Helmuth Billy, MD
General Surgery · Zephyr Cove, NVNPI 1447317664
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (47.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 37 manufacturers reported payments, led by Teleflex LLC at 28.6% of the total. 2025 is the largest year on record at $119,041, 4.9 times the $24,301 reported in 2019.
Across 695 payments — averaging $709.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Teleflex LLC$141K
- Medtronic$101K
- Lexington Medical, Inc.$76K
- Intuitive Surgical$67K
- Covidien LP$36K
- Suture Ease, Inc.$24K
- plus $47K from 31 others
Across 10 payments — averaging $5578.19 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.
- Lexington Medical, Inc.$56K
What the payments were for
- Consulting fees$162,46133%
- Speaking & faculty fees$236,00848%
- Travel & lodging$39,8208%
- Food & beverage$31,5046%
- Education$16,3493%
- Entertainment$3760%
- Other$6,6621%
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.
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.
- TITAN SGS STANDARD GASTRIC STAPLER$81,167
- Aeon Endostapler$67,444
- Da Vinci Surgical System$61,668
- TITAN SGS BAILOUT CHUCK$38,269
- LigaSure$32,371
- Titan SGS$28,524
- ECHELON ENDOPATH Stapler$13,500
- ENSEAL Product Family$13,500
- HARMONIC Product Family$13,500
- STRATAFIX$13,500
- Aeon Endostapler & Echelon Flex Powered Stapler$8,764
- Sonicision$6,186
- CoolSeal Generator$5,504
- Signia$3,884
- DAVINCI XI$2,500
- GORE SEAMGUARD Bioabsorbable Staple Line Reinforce$1,540
- DEKNATEL$1,425
- TELESCOPE, HOPKINS II, 45, ENLARGED$1,000
- Endolumik Gastric Calibration Tube$1,000
- iDrive$548
How this compares
Too few general surgery providers in Nevadato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Famotidine | 117 | $899 |
| Omeprazole | 46 | $674 |
| Ondansetron OdtOndansetron | 31 | $261 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 28 | $182 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $147 |
| Pantoprazole Sodium | 14 | $72 |
| Ondansetron Hcl | 12 | $46 |
Paid to pharmacies, not to this prescriber.
Other general surgery in Zephyr Cove
- William MaranonLas Vegas$1K
- Joe UccelliReno$0
- Myron GomezReno$0
- Martin BainReno$0
- Michael CaseyLas Vegas$0
- Rick MaiLas Vegas$0
- Kevin RaylsLas Vegas$0
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.