RxDoctor Payments Data

Jack Stephenson, MD

Surgery of the Hand · Tyler, TXNPI 1972624542

Payments from drug & device makers

What this record shows

Pylant Medical accounts for 70.6% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2020 at $635 and has fallen 94.3% since, to $36 in 2025. That places this record below the midpoint for surgery of the hand clinicians in TX, where the typical reported total is $2,480.

$1,112in general payments, 2019–2025

Across 16 payments — averaging $69.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Pylant Medical$786
  • Axogen$118
  • Johnson & Johnson$50
  • Stryker$48
  • Sonex Health, Inc.$23
  • Pacira Pharmaceuticals Incorporated$22
  • plus $65 from 4 others

What the payments were for

  • Food & beverage$59053%
  • Education$52347%

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

19
20
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

$1,112 in reported general payments places this provider in the 25th 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
$177,689
Medicare patients
371
Services billed
899

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
Acetaminophen-CodeineAcetaminophen With Codeine156$622
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen89$449
Methylprednisolone13$97
Tramadol Hcl50$97
Ondansetron Hcl11$26

Paid to pharmacies, not to this prescriber.

Other surgery of the hand in Tyler

See the full list for Texas

Where these figures come from

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