Kaustubh Mestry, MD
Undersea and Hyperbaric Medicine · Arlington, TXNPI 1558527747
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.8% of the total across 106 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 24 manufacturers reported payments, led by Smith+Nephew at 32.3% of the total. Reporting peaked in 2023 at $558 and has fallen 65.5% since, to $192 in 2025.
Across 106 payments — averaging $21.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$740
- Misonix Inc$302
- Convatec Inc.$195
- Musculoskeletal Transplant Foundation Inc.$155
- KCI USA, Inc.$143
- AbbVie$108
- plus $648 from 18 others
What the payments were for
- Speaking & faculty fees$1205%
- Food & beverage$2,17195%
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 |
|---|---|---|
| Smith+Nephew | 47 | $740 |
| Misonix Inc | 6 | $302 |
| Convatec Inc. | 8 | $195 |
| Musculoskeletal Transplant Foundation Inc. | 5 | $155 |
| KCI USA, Inc. | 5 | $143 |
| AbbVie | 5 | $108 |
| Tactile Systems Technology Inc | 5 | $98 |
| Solventum Corporation | 2 | $72 |
| Hartmann USA, Inc. | 2 | $62 |
| Paratek Pharmaceuticals, Inc. | 3 | $52 |
| Mimedx Group, Inc. | 2 | $46 |
| Urgo Medical North America, LLC | 2 | $43 |
| Medtronic | 2 | $34 |
| Integra Lifesciences Corporation | 1 | $32 |
| Biowound Solutions, Inc. | 2 | $27 |
| Organogenesis Inc. | 1 | $27 |
| Reprise Biomedical, Inc. | 1 | $26 |
| Inari Medical, Inc. | 1 | $25 |
| Next Science LLC | 1 | $22 |
| Lifenet Health | 1 | $21 |
| Apria Healthcare LLC | 1 | $17 |
| Hydrofera LLC | 1 | $17 |
| Bsn Medical Inc | 1 | $14 |
| Osiris Therapeutics 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.
- VERSAJET II$125
- TheraSkin$120
How this compares
$2,290 in reported general payments places this provider in the 65th percentile of 59 undersea and hyperbaric medicine providers in Texas.
See all undersea and hyperbaric medicine providers in Texas →
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 |
|---|---|---|
| Gentamicin Sulfate | 47 | $2,485 |
| Doxycycline Hyclate | 20 | $376 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 16 | $245 |
Paid to pharmacies, not to this prescriber.
Other undersea and hyperbaric medicine in Arlington
- John ThompsonArlington$98
- Wade FarrowCollege Station$2.2M
- Timothy BumannAbilene$154K
- Heather AguirreSan Antonio$98K
- Ronald ScottFrisco$76K
- Andrew ApplewhiteDallas$46K
- Joseph WolcottLubbock$38K
- Noel OliveiraEdinburg$33K
- Maria AguinagaMission$18K
- Jayesh ShahSan Antonio$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.