Tomas Nemickas, MD
Sports Medicine · Gurnee, ILNPI 1124073838
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (55.7%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 31 manufacturers reported payments, led by Exactech, Inc. at 58.0% of the total. Reporting peaked in 2019 at $55,958 and has fallen 98.0% since, to $1,147 in 2025. Among sports medicine clinicians in IL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 241 payments — averaging $306.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exactech, Inc.$43K
- Medacta USA, Inc.$13K
- Pacira Therapeutics, Inc.$7K
- Ferring Pharmaceuticals Inc.$5K
- Arthrex$1K
- Stryker$1K
- plus $4K from 25 others
What the payments were for
- Consulting fees$41,13856%
- Speaking & faculty fees$6,1818%
- Travel & lodging$18,95526%
- Food & beverage$6,9309%
- Gifts$6441%
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 |
|---|---|---|
| Exactech, Inc. | 30 | $42,838 |
| Medacta USA, Inc. | 13 | $12,714 |
| Pacira Therapeutics, Inc. | 73 | $7,321 |
| Ferring Pharmaceuticals Inc. | 31 | $4,567 |
| Arthrex | 18 | $1,157 |
| Stryker(2 entities) | 8 | $1,014 |
| Medwest Associates | 3 | $948 |
| Lightbody Medical Technologies Inc | 4 | $720 |
| Linkbio Corp | 1 | $520 |
| Radius Health, Inc. | 20 | $428 |
| Johnson & Johnson(2 entities) | 3 | $214 |
| Bone Support Inc. | 2 | $209 |
| Linvatec Corporation | 2 | $156 |
| Organogenesis Inc. | 9 | $139 |
| Zimmer Biomet | 1 | $133 |
| Miach Orthopaedics, Inc. | 1 | $130 |
| Terumo BCT, Inc. | 1 | $113 |
| Orthofix Medical, Inc. | 3 | $87 |
| Pacira Pharmaceuticals Incorporated | 1 | $64 |
| Sanofi-aventis U.S. LLC | 3 | $59 |
| Medical Device Business Services, Inc. | 1 | $55 |
| Vericel Corporation | 2 | $47 |
| Abbott | 2 | $43 |
| Amgen(2 entities) | 2 | $41 |
| Abanza Inc. | 1 | $28 |
| Sanara Medtech Inc. | 1 | $21 |
| Heraeus Medical, LLC. | 1 | $21 |
| Medtronic | 1 | $17 |
| Zimvie Inc. | 1 | $17 |
| KCI USA, Inc. | 1 | $14 |
| Acell, Inc. | 1 | $12 |
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.
- OPTETRAK$39,200
- GMK SPHERE$9,602
- Zilretta$6,306
- NOVATION HIP$2,614
- GMK$2,555
- EUFLEXXA$2,228
- EQUINOXE$783
- SIMPLICITI$644
- PRIMARY SHOULDER$149
- CERAMENTBONE VOID FILLER$137
- CERAMENT G$137
- Comprehensive Shoulder System$133
- GAMMA$131
- T2 ALPHA$131
- AXSOS$131
- LIVATEC KNEE PRESERVATION SYSTEM$124
- BioBrace 23mm$124
- Bone Marrow Aspirate Concentrate System$113
- TFN ADVANCED$107
How this compares
$73,848 in reported general payments places this provider in the 90th percentile of 233 sports medicine providers in Illinois.
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 |
|---|---|---|
| Diclofenac Sodium | 17 | $473 |
| Celecoxib | 36 | $406 |
| Methylprednisolone | 50 | $277 |
| Gabapentin | 19 | $133 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $124 |
| Cephalexin | 13 | $108 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 34 | $97 |
| Meloxicam | 34 | $89 |
| Oxycodone Hcl | 11 | $46 |
| Tramadol Hcl | 16 | $26 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Gurnee
- Benjamin DombDes Plaines$16.3M
- Gregory NicholsonChicago$6.7M
- Grant GarriguesChicago$2.5M
- Brian ColeChicago$2.1M
- Brian ForsytheChicago$1.9M
- Nikhil VermaChicago$647K
- Shane NhoChicago$521K
- Jourdan CancienneJoliet$224K
- Vehniah TjongChicago$173K
- Aravind AthivirahamChicago$138K
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.