RxDoctor Payments Data

Kevin Varner, MD

Foot and Ankle Surgery · Houston, TXNPI 1891731303

Payments from drug & device makers

What this record shows

The money is spread across several categories — royalties or licence payments (54.4%), other and consulting fees — rather than concentrated in one kind of arrangement. Linvatec Corporation accounts for 63.2% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2022 at $509,719 and has fallen 84.4% since, to $79,285 in 2025. Among foot and ankle 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.

$1,053,444in general payments, 2019–2025

Across 131 payments — averaging $8041.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Linvatec Corporation$665K
  • In2bones USA, LLC$277K
  • Stryker$102K
  • Theramicro, Inc.$7K
  • Vilex LLC$1K
  • Ossur Americas, Inc.$257
  • plus $726 from 9 others

What the payments were for

  • Royalty or licence$572,55054%
  • Consulting fees$15,2501%
  • Speaking & faculty fees$5,0000%
  • Travel & lodging$7,4201%
  • Food & beverage$2,1760%
  • Other$451,04843%

General payments by program year

19
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
Linvatec Corporation24$665,433
In2bones USA, LLC24$276,924
Stryker(2 entities)16$102,007
Theramicro, Inc.8$6,678
Vilex LLC5$1,419
Ossur Americas, Inc.37$257
Johnson & Johnson2$193
Bioventus LLC6$132
Acumed LLC2$123
Trilliant Surgical LLC.1$97
Radius Health, Inc.1$71
Pacira Pharmaceuticals Incorporated2$52
Vertex1$27
Wound Management Technologies, Inc1$21
Dynasplint Systems 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

$1,053,444 in reported general payments places this provider in the 95th percentile of 684 foot and ankle surgery providers in Texas.

See all foot and ankle surgery providers in Texas

Medicare billing

Part B allowed, 2024
$164,323
Medicare patients
304
Services billed
1,861

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
Methylprednisolone18$109
Gabapentin18$103
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen11$76
Meloxicam18$35

Paid to pharmacies, not to this prescriber.

Other foot and ankle surgery in Houston

See the full list for Texas

Where these figures come from

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