Kyle Machynia
Physician Assistant · Stateline, NVNPI 1851848956
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $71,916 of the $119,020 with a category attached, or 60.4%. 30 manufacturers reported payments, led by Johnson & Johnson at 52.9% of the total. 2025 is the largest year on record at $61,224, more than ten times the $2,286 reported in 2021. Among physician assistant clinicians in NV with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 1,040 payments — averaging $114.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$63K
- Galderma Laboratories, L.p.$17K
- AbbVie$13K
- Lilly USA, LLC$6K
- Sanofi$4K
- Ortho Dermatologics, A Division Of Bausch Health US, LLC$2K
- plus $13K from 24 others
What the payments were for
- Consulting fees$8,5517%
- Speaking & faculty fees$71,91660%
- Travel & lodging$11,44310%
- Food & beverage$26,23522%
- Education$8751%
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 | 164 | $62,926 |
| Galderma Laboratories, L.p. | 61 | $17,464 |
| AbbVie | 219 | $13,177 |
| Lilly USA, LLC | 99 | $5,549 |
| Sanofi | 52 | $4,485 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 44 | $2,178 |
| E.r. Squibb & Sons, L.L.C. | 29 | $2,139 |
| Incyte Corporation | 84 | $1,755 |
| Novartis | 43 | $1,628 |
| LEO Pharma Inc. | 40 | $1,423 |
| Regeneron Healthcare Solutions, Inc. | 34 | $1,163 |
| Sanofi US Services Inc. | 1 | $823 |
| Sun Pharmaceutical Industries Inc. | 50 | $761 |
| UCB, Inc. | 23 | $645 |
| Arcutis Biotherapeutics, Inc. | 29 | $520 |
| Dermavant Sciences, Inc. | 7 | $446 |
| Amgen | 11 | $324 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $323 |
| Pfizer | 13 | $204 |
| Janssen Scientific Affairs, LLC | 3 | $203 |
| Organogenesis Inc. | 8 | $192 |
| Regeneron | 3 | $190 |
| Organon | 11 | $172 |
| AstraZeneca | 1 | $125 |
| Mannkind Corporation | 1 | $78 |
| Biofrontera Inc. | 3 | $50 |
| Boehringer Ingelheim | 1 | $28 |
| Tactile Systems Technology Inc | 1 | $20 |
| Sanofi-aventis U.S. LLC | 1 | $15 |
| Fresenius Kabi USA, LLC | 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.
How this compares
$119,020 in reported general payments places this provider in the 95th percentile of 881 physician assistant providers in Nevada.
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 |
|---|---|---|
| Dupixent PenDupilumab | 60 | $230,102 |
| Taltz AutoinjectorIxekizumab | 25 | $204,596 |
| Ketoconazole | 186 | $3,306 |
| Triamcinolone Acetonide | 197 | $2,893 |
| Doxycycline Hyclate | 127 | $2,022 |
| Fluorouracil | 26 | $1,701 |
| Tacrolimus | 25 | $1,399 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 46 | $851 |
| Clobetasol Propionate | 16 | $830 |
| Mometasone Furoate | 45 | $782 |
| ValacyclovirValacyclovir Hcl | 33 | $764 |
| Ciclopirox | 27 | $721 |
| Clindamycin Phosphate | 17 | $459 |
| Econazole Nitrate | 19 | $447 |
| Cephalexin | 67 | $434 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Stateline
- Steven HawkesLas Vegas$70K
- John LarsenReno$49K
- Nathan MorganLas Vegas$44K
- Laura BiehleReno$36K
- Benjamin ProhaskaReno$31K
- Adam HarkiewiczHenderson$25K
- Stephanie DastrupLas Vegas$23K
- Sandra OviedoLas Vegas$21K
- Patrick JamesonLas Vegas$20K
- Jordan ChristensenLas Vegas$19K
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.