Has Barrett Little, MD received payments from drug or device companies?

Yes. Drug and device makers reported $36,464 in general payments to Barrett Little, MD across 133 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Barrett Little, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Barrett Little, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Barrett Little, MD

Orthopaedic Surgery · Fort Mill, SCNPI 1164742631

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (51.7%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 77.8% of it on its own, with 18 other manufacturers making up the rest. Among orthopaedic surgery clinicians in SC 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.

$36,464in general payments, 2019–2025

Across 133 payments — averaging $274.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Smith+Nephew$28K
Peerless Surgical Inc.$3K
Spinesmith Holdings, LLC$2K
Arthrex$1K
Catalyst Orthoscience$787
Johnson & Johnson$573
plus $1K from 13 others

What the payments were for

Consulting fees$4,11711%
Speaking & faculty fees$18,86352%
Travel & lodging$6,97019%
Food & beverage$5,34615%
Education$1,1693%

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
Smith+Nephew	80	$28,382
Peerless Surgical Inc.	10	$2,662
Spinesmith Holdings, LLC	2	$2,000
Arthrex	7	$1,055
Catalyst Orthoscience	3	$787
Johnson & Johnson	12	$573
Ossio Inc	2	$366
Zimmer Biomet	2	$181
Miach Orthopaedics, Inc.	1	$107
Stryker	1	$62
Avanos Medical	3	$55
Bioventus LLC	2	$45
Bodycad USA Corp	1	$42
Medical Device Business Services, Inc.	2	$38
Zimvie Inc.	1	$35
Geistlich Pharma, North America, Inc.	1	$23
Medacta USA, Inc.	1	$21
Next Science LLC	1	$16
Heraeus Medical, LLC.	1	$15

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.

SPATIAL FRAME$10,680
Bone Anchors with Arthroscopic Delivery System$10,393
Healicoil$7,268
Q-FIX$3,722
Journey II$3,542
Bioinductive Implant with Arthroscopic Delivery System - Medium$2,491
FAST-FIX$2,091
ULTRABUTTON$1,792
REAL INTELLIGENCE$1,646
REDAPT$1,338
Legion Revision$1,338
ACCUPASS DIRECT Crescent XL$1,138
Bioraptor Knotless$1,138
Q-FIX Hip$1,138
SPEEDLOCK HIP$1,138
Catalyst CSR Shoulder System$711
Endobutton$443
NA$265
R1 Reverse Shoulder System$254
Regeneten$222

How this compares

$36,464 in reported general payments places this provider in the 90th percentile of 325 orthopaedic surgery providers in South Carolina.

See all orthopaedic surgery providers in South Carolina →

Medicare billing

Part B allowed, 2024

$252,830

Medicare patients

433

Services billed

2,381

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
Celecoxib	67	$1,107
Oxycodone Hcl	75	$436
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	57	$354
Gabapentin	73	$252
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	40	$249
Methylprednisolone	46	$243
Tramadol Hcl	84	$189
Meloxicam	92	$159
Prednisone	18	$61

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Fort Mill

Edward BrownFort Mill$38K
David MacknetFort Mill$18K
William SmithColumbia$7.7M
Richard FrischMt Pleasant$1M
Brent PonceCharleston$874K
Chi LimSpartanburg$320K
Todd LansfordNorth Charleston$286K
Nicholas GrimaldiColumbia$203K
Richard MarksWest Columbia$176K
James LogingClinton$118K

See the full list for South Carolina →

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.

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