Michael Nick, CRNA
Nurse Anesthetist, Certified Registered · San Marcos, TXNPI 1275512006
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $2,100 of the $3,161 with a category attached, or 66.4%. Medtronic accounts for 73.3% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2023 at $2,275 and has fallen 94.0% since, to $137 in 2025. Among nurse anesthetist, certified registered 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 28 payments — averaging $112.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Heron Therapeutics, Inc.$543
- Abbott$182
- Merck$73
- Avanos Medical$25
- Baudax Bio Inc.$21
What the payments were for
- Speaking & faculty fees$2,10066%
- Food & beverage$1,06134%
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 |
|---|---|---|
| Medtronic | 6 | $2,318 |
| Heron Therapeutics, Inc. | 6 | $543 |
| Abbott | 9 | $182 |
| Merck | 5 | $73 |
| Avanos Medical | 1 | $25 |
| Baudax Bio Inc. | 1 | $21 |
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
$3,161 in reported general payments places this provider in the 95th percentile of 4,115 nurse anesthetist, certified registered providers in Texas.
See all nurse anesthetist, certified registered providers in Texas →
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 nurse anesthetist, certified registered in San Marcos
- Jonathan RiddleFort Worth$162K
- Gregory CollinsGranbury$48K
- Amy RobbinsDallas$31K
- Siavosh SaateeDallas$14K
- Douglas MasseySan Antonio$11K
- Stephen LeeDallas$10K
- Melanie AtkinsonDallas$8K
- Donna GoeckeTemple$8K
- Clinton YorkHarlingen$7K
- Brandon MitchellDallas$6K
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.