Brandon Machicao
Surgery · Warrensburg, MONPI 1144646845
Payments from drug & device makers
Across 109 payments — averaging $19.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$397
- Regeneron Healthcare Solutions, Inc.$227
- Amgen$204
- UCB, Inc.$195
- Daiichi Sankyo Inc.$107
- AstraZeneca$93
- plus $937 from 30 others
What the payments were for
- Food & beverage$2,159100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Johnson & Johnson(2 entities) | 20 | $397 |
| Regeneron Healthcare Solutions, Inc. | 9 | $227 |
| Amgen | 9 | $204 |
| UCB, Inc. | 9 | $195 |
| Daiichi Sankyo Inc. | 5 | $107 |
| AstraZeneca | 4 | $93 |
| Lilly USA, LLC | 4 | $73 |
| Vertex | 3 | $67 |
| AbbVie | 3 | $62 |
| Boehringer Ingelheim | 4 | $58 |
| CSL Behring | 2 | $53 |
| Mallinckrodt Hospital Products Inc. | 2 | $44 |
| Mylan Specialty L.p. | 2 | $42 |
| Electromed, Inc. | 4 | $39 |
| Micro-tech Endoscopy USA, Inc. | 6 | $39 |
| Innocoll Pharmaceuticals Limited | 2 | $37 |
| Intuitive Surgical | 1 | $31 |
| GSK | 2 | $31 |
| Philips North America LLC | 1 | $31 |
| Novartis | 1 | $29 |
| Actelion Pharmaceuticals US, Inc. | 1 | $27 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $25 |
| Pfizer | 1 | $25 |
| Dilon Technologies, Inc. | 1 | $23 |
| Pacira Pharmaceuticals Incorporated | 1 | $22 |
| Kerecis Limited | 1 | $21 |
| Braintree Laboratories, Inc. | 1 | $20 |
| Grifols USA, LLC | 1 | $20 |
| Merck | 1 | $19 |
| Radius Health, Inc. | 1 | $18 |
| Circassia Inc. | 1 | $18 |
| Tactile Systems Technology Inc | 1 | $17 |
| Leica Microsystems Inc. | 1 | $17 |
| Fresenius Kabi USA, LLC | 1 | $14 |
| Convatec Inc. | 1 | $13 |
| Endogastric Solutions, Inc | 1 | $7 |
How this compares
$2,159 in reported general payments places this provider in the 55th percentile of 612 surgery providers in Missouri.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 36 | $2,355 |
| Omeprazole | 40 | $206 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $118 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 18 | $115 |
Paid to pharmacies, not to this prescriber.
Other surgery in Warrensburg
- Tiffany OsbornSaint Louis$493K
- Jeffrey BlatnikSaint Louis$422K
- Varun PuriSaint Louis$346K
- Victor VidalsKansas City$327K
- James ScottSaint Louis$307K
- Andrew WheelerColumbia$298K
- Omar GuerraSaint Louis$249K
- Michael AwadSaint Louis$248K
- Carl FreemanSaint Louis$233K
- John TannColumbia$216K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.