number assigned to this provider is 1104816388.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. James Guiler, MD has received a total of $26,751 in payments from pharmaceutical and medical device companies, with $412.37 received in 2024. These payments were reported across 411 transactions from 45 companies. The most common payment nature is "Education" ($16,383).
As a Medicare-enrolled provider, Guiler has provided services to 1,478 Medicare beneficiaries, totaling 2,092 services with total Medicare billing of $137,988. Data is available for 4 years (2020–2023), covering 33 distinct procedure/service records.
Ad
Practice Information
- Specialty Obstetrics & Gynecology
- Location Lexington, KY
- Active Since 10/27/2005
- Last Updated 11/22/2019
- Taxonomy Code 207V00000X
- Entity Type Individual
- NPI Number 1104816388
Products in Payments
- Da Vinci Surgical System (Device) $18,500
- Desara (Device) $2,724
- MYFEMBREE (Drug) $380.28
- Axonics (Device) $350.43
- Bulkamid (Device) $307.94
- GEMTESA (Drug) $281.22
- LO LOESTRIN FE (Drug) $257.64
- ESTROGEL (Drug) $226.11
- SONATA SONOGRAPHY-GUIDED TRANSCERVICAL FIBROID ABLATION SYSTEM (Device) $212.26
- Amitiza (Drug) $196.95
- Axonics r-SNM System (Device) $194.71
- MYRBETRIQ (Drug) $168.39
- PREMARIN (Drug) $166.97
- ORILISSA (Drug) $152.16
- Myrbetriq (Drug) $148.54
- Saxenda (Drug) $147.80
- LINZESS (Drug) $108.04
- XIFAXAN (Drug) $106.06
- Trintellix (Drug) $91.38
- AirSeal (Device) $90.00
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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