Michael Bianco, MD
Obstetrics & Gynecology · North Platte, NENPI 1902813306
Payments from drug & device makers
What this record shows
This record is dominated by education: $6,090 of the $9,454 with a category attached, or 64.4%. Intuitive Surgical accounts for 81.3% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2020 at $7,689 and has fallen 97.1% since, to $226 in 2025. Among obstetrics & gynecology clinicians in NE 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 51 payments — averaging $185.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$8K
- Stryker$1K
- Astellas Pharma US Inc$145
- AbbVie$125
- Daiichi Sankyo Inc.$96
- Octapharma USA, Inc.$54
- plus $283 from 11 others
What the payments were for
- Travel & lodging$2,19623%
- Food & beverage$1,16812%
- Education$6,09064%
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 | 16 | $7,689 |
| Stryker | 4 | $1,063 |
| Astellas Pharma US Inc | 3 | $145 |
| AbbVie | 6 | $125 |
| Daiichi Sankyo Inc. | 6 | $96 |
| Octapharma USA, Inc. | 2 | $54 |
| KARL Storz Endoscopy-america | 1 | $44 |
| Organon | 2 | $43 |
| Boston Scientific | 2 | $32 |
| Novo Nordisk | 2 | $30 |
| Biogen | 1 | $27 |
| Bayer | 1 | $23 |
| Sumitomo Pharma America, Inc. | 1 | $21 |
| Olympus America Inc. | 1 | $18 |
| Pacira Pharmaceuticals Incorporated | 1 | $17 |
| Johnson & Johnson | 1 | $15 |
| Merck | 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.
- Da Vinci Surgical System$7,379
- SPY-PHI SYSTEM$1,063
How this compares
$9,454 in reported general payments places this provider in the 95th percentile of 242 obstetrics & gynecology 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| MyrbetriqMirabegron | 11 | $4,658 |
| PremproEstrogen,con/M-Progest Acet | 13 | $2,944 |
| Estradiol | 11 | $886 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $145 | $4,65811 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 242 obstetrics & gynecology providers in Nebraska.
Other obstetrics & gynecology in North Platte
- Benjamin KlugNorth Platte$8K
- Amy ShortNorth Platte$6K
- John CoteOmaha$236K
- Gregory HeidrickLincoln$80K
- Robin ClemmerOmaha$19K
- Angela GroneBeatrice$17K
- Chandra LjunggrenLincoln$13K
- Emily NeriLincoln$13K
- Alicia MuhleisenLincoln$11K
- Deann PaulsonBeatrice$9K
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.