Monica Guma, M.D., PH.D.
NPI 1346522141ActiveIndividual· Internal Medicine, Rheumatology· La Jolla, CA
Internal Medicine, Rheumatology (M.D., PH.D.) with Regents of the University of California, practicing in La Jolla, California. Their prescriptions cost Medicare Part D more than their services did: $769,347 for 394 claims, against $8,194 paid for services in 2024. Abbvie Inc. was the largest of 3 companies reporting payments in 2024, $8,693 in all, mostly consulting fees. Lists Uc San Diego Health Hillcrest - Hillcrest Med Ctr as a hospital affiliation.
Overview
| NPI | 1346522141 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D., PH.D. |
| Sole proprietor | No |
| NPI issued | Sep 16, 2011 |
| Last updated in NPPES | May 7, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Rheumatology Primary | 207RR0500X | A126993 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Rheumatology (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 49 |
|---|---|
| Services billed | 143 across 14 procedure codes |
| Paid by Medicare | $8,194 |
Part D prescriptions in 2024
| Prescriptions (claims) | 394 · 484 30-day fills |
|---|---|
| Patients | 41 |
| Total drug cost | $769,347 |
| Generic share | 70% of claims |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Rheumatology |
| Telehealth | Offers telehealth |
Medical group
- Regents of the University of CaliforniaSan Diego, CA · 2,089 clinicians
Hospital affiliation
- Uc San Diego Health Hillcrest - Hillcrest Med CtrSan Diego, CA
Industry payments (Open Payments)
- 2024$8,693 · 4 payments from 3 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $8,400 | 1 |
| Janssen Scientific Affairs, LLC | $162.30 | 2 |
| Ucb, Inc. | $130.95 | 1 |
What the 2024 payments were for
- Consulting Fee$8,400 · 1 payment
- Food and Beverage$293.25 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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