Maxwell Vest, MD
Plastic and Reconstructive Surgery · Las Vegas, NVNPI 1043671969
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. 15 manufacturers reported payments, led by Goode Surgical Inc at 26.7% of the total.
Across 39 payments — averaging $166.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Goode Surgical Inc$2K
- Skeletal Dynamics Inc$1K
- Arthrex$1K
- Trimed, Inc.$1K
- Bard Peripheral Vascular, Inc.$485
- Axogen$166
- plus $749 from 9 others
What the payments were for
- Travel & lodging$2,96846%
- Food & beverage$1,79528%
- Education$1,71827%
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 |
|---|---|---|
| Goode Surgical Inc | 3 | $1,729 |
| Skeletal Dynamics Inc | 3 | $1,180 |
| Arthrex | 13 | $1,102 |
| Trimed, Inc. | 3 | $1,070 |
| Bard Peripheral Vascular, Inc. | 1 | $485 |
| Axogen | 5 | $166 |
| Innovation Technologies Inc | 2 | $153 |
| TELA Bio, Inc. | 1 | $137 |
| AbbVie | 2 | $117 |
| Integra Lifesciences Corporation | 1 | $102 |
| KCI USA, Inc. | 1 | $101 |
| Polynovo North America LLC | 1 | $60 |
| Bioventus LLC | 1 | $27 |
| Sonex Health, Inc. | 1 | $27 |
| Bsn Medical Inc | 1 | $26 |
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.
- Geminus$1,094
- Align$1,094
- IJS$1,094
- Implate$1,094
- Tools - WFS$1,070
- GalaFLEX$485
- OviTex 2S$137
- Irrisept$125
- AMNIOEXCEL$102
- TCC-EZ$102
- PRIMATRIX$102
- INTEGRA DERMAL REGENERATION TEMPLATE$102
- OMNIGRAFT$102
- ACTIV.A.C.$101
- PROMOGRAN PRISMA$101
- V.A.C. ULTA$101
How this compares
Too few plastic and reconstructive surgery providers in Nevadato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Cephalexin | 11 | $53 |
Paid to pharmacies, not to this prescriber.
Other plastic and reconstructive surgery in Las Vegas
- Richard BaynosaLas Vegas$44K
- Joshua MacdavidLas Vegas$9K
- Rachel MasonLas Vegas$2K
- Julio GarciaLas Vegas$283
- Christopher KhorsandiHenderson$42K
- Christopher CostaHenderson$7K
- Ladawn TalbottReno$2K
- Patrick MurphyReno$187
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.