Jesse Meaike, MD
Hand Surgery · Norfolk, NENPI 1164956728
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (49.1%), travel and lodging and education — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Axogen at 26.3% of the total. Reporting peaked in 2023 at $1,426 and has fallen 59.1% since, to $584 in 2025. Among hand surgery clinicians in NE with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 47 payments — averaging $110.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$1K
- Medical Device Business Services, Inc.$1K
- Integra Lifesciences Corporation$649
- AbbVie$360
- Trimed, Inc.$350
- Checkpoint Surgical, Inc$287
- plus $1K from 12 others
What the payments were for
- Travel & lodging$1,17623%
- Food & beverage$2,55349%
- Education$1,14722%
- Other$3256%
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 |
|---|---|---|
| Axogen | 7 | $1,367 |
| Medical Device Business Services, Inc. | 6 | $1,147 |
| Integra Lifesciences Corporation | 6 | $649 |
| AbbVie(2 entities) | 5 | $360 |
| Trimed, Inc. | 1 | $350 |
| Checkpoint Surgical, Inc | 5 | $287 |
| Conetic Solutions, Inc. | 2 | $281 |
| Endo Pharmaceuticals Inc. | 4 | $191 |
| Bioventus LLC | 1 | $124 |
| Medartis Inc. | 1 | $112 |
| Stryker | 2 | $111 |
| Sanara Medtech Inc. | 1 | $87 |
| Tactile Systems Technology Inc | 1 | $33 |
| Solventum Corporation | 1 | $30 |
| Organogenesis Inc. | 1 | $25 |
| Convatec Inc. | 1 | $16 |
| Johnson & Johnson | 1 | $16 |
| Mentor Worldwide LLC | 1 | $15 |
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.
- AVANCE NERVE GRAFT$1,254
- AxoGuard Nerve Connector$1,126
- AxoGuard Nerve Protector$1,126
- INTEGRA$325
- Checkpoint Stimulators$160
- XIAFLEX$145
- BILAYER WOUND MATRIX (BWM)$130
- INTEGRA WOUND MATRIX (IWM)$130
- AMNIOEXCEL$130
- IDRT$130
- FLOWABLE$130
- NATRELLE$128
- Stimrouter Implantable Kit$124
- AXOGUARD HA+ NERVE PROTECTOR$122
- AxoGuard Nerve Cap$122
- APTUS$112
How this compares
$5,201 in reported general payments places this provider in the 90th percentile of 21 hand 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 |
|---|---|---|
| Oxycodone Hcl | 64 | $164 |
| Ondansetron OdtOndansetron | 23 | $87 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Norfolk
- Tristan HartzellNorfolk$1K
- Michael DelcoreElkhorn$26K
- Anthony MartinNorth Platte$10K
- Micheala McCarthyOmaha$4K
- Alex LesiakOmaha$4K
- Kayvon IzadiElkhorn$3K
- Daniel GaffneyOmaha$1K
- Daniel CullanLincoln$1K
- John McCarthyOmaha$1K
- Michael CoffeyOmaha$906
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.