Gustavo Machado, MD
Plastic Surgery · Lincoln, NENPI 1225206188
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (49.1%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Arthrex accounts for 67.1% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2022 at $5,135 and has fallen 68.4% since, to $1,622 in 2025.
Across 56 payments — averaging $131.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$5K
- Conetic Solutions, Inc.$911
- Motiva USA, LLC$696
- Stryker$203
- KCI USA, Inc.$157
- Sientra, Inc.$125
- plus $334 from 9 others
What the payments were for
- Travel & lodging$2,06928%
- Food & beverage$1,59822%
- Education$3,61849%
- Gifts$871%
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 |
|---|---|---|
| Arthrex | 21 | $4,948 |
| Conetic Solutions, Inc. | 8 | $911 |
| Motiva USA, LLC | 4 | $696 |
| Stryker | 2 | $203 |
| KCI USA, Inc. | 3 | $157 |
| Sientra, Inc. | 2 | $125 |
| Acera Surgical, Inc. | 2 | $98 |
| Smith+Nephew | 4 | $50 |
| Endo Pharmaceuticals Inc. | 2 | $38 |
| Johnson & Johnson(2 entities) | 2 | $32 |
| Misonix Inc | 1 | $31 |
| Arthrosurface Incorporated | 1 | $29 |
| Amgen | 2 | $26 |
| Integra Lifesciences Corporation | 1 | $15 |
| Medline Industries LP | 1 | $14 |
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.
- Motiva Implant Matrix$506
- PREVENA$125
- VARIAX$112
How this compares
$7,372 in reported general payments places this provider in the 80th percentile of 23 plastic 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $176 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery in Lincoln
- Keli KolegraffLincoln$3K
- Todd OrchardLincoln$1K
- Mathieu HinzeLincoln$981
- Debra ReillyOmaha$41K
- Perry JohnsonOmaha$9K
- Kathryn HonzElkhorn$9K
- Sean FigyOmaha$7K
- Deanna ArmstrongElkhorn$5K
- Shannon WongOmaha$5K
- Bria MeyerElkhorn$2K
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.