Gregory Sextro, MD
Orthopaedic Surgery · Grand Island, NENPI 1104829563
Payments from drug & device makers
Across 90 payments — averaging $45.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$2K
- Stryker$756
- Musculoskeletal Transplant Foundation Inc.$233
- Medical Device Business Services, Inc.$209
- Conetic Solutions, Inc.$144
- Heron Therapeutics, Inc.$102
- plus $676 from 19 others
What the payments were for
- Travel & lodging$99925%
- Food & beverage$2,81969%
- Education$2496%
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 | 25 | $1,946 |
| Stryker | 16 | $756 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $233 |
| Medical Device Business Services, Inc. | 2 | $209 |
| Conetic Solutions, Inc. | 8 | $144 |
| Heron Therapeutics, Inc. | 7 | $102 |
| Pacira Pharmaceuticals Incorporated | 5 | $98 |
| Vericel Corporation | 4 | $82 |
| Smith+Nephew | 5 | $79 |
| Cerapedics Inc. | 1 | $75 |
| Vertex | 2 | $42 |
| Integra Lifesciences Corporation | 1 | $30 |
| Pacira Cryotech Incorporated | 1 | $30 |
| Organogenesis Inc. | 1 | $28 |
| Kerecis Limited | 1 | $28 |
| Covidien LP | 1 | $25 |
| Ferring Pharmaceuticals Inc. | 1 | $24 |
| Bioventus LLC | 1 | $22 |
| KCI USA, Inc. | 1 | $21 |
| Linvatec Corporation | 1 | $18 |
| Zimmer Biomet | 1 | $17 |
| Ultragenyx Pharmaceutical Inc. | 1 | $15 |
| Medtronic | 1 | $15 |
| AVEO Pharmaceuticals, Inc. | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$4,066 in reported general payments places this provider in the 55th percentile of 155 orthopaedic surgery providers in Nebraska.
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 |
|---|---|---|
| Celecoxib | 61 | $1,282 |
| Tramadol Hcl | 193 | $648 |
| Oxycodone Hcl | 83 | $429 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 34 | $406 |
| Meloxicam | 170 | $365 |
| Cefadroxil | 24 | $176 |
| Amoxicillin | 81 | $57 |
| Cephalexin | 11 | $21 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Grand Island
- Todd SekundiakElkhorn$7.3M
- Heber CrockettKearney$4.2M
- Edward FehringerOmaha$2M
- John WrightKearney$1.2M
- Joshua UrbanOmaha$1.1M
- Sayfe JassimOmaha$460K
- Beau KildowOmaha$353K
- David HuebnerKearney$131K
- Matthew DilisioOmaha$58K
- Benjamin WoodheadLincoln$48K
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.