Rachel Macias, MD
Plastic Surgery · Mishawaka, INNPI 1811379852
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $3,959 of the $6,261 with a category attached, or 63.2%. 9 manufacturers reported payments, led by Medical Device Business Services, Inc. at 40.5% of the total. Reporting peaked in 2024 at $2,219 and has fallen 89.4% since, to $235 in 2025.
Across 53 payments — averaging $118.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$3K
- Mentor Worldwide LLC$2K
- Musculoskeletal Transplant Foundation Inc.$2K
- Motiva USA, LLC$75
- AbbVie$22
- Johnson & Johnson$22
- plus $51 from 3 others
What the payments were for
- Travel & lodging$3,95963%
- Food & beverage$2,30337%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 8 | $2,536 |
| Mentor Worldwide LLC | 19 | $1,890 |
| Musculoskeletal Transplant Foundation Inc. | 20 | $1,666 |
| Motiva USA, LLC | 1 | $75 |
| AbbVie | 1 | $22 |
| Johnson & Johnson | 1 | $22 |
| Integra Lifesciences Corporation | 1 | $19 |
| Zimmer Biomet | 1 | $17 |
| Solventum Corporation | 1 | $14 |
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
$6,261 in reported general payments places this provider in the 75th percentile of 69 plastic surgery providers in Indiana.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 16 | $97 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery in Mishawaka
- Ronald DownsMishawaka$79K
- Patrick ViscardiMishawaka$6K
- Brian LeeFort Wayne$278K
- Brett HartmanIndianapolis$72K
- Mark GreviousMunster$28K
- Gregory BorschelIndianapolis$20K
- Mark HamiltonGreenwood$17K
- Joshua AdkinsonIndianapolis$16K
- Guido GutterEvansville$13K
- Michael DavisFort Wayne$10K
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.