James Houston, PA
Surgical · San Antonio, TXNPI 1437209210
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,317 of the $4,241 with a category attached, or 78.2%. 16 manufacturers reported payments, led by Boston Scientific at 36.5% of the total. Reporting peaked in 2022 at $2,186 and has fallen 68.7% since, to $685 in 2025. Among surgical 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.
Across 103 payments — averaging $41.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$2K
- Nevro Corp.$1K
- Medtronic$517
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$291
- Globus Medical$276
- Vertex$90
- plus $272 from 10 others
What the payments were for
- Travel & lodging$92322%
- Food & beverage$3,31778%
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
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 |
|---|---|---|
| Boston Scientific | 13 | $1,547 |
| Nevro Corp. | 39 | $1,248 |
| Medtronic | 11 | $517 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 16 | $291 |
| Globus Medical | 8 | $276 |
| Vertex | 3 | $90 |
| Si-bone, Inc. | 2 | $48 |
| MML US, Inc. | 1 | $41 |
| Abbott | 2 | $38 |
| Collegium Pharmaceutical, Inc. | 2 | $31 |
| Teva Pharmaceuticals USA, Inc. | 1 | $26 |
| AbbVie | 1 | $26 |
| Curonix LLC | 1 | $19 |
| Cumberland Pharmaceuticals, Inc. | 1 | $17 |
| Fidia Pharma USA Inc. | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
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.
- SPECTRA WAVEWRITER$1,154
- Senza$459
- VANTA ADAPTIVESTIM$158
- Omnia$111
- INTELLIS$106
How this compares
$4,241 in reported general payments places this provider in the 90th percentile of 804 surgical providers in Texas.
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 |
|---|---|---|
| Gabapentin | 297 | $3,440 |
| Lidocaine | 24 | $2,069 |
| Tizanidine Hcl | 203 | $1,809 |
| Diclofenac Sodium | 53 | $1,467 |
| Baclofen | 86 | $1,262 |
| Celecoxib | 85 | $1,210 |
| Cyclobenzaprine Hcl | 117 | $866 |
| Methylprednisolone | 76 | $554 |
| Naproxen | 43 | $514 |
| Methocarbamol | 36 | $459 |
| Nortriptyline Hcl | 86 | $370 |
| Ibuprofen | 43 | $324 |
| Duloxetine Hcl | 28 | $285 |
| Meloxicam | 63 | $174 |
| Topiramate | 14 | $62 |
Paid to pharmacies, not to this prescriber.
Other surgical in San Antonio
- Krista GranthamSan Antonio$187K
- Karen AdamsSan Antonio$9K
- Melinda GonzalezSan Antonio$7K
- Courtney DunavantAustin$389K
- Gerald BuchertBellaire$148K
- Gilberto SaenzGeorgetown$70K
- Andrea McNielHumble$48K
- Marilyn ShookHouston$46K
- Henry KinnebrewAustin$40K
- Josephine KarlDallas$18K
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.