RxDoctor Payments Data

Dustin Ray, MD

Surgery of the Hand · Dallas, TXNPI 1639351216

Payments from drug & device makers

What this record shows

This record is dominated by education: $13,104 of the $14,978 with a category attached, or 87.5%. Pylant Medical accounts for 62.4% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2021 at $6,213 and has fallen 98.7% since, to $82 in 2025. Among surgery of the hand clinicians in TX 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.

$14,978in general payments, 2019–2025

Across 65 payments — averaging $230.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Pylant Medical$9K
  • Arthrex$3K
  • Supreme Orthopedic Systems, LLC$2K
  • Organogenesis Inc.$150
  • Stryker$135
  • Smith+Nephew$128
  • plus $243 from 6 others

What the payments were for

  • Travel & lodging$6885%
  • Food & beverage$1,1868%
  • Education$13,10487%

General payments by program year

20
21
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.

CompanyPaymentsTotal
Pylant Medical15$9,344
Arthrex18$3,290
Supreme Orthopedic Systems, LLC3$1,688
Organogenesis Inc.2$150
Stryker4$135
Smith+Nephew4$128
Axogen5$107
Sonex Health, Inc.2$43
Pacira Pharmaceuticals Incorporated1$28
Electronic Waveform Lab, Inc.9$27
Integra Lifesciences Corporation1$20
CPM Medical Consultants, LLC1$19

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

$14,978 in reported general payments places this provider in the 90th percentile of 68 surgery of the hand providers in Texas.

See all surgery of the hand providers in Texas

Medicare billing

Part B allowed, 2024
$28,448
Medicare patients
54
Services billed
161

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
Ibuprofen27$239
Acetaminophen-CodeineAcetaminophen With Codeine27$169

Paid to pharmacies, not to this prescriber.

Other surgery of the hand in Dallas

See the full list for Texas

Where these figures come from

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