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Dr. Myriam Elizabeth Guevara, MD

Accepting New Patients

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Specializes in: Adult Rheumatology

Professional interests include: Sjogren's syndrome, lupus, vasculitis, and more.

6550 FANNIN STREET SUITE 1101
Houston, TX 77030

(713) 441-0006

Dr. Myriam Elizabeth Guevara, MD is a rheumatologist in Houston, TX specializing in adult rheumatology. Dr. Myriam Elizabeth Guevara, MD is affiliated with Houston Methodist and TMH PHYSICIAN ASSOCIATES PLLC.

Office Locations

Address:

6550 FANNIN STREET SUITE 1101
Houston, TX 77030

Some issues Dr. Myriam Elizabeth Guevara, MD can help you with:

Joint Injections

A joint is any area of the body where two bones connect. Due to injury or disease, the space between the two bones can sometimes become swollen and inflamed, which leads to pain and a loss of mobility. Injection and aspiration are two tools that physicians use to treat joint pain locally without needing to perform surgery.

Both injection and aspiration are techniques that involve inserting a needle connected to a syringe directly into the joint. Aspiration involves the removal of excess fluid, and injection is the placement of medication directly into the joint space via the needle. Both procedures may be performed at the same time. In both cases a local anesthetic may be used, the skin will be cleaned and disinfected, and then the needle will be inserted. In some cases, especially if the injection or aspiration is in a large and deep joint such as the hip or spine, ultrasound may be used to guide the needle to the exact location desired.

In some cases, irritation to the joint can cause fluid to build up so significantly that the joint hurts and can no longer move well. Aspiration removes some of the excess fluid and relieves the pressure. In addition, aspiration can be used to provide a sample of joint fluid if it needs to be examined microscopically for the presence of white blood cells, bacteria, or crystal formations.

Certain injuries and diseases that affect joints are inflammatory in nature, such as rheumatoid arthritis, tendonitis or gout. These diseases may be helped by the local injection of anti-inflammatory medications directly into the affected joint. In this case, corticosteroids such as methylprednisone are usually used. Relief from the pain may be felt right away and may last for weeks or even months.

In some cases, such as with osteoarthritis, the cartilage buffer between the two bones wears down and pain comes from bones rubbing against each other. In this case, injection of a lubricating agent such as hyaluronic acid may be beneficial. It provides a slippery cushion between the bones to relieve pain that can last for months.

doctor visit	13

**Ethnicity**
Non-Hispanic White	17
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	15
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	68
High Cholesterol	0
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	32
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	47
Dementia	0
Cancer	0

doctor visit	66

**Gender**
Male	16
Female	62

**Ethnicity**
Non-Hispanic White	0
Black	47
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	42

Hypertension	71
High Cholesterol	38
Stroke	0
Ischemic Heart Disease	27
Depression	32
Chronic Kidney Disease	29
Asthma	21
Osteoperosis	17
Atrial Fibrilation	0
Heart Failure	18
Chronic Obstructive Pulmonary Disease	0
Diabetes	27
Dementia	0
Cancer	0

doctor visit	88

**Gender**
Male	17
Female	59

**Ethnicity**
Non-Hispanic White	0
Black	56
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	20
From 75 to 84	0
85 and over	0
Less than 65	43

Hypertension	64
High Cholesterol	39
Stroke	0
Ischemic Heart Disease	20
Depression	28
Chronic Kidney Disease	36
Asthma	14
Osteoperosis	18
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	42
Dementia	0
Cancer	0

doctor visit	93

**Gender**
Male	18
Female	59

**Ethnicity**
Non-Hispanic White	0
Black	47
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	46

Hypertension	62
High Cholesterol	42
Stroke	0
Ischemic Heart Disease	18
Depression	35
Chronic Kidney Disease	32
Asthma	0
Osteoperosis	17
Atrial Fibrilation	0
Heart Failure	18
Chronic Obstructive Pulmonary Disease	0
Diabetes	27
Dementia	0
Cancer	0

doctor visit	75

**Gender**
Male	16
Female	64

**Ethnicity**
Non-Hispanic White	0
Black	54
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	21
From 75 to 84	0
85 and over	0
Less than 65	46

