Keith Heier, MD
Orthopaedic Surgery · Carrollton, TXNPI 1821013020
Payments from drug & device makers
What this record shows
The money is spread across several categories — other (46.4%), royalties or licence payments and consulting fees — rather than concentrated in one kind of arrangement. Linvatec Corporation accounts for 67.7% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2022 at $517,525 and has fallen 85.4% since, to $75,524 in 2025. Among orthopaedic surgery clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 220 payments — averaging $4669.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Linvatec Corporation$695K
- In2bones USA, LLC$289K
- 4web, Inc.$19K
- International Life Sciences$8K
- Theramicro, Inc.$6K
- Restor3d, Inc.$3K
- plus $7K from 12 others
Across 16 payments — averaging $13,817 each. An ownership or investment interest held by the physician or an immediate family member.
- 4web, Inc.$171K
- Gramercy Extremity Orthopedics LLC$50K
- In2bones USA, LLC$0
What the payments were for
- Royalty or licence$461,26045%
- Consulting fees$62,5206%
- Speaking & faculty fees$5,0000%
- Grants$5,0000%
- Travel & lodging$8,2741%
- Food & beverage$6,0711%
- Education$1,9530%
- Gifts$950%
- Other$477,13046%
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 |
|---|---|---|
| Linvatec Corporation | 37 | $695,395 |
| In2bones USA, LLC | 38 | $288,645 |
| 4web, Inc. | 7 | $19,042 |
| International Life Sciences | 4 | $8,016 |
| Theramicro, Inc. | 9 | $6,162 |
| Restor3d, Inc. | 9 | $3,396 |
| Pylant Medical | 7 | $2,276 |
| Stryker(2 entities) | 39 | $1,888 |
| Vilex LLC | 8 | $1,438 |
| Bioventus LLC | 50 | $525 |
| Medartis Inc. | 1 | $129 |
| Xtant Medical Inc | 1 | $126 |
| Zimmer Biomet | 1 | $81 |
| Pacira Pharmaceuticals Incorporated | 3 | $68 |
| Orthofix Medical, Inc. | 2 | $47 |
| Treace Medical Concepts, Inc. | 2 | $30 |
| Amgen | 1 | $20 |
| Medline Industries LP | 1 | $20 |
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.
- AVENGER RADIAL HEAD, +4 STEMS$477,130
- 5MS$336,854
- CoLink$135,589
- CoLag$130,918
- COLINK MINI$116,637
- FRACTURE AND CORRECTION COLAG 2$87,973
- Quantum Total Ankle$19,957
- OSTEOTOMY TRUSS SYSTEM$15,942
- FLEXBAND$7,941
- COLINK PLATING SYSTEM$6,259
- TekBrace Solo$5,995
- BioBrace 23mm$5,556
- HERCULES SUTURE ANCHOR SYSTEM$5,376
- SPINE TRUSS SYSTEM$3,100
- HINTERMANN$1,226
- QUANTUM$1,000
- INFINITY$769
- COLINK AFX$726
- AXS INFINITY LS$166
- APTUS$129
How this compares
$1,027,304 in reported general payments places this provider in the 95th percentile of 1,337 orthopaedic surgery 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 |
|---|---|---|
| XareltoRivaroxaban | 11 | $3,623 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 75 | $816 |
| Ondansetron Hcl | 82 | $354 |
| Gabapentin | 55 | $346 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 24 | $265 |
| Tramadol Hcl | 38 | $161 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $144 |
| Cephalexin | 78 | $119 |
| Clindamycin Hcl | 15 | $26 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Carrollton
- Stephen BurkhartSan Antonio$185.3M
- Kirby HittTemple$9.1M
- Robert GrahamAustin$6.3M
- Richard JonesDallas$6.3M
- Stefan KreuzerHouston$6.2M
- Michael WirthSan Antonio$4.5M
- Stephen IncavoHouston$4.3M
- Thomas EdwardsHouston$4.1M
- James BrodskyDallas$2.5M
- Robert SchmidtFort Worth$2M
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.