RxDoctor Payments Data

Andrew Hester, MD

Adult Reconstructive Orthopaedic Surgery · Tyler, TXNPI 1063874071

Payments from drug & device makers

$1,129in general payments, 2019–2025

Across 27 payments — averaging $41.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$752
  • Avanos Medical$119
  • Johnson & Johnson$52
  • Daiichi Sankyo Inc.$48
  • Bioventus LLC$43
  • Pylant Medical$40
  • plus $74 from 4 others

What the payments were for

  • Food & beverage$1,129100%

Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.

General payments by program year

22
23
24
25

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.

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

$1,129 in reported general payments places this provider in the 0th percentile of 86 adult reconstructive orthopaedic surgery providers in Texas.

See all adult reconstructive orthopaedic surgery providers in Texas

Medicare billing

Part B allowed, 2024
$473,331
Medicare patients
703
Services billed
4,604

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

DrugClaimsCost to plans & patients
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen206$2,425
Celecoxib55$1,796
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen151$1,764
Gabapentin101$644
Meloxicam63$266
Tramadol Hcl50$234
Cyclobenzaprine Hcl14$143
Naproxen16$132
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim26$87
Methylprednisolone11$55
Amoxicillin38$39
Clindamycin Hcl12$29
Prednisone13$21

Paid to pharmacies, not to this prescriber.

Other adult reconstructive orthopaedic surgery in Tyler

See the full list for Texas

Where these figures come from

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