Francisco Machuca, MD
Family Medicine · Las Vegas, NVNPI 1922242676
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 5 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 4 manufacturers reported payments, led by Gilead at 49.1% of the total. Reporting peaked in 2021 at $113 and has fallen 74.8% since, to $28 in 2024. That places this record below the midpoint for family medicine clinicians in NV, where the typical reported total is $332.
Across 5 payments — averaging $36.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gilead$89
- Indivior Inc.$55
- Genentech USA, Inc.$23
- Lilly USA, LLC$14
Across 4 payments — averaging $24,011 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Orasure Technologies Inc.$50K
- BD$46K
What the payments were for
- Food & beverage$182100%
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 |
|---|---|---|
| Gilead | 1 | $89 |
| Indivior Inc. | 2 | $55 |
| Genentech USA, Inc. | 1 | $23 |
| Lilly USA, LLC | 1 | $14 |
How this compares
$182 in reported general payments places this provider in the 35th percentile of 902 family medicine providers in Nevada.
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 |
|---|---|---|
| Alprazolam | 53 | $555 |
| Quetiapine Fumarate | 24 | $393 |
| Hydroxyzine Pamoate | 18 | $353 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 32 | $153 |
| Zolpidem Tartrate | 12 | $139 |
| Sertraline Hcl | 43 | $128 |
| Clonazepam | 15 | $107 |
| Omeprazole | 13 | $48 |
| Tramadol Hcl | 12 | $19 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Las Vegas
- Naz WahabLas Vegas$563K
- Jerry CadeLas Vegas$180K
- Nilesh GokalLas Vegas$75K
- Warren MagnusLas Vegas$70K
- Kimberly AdamsLas Vegas$51K
- Mandeep GillLas Vegas$24K
- Francis JimenezLas Vegas$20K
- Ryan HuangLas Vegas$18K
- Ma Francesca ChamianLas Vegas$17K
- Leo CapobiancoLas Vegas$17K
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.