Hypertension	70
High Cholesterol	36
Stroke	0
Ischemic Heart Disease	24
Depression	35
Chronic Kidney Disease	36
Asthma	0
Osteoperosis	16
Atrial Fibrilation	0
Heart Failure	23
Chronic Obstructive Pulmonary Disease	0
Diabetes	35
Dementia	0
Cancer	0

doctor visit	84

**Gender**
Male	22
Female	76

**Ethnicity**
Non-Hispanic White	20
Black	65
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	57

Hypertension	67
High Cholesterol	34
Stroke	0
Ischemic Heart Disease	23
Depression	19
Chronic Kidney Disease	35
Asthma	14
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	18
Chronic Obstructive Pulmonary Disease	13
Diabetes	28
Dementia	0
Cancer	0

doctor visit	187

Average Medicare Procedure Volume From 2014 - 2021

Volume of procedures performed by Dr. Myriam Elizabeth Guevara, MD for Medicare patients.

doctor visit	89

Average Medicare Patient Data From 2014 - 2021

Information about Medicare patients treated by Dr. Myriam Elizabeth Guevara, MD.

**Gender**
Male	8
Female	32

**Ethnicity**
Black / African American	26
Asian / Pacific Islander	0
Non-Hispanic White	3
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	0
85 and over	0
Less than 65	23
65 to 74	5

Average of Total of Conditions of Medicare patients treated by Dr. Myriam Elizabeth Guevara, MD From 2014 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Myriam Elizabeth Guevara, MD treated were hypertension, chronic kidney disease, diabetes and high cholesterol.

Hypertension	40
High Cholesterol	18
Stroke	0
Ischemic Heart Disease	11
Depression	14
Chronic Kidney Disease	20
Asthma	4
Osteoporosis	6
Heart Failure	7
Chronic Obstructive Pulmonary Disease	1
Diabetes	20
Atrial Fibrillation	0
Cancer	0
Dementia	0

Education & Training

She completed residency at Bridgeport Hospital. She has a state license in Washington.

Residency: Bridgeport Hospital

Licensed In: Washington

Affiliations & Hospitals

Dr. Myriam Elizabeth Guevara, MD is associated with these hospitals and organizations:

Houston Methodist

TMH PHYSICIAN ASSOCIATES PLLC

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Myriam Elizabeth Guevara, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
GlaxoSmithKline, LLC.	$4,220 NUCALA $3,687	BENLYSTA $394	$139
Novartis Pharmaceuticals Corporation	$1,585 COSENTYX $1,425	Ilaris $44	$117
Janssen Biotech, Inc.	$1,450 STELARA $749	Tremfya $379	SIMPONI ARIA $230	REMICADE $13	$78
AbbVie, Inc.	$1,154 Humira $1,101	Rinvoq $24	$29
Pfizer Inc.	$881 XELJANZ $856	INFLECTRA $25
Other	$4,674 ACTHAR $465	Rinvoq $366	Cimzia $349	ORENCIA $317	TALTZ $293	Other $2,885

**Types of Payments**
Food and Beverage	$10,012
Consulting Fee	$3,450
Travel and Lodging	$351
Education	$152

Biography

Dr. Myriam Guevara is an adult rheumatology specialist in Houston, TX. Patient reviews placed her at an average of 4.5 stars (out of 5). Her areas of expertise include fibromyalgia, lupus, and osteoarthritis. Dr. Guevara is affiliated with Houston Methodist. Dr. Guevara welcomes new patients at her office inHouston, TX as reported by Doctor.com.

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Dr. Myriam Elizabeth Guevara, MD

Office Locations

Some issues Dr. Myriam Elizabeth Guevara, MD can help you with:

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Myriam Elizabeth Guevara, MD in 2014

Medicare Procedure and Patient Information

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Myriam Elizabeth Guevara, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Myriam Elizabeth Guevara, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Myriam Elizabeth Guevara, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Myriam Elizabeth Guevara, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Myriam Elizabeth Guevara, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2014 - 2021

Average Medicare Patient Data From 2014 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Myriam Elizabeth Guevara, MD From 2014 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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