Adam Shar, MD
Hand Surgery · Houston, TXNPI 1912291006
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (52.0%), food and beverage and other — rather than concentrated in one kind of arrangement. 21 manufacturers reported payments, led by Pylant Medical at 46.7% of the total. Reporting peaked in 2019 at $7,186 and has fallen 68.6% since, to $2,260 in 2025.
Across 76 payments — averaging $210.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pylant Medical$7K
- Integra Lifesciences Corporation$2K
- Arthrex$2K
- Acumed LLC$1K
- Stryker$967
- Skeletal Dynamics Inc$884
- plus $1K from 15 others
What the payments were for
- Travel & lodging$1,89112%
- Food & beverage$3,67223%
- Education$8,30052%
- Gifts$1001%
- Other$2,00413%
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 |
|---|---|---|
| Pylant Medical | 13 | $7,461 |
| Integra Lifesciences Corporation | 9 | $2,233 |
| Arthrex | 8 | $1,712 |
| Acumed LLC | 11 | $1,429 |
| Stryker | 11 | $967 |
| Skeletal Dynamics Inc | 2 | $884 |
| Axogen | 3 | $299 |
| KCI USA, Inc. | 2 | $136 |
| Ferring Pharmaceuticals Inc. | 3 | $136 |
| Amgen | 1 | $121 |
| Medinc Of Texas | 1 | $120 |
| Sonex Health, Inc. | 1 | $100 |
| Johnson & Johnson | 1 | $83 |
| Bioventus LLC | 3 | $75 |
| Alnylam Pharmaceuticals Inc. | 1 | $68 |
| Acera Surgical, Inc. | 1 | $40 |
| Painteq LLC | 1 | $31 |
| Boston Scientific | 1 | $23 |
| Avanos Medical | 1 | $19 |
| Abbott | 1 | $17 |
| Pacira Pharmaceuticals Incorporated | 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.
- ACell$2,004
- ACUMED$1,199
- Geminus$884
- Align$884
- IJS$884
- Implate$884
- VARIAX$223
- MAKO$165
- AEQUALIS ASCEND FLEX$158
- InFrame Implant$123
- EVENITY$121
- T2$121
- ASNIS$121
- SMART TOE$121
- GAMMA$121
- EUFLEXXA$112
- AVANCE NERVE GRAFT$106
- TCC-EZ$106
- AMNIOEXCEL$106
- PRIMATRIX$106
How this compares
$15,967 in reported general payments places this provider in the 80th percentile of 170 hand surgery 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 128 | $1,093 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 139 | $549 |
| Methylprednisolone | 55 | $365 |
| Meloxicam | 30 | $169 |
| Gabapentin | 22 | $137 |
| Ondansetron OdtOndansetron | 11 | $81 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 13 | $74 |
| Tramadol Hcl | 21 | $47 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Houston
- Kourosh JafarniaHouston$278K
- Adil AhmedHouston$30K
- Andrea TianHouston$26K
- Kyle WoernerHouston$18K
- Scott MitchellHouston$12K
- Darshan PatelHouston$12K
- Ashton MansourHouston$11K
- Mark KhorsandiHouston$10K
- James BennettHouston$10K
- Randy LuoHouston$8K
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.