Matthew Fuglestad, MD
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (45.8%), food and beverage and education — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 83.8% of it on its own, with 6 other manufacturers making up the rest. 2025 is the largest year on record at $1,739, 4.7 times the $369 reported in 2022.
Across 28 payments — averaging $140.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$3K
- Stryker$168
- Guard Medical Inc.$127
- Medtronic$124
- TELA Bio, Inc.$100
- Zimmer Biomet$61
- plus $57 from 1 others
What the payments were for
- Travel & lodging$1,80146%
- Food & beverage$1,13029%
- Education$1,00025%
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 |
|---|---|---|
| Intuitive Surgical | 22 | $3,294 |
| Stryker | 1 | $168 |
| Guard Medical Inc. | 1 | $127 |
| Medtronic | 1 | $124 |
| TELA Bio, Inc. | 1 | $100 |
| Zimmer Biomet | 1 | $61 |
| Davol Inc. | 1 | $57 |
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.
- Da Vinci Surgical System$1,833
- DAVINCI XI$1,000
- SONOPET IQ$168
- SPY-PHI SYSTEM$168
- 1788$168
- NPseal$127
- NPSEAL MEDIUM$127
- NPSEAL LARGE$127
- INTERSTIM$124
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$100
How this compares
$3,932 in reported general payments places this provider in the 70th percentile of 197 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.
Other surgery in Omaha
- Dmitry OleynikovOmaha$180K
- Gary AnthoneOmaha$71K
- Moriah WrightOmaha$37K
- Andy YangOmaha$36K
- Brad WintersteinOmaha$30K
- Ali KhiabaniOmaha$29K
- Benjamin GramsOmaha$21K
- Thomas WhiteOmaha$19K
- Michael HoveyOmaha$19K
- Susanne SasseOmaha$16K
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.