Byron Hills, MD
Neurological Surgery · Norfolk, VANPI 1619395084
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (58.9%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Orthofix Medical, Inc. accounts for 67.7% of it on its own, with 7 other manufacturers making up the rest. 2025 is the largest year on record at $13,044, more than ten times the $344 reported in 2021.
Across 100 payments — averaging $189.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$13K
- Globus Medical$5K
- Medtronic$691
- Stryker$304
- Johnson & Johnson$288
- Carlsmed, Inc.$149
- plus $127 from 2 others
What the payments were for
- Consulting fees$11,14059%
- Travel & lodging$5,01127%
- Food & beverage$2,75315%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 9 | $12,800 |
| Globus Medical(2 entities) | 24 | $4,545 |
| Medtronic | 43 | $691 |
| Stryker | 5 | $304 |
| Johnson & Johnson | 16 | $288 |
| Carlsmed, Inc. | 1 | $149 |
| Biocomposites Inc | 1 | $110 |
| VB Spine LLC | 1 | $17 |
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.
- FIREBIRD SFS$7,643
- 7D Surgical System$4,000
- XLIF$1,521
- Pulse$1,417
- Firebird$1,003
- Excelsius3D Imaging System$606
- ExcelsiusGPS Robotic Navigation System$318
- CASCADIA INTERBODY SYSTEM$162
- aprevo$149
- Sable$140
- AttraX$111
- Stimulan$110
- CONDUIT$106
- Lattus$106
How this compares
$18,904 in reported general payments places this provider in the 85th percentile of 156 neurological surgery providers in Virginia.
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 |
|---|---|---|
| Oxycodone Hcl | 21 | $113 |
| Methocarbamol | 15 | $60 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Norfolk
- Parker BabingtonNorfolk$164K
- James BrennanNorfolk$130K
- Paul MitchellNorfolk$67K
- Venita SimpsonNorfolk$22K
- Shannon ClarkNorfolk$17K
- Wylie ZhuNorfolk$16K
- Wilson DaughertyNorfolk$6K
- Justin SmithCharlottesville$2.3M
- David VincentVirginia Beach$959K
- Mudit SharmaManassas$714K
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.