RxDoctor Payments Data

Gregory Byrd, MD

Hand Surgery · Olympia, WANPI 1992959746

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $13,592 of the $17,258 with a category attached, or 78.8%. Arthrex accounts for 97.9% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2020 at $13,592 and has fallen 99.1% since, to $122 in 2025. Among hand surgery clinicians in WA 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.

$17,258in general payments, 2019–2025

Across 39 payments — averaging $442.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Arthrex$17K
  • Skeletal Dynamics Inc$197
  • Invictus Surgical Incorporated$122
  • Johnson & Johnson$23
  • Axogen$14
  • Endo Pharmaceuticals Inc.$11

What the payments were for

  • Speaking & faculty fees$13,59279%
  • Travel & lodging$2,76016%
  • Food & beverage$9055%

General payments by program year

19
20
21
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
Arthrex33$16,890
Skeletal Dynamics Inc2$197
Invictus Surgical Incorporated1$122
Johnson & Johnson1$23
Axogen1$14
Endo Pharmaceuticals Inc.1$11

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

$17,258 in reported general payments places this provider in the 90th percentile of 75 hand surgery providers in Washington.

See all hand surgery providers in Washington

Medicare billing

Part B allowed, 2024
$339,850
Medicare patients
610
Services billed
2,434

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen99$360
Tramadol Hcl53$106
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen16$71
Ondansetron Hcl16$62
Oxycodone Hcl13$49

Paid to pharmacies, not to this prescriber.

Other hand surgery in Olympia

See the full list for Washington

Where these figures come from

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