Luigi Massa
General Practice · Seguin, TXNPI 1790901965
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $101,662 of the $131,691 with a category attached, or 77.2%. Zest Holdings, LLC accounts for 60.0% of it on its own, with 11 other manufacturers making up the rest. Among general practice clinicians in TX 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 115 payments — averaging $1145.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zest Holdings, LLC$79K
- Implant Direct Sybron International LLC$50K
- Sirona Dental, Inc.$2K
- Biohorizons Implant Systems Inc.$734
- 3M Company$278
- Solventum Corporation$52
- plus $129 from 6 others
What the payments were for
- Consulting fees$10,1178%
- Speaking & faculty fees$101,66277%
- Travel & lodging$9,0037%
- Food & beverage$9,9858%
- Education$9251%
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 |
|---|---|---|
| Zest Holdings, LLC | 34 | $79,034 |
| Implant Direct Sybron International LLC | 35 | $49,966 |
| Sirona Dental, Inc. | 2 | $1,500 |
| Biohorizons Implant Systems Inc. | 23 | $734 |
| 3M Company | 11 | $278 |
| Solventum Corporation | 2 | $52 |
| Dentsply Sirona Inc | 3 | $48 |
| Align Technology, Inc. | 1 | $25 |
| Dentsply IH Inc. | 1 | $21 |
| Philips North America LLC | 1 | $16 |
| Sonendo Inc | 1 | $14 |
| Ultradent Products Inc | 1 | $6 |
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.
- EDUCATION$38,434
- NOT RELATED TO ANY PRODUCT$10,800
- CEREC$1,500
- ORTHOPHOS$1,500
- LEGACY SYSTEM$161
How this compares
$131,691 in reported general payments places this provider in the 95th percentile of 8,074 general practice providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Amoxicillin | 103 | $256 |
| Clindamycin Hcl | 27 | $126 |
| Ibuprofen | 45 | $126 |
| Tramadol Hcl | 21 | $65 |
| Chlorhexidine Gluconate | 14 | $60 |
Paid to pharmacies, not to this prescriber.
Other general practice in Seguin
- Marcus LastimadoFort Bliss$2.3M
- Christina DeanFrisco$1.9M
- Paul ShrodeMissouri City$1.2M
- Alan DouglasSan Antonio$609K
- C Mike MeekAustin$509K
- Young KwonDallas$288K
- Matthew HicksFriendswood$268K
- Kathleen Szelei-StevensHouston$253K
- Hoa TranPearland$156K
- Mitchell KimRichardson$145K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.