Kyla Shelton Lang, MD
Vascular Surgery · Little Rock, ARNPI 1275859076
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $9,818 of the $14,491 with a category attached, or 67.8%. 27 manufacturers reported payments, led by W. L. Gore & Associates, Inc. at 37.7% of the total. Reporting peaked in 2023 at $4,623 and has fallen 79.2% since, to $961 in 2025.
Across 169 payments — averaging $85.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- W. L. Gore & Associates, Inc.$5K
- Endologix LLC$2K
- Silk Road Medical, Inc.$2K
- Cook Medical LLC$1K
- Boston Scientific$848
- Shockwave Medical, Inc$729
- plus $2K from 21 others
What the payments were for
- Consulting fees$6004%
- Travel & lodging$4,07328%
- Food & beverage$9,81868%
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 |
|---|---|---|
| W. L. Gore & Associates, Inc. | 42 | $5,460 |
| Endologix LLC | 11 | $1,973 |
| Silk Road Medical, Inc. | 18 | $1,794 |
| Cook Medical LLC | 31 | $1,354 |
| Boston Scientific | 13 | $848 |
| Shockwave Medical, Inc | 5 | $729 |
| Medtronic | 8 | $512 |
| Lemaitre Vascular, Inc. | 10 | $365 |
| Getinge USA Sales, LLC | 6 | $264 |
| Inari Medical, Inc. | 2 | $184 |
| Bolton Medical Inc | 2 | $153 |
| Bard Peripheral Vascular, Inc. | 2 | $145 |
| Philips North America LLC | 3 | $124 |
| Medical Device Business Services, Inc. | 1 | $109 |
| Baxter Healthcare | 1 | $80 |
| Tactile Systems Technology Inc | 1 | $75 |
| Johnson & Johnson(2 entities) | 2 | $61 |
| Abbott | 2 | $53 |
| Polynovo North America LLC | 1 | $40 |
| Surmodics, Inc. | 1 | $27 |
| Teleflex LLC | 1 | $25 |
| Hologic Sales And Service, LLC | 1 | $25 |
| Cardiva Medical, Inc. | 1 | $23 |
| Medistim USA, Inc. | 1 | $18 |
| Sanara Medtech Inc. | 1 | $18 |
| Integra Lifesciences Corporation | 1 | $18 |
| Medline Industries LP | 1 | $16 |
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.
- GORE TAG Thoracic Endoprosthesis$1,809
- Alto Abdominal Stent Graft System$1,540
- ENROUTE Transcarotid Neuroprotection System$1,523
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$857
- ENROUTE Transcarotid Stent System$799
- ENHANCE Transcarotid Peripheral Access Kit$799
- ENROUTE 0.014 Guidewire$799
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$729
- ENROUTE Transcarotid Stent$724
- GORE TAG Conformable Thoracic Endoprosthesis$540
- GORE EXCLUDER AAA Endoprosthesis$330
- GORE TAG Thoracic Branch Endoprosthesis$287
- GORE TAG Conformable Thoracic Stent Graft$241
- AFX2 Bifurcated Endograft System$159
- Ovation iX Iliac Stent Graft$157
- FLOWTRIEVER CATHETER, S$156
- CT THROMBECTOMY SYSTEM KIT$156
- HawkOne$147
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$145
- TREO ABDOMINAL STENT-GRAFT SYSTEM$131
How this compares
Too few vascular surgery providers in Arkansasto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| EliquisApixaban | 21 | $16,218 |
| Enoxaparin Sodium | 11 | $550 |
| Gabapentin | 13 | $151 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 11 | $65 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Little Rock
- Mohammed MoursiLittle Rock$116K
- Kalenda KasanganaLittle Rock$15K
- Andre RamdonLittle Rock$10K
- Lauren Story-HeftaLittle Rock$9K
- Christian SimmonsLittle Rock$8K
- Steven MeadorsLittle Rock$8K
- Guillermo EscobarLittle Rock$4K
- Oleksiy GudzLittle Rock$3K
- Ulugbek NegmadjanovLittle Rock$2K
- Robert CasaliLittle Rock$21
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.