Ronald Kmiecik, PA
Physician Assistant · Fremont, NENPI 1609145564
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $4,350 of the $6,310 with a category attached, or 68.9%. Arthrex accounts for 88.1% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $4,802, more than ten times the $263 reported in 2021. Among physician assistant 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 37 payments — averaging $170.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$6K
- Johnson & Johnson$425
- Stryker$232
- Medinc Of Texas$48
- Si-bone, Inc.$23
- Acera Surgical, Inc.$23
What the payments were for
- Speaking & faculty fees$4,35069%
- Travel & lodging$87714%
- Food & beverage$1,08317%
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 |
|---|---|---|
| Arthrex | 12 | $5,559 |
| Johnson & Johnson(2 entities) | 11 | $425 |
| Stryker | 11 | $232 |
| Medinc Of Texas | 1 | $48 |
| Si-bone, Inc. | 1 | $23 |
| Acera Surgical, Inc. | 1 | $23 |
How this compares
$6,310 in reported general payments places this provider in the 95th percentile of 1,127 physician assistant 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 physician assistant in Fremont
- Ami JonesFremont$8K
- Rita FowlerFremont$7K
- Kimberly GatesOmaha$109K
- Kandice DoleshOmaha$106K
- Ronda FoleyElkhorn$64K
- Kathryn KestiOmaha$34K
- Sarah GretemanOmaha$24K
- Joel JasaGrand Island$18K
- Christopher BeasleyOmaha$15K
- Courtney MaresLincoln$13K
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.