Nathaniel Lytle, MD
Surgery · Atlanta, GANPI 1205031895
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (40.8%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 31 manufacturers reported payments, led by Intuitive Surgical at 49.5% of the total. 2025 is the largest year on record at $50,024, more than ten times the $3,801 reported in 2019. Among surgery clinicians in GA 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 296 payments — averaging $397.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$58K
- Teleflex LLC$47K
- Ambu Inc.$2K
- Medtronic$2K
- W. L. Gore & Associates, Inc.$2K
- Baxter Healthcare$1K
- plus $5K from 25 others
What the payments were for
- Consulting fees$4,9804%
- Speaking & faculty fees$37,30032%
- Travel & lodging$13,64712%
- Food & beverage$13,70812%
- Education$48,00041%
- Gifts$90%
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 |
|---|---|---|
| Intuitive Surgical | 94 | $58,267 |
| Teleflex LLC | 72 | $46,948 |
| Ambu Inc. | 8 | $2,434 |
| Medtronic | 26 | $2,332 |
| W. L. Gore & Associates, Inc. | 19 | $1,536 |
| Baxter Healthcare | 15 | $1,334 |
| Intra-sana Laboratories | 9 | $1,320 |
| Ambu A/s | 1 | $1,000 |
| Asensus Surgical, Inc. | 12 | $810 |
| Covidien LP | 7 | $394 |
| Johnson & Johnson | 7 | $220 |
| Innovation Technologies Inc | 2 | $173 |
| TELA Bio, Inc. | 1 | $168 |
| AbbVie | 1 | $148 |
| Vertex | 3 | $89 |
| Kvk-tech, Inc. | 1 | $81 |
| Companion Medical, Inc. | 1 | $54 |
| Integra Lifesciences Corporation | 2 | $47 |
| Heron Therapeutics, Inc. | 2 | $39 |
| Vivus LLC | 2 | $39 |
| Laborie Medical Technologies Corp. | 1 | $25 |
| Dexcom, Inc. | 1 | $24 |
| Coloplast | 1 | $23 |
| Pacira Pharmaceuticals Incorporated | 1 | $23 |
| Abbott | 1 | $22 |
| Daiichi Sankyo Inc. | 1 | $18 |
| Lilly USA, LLC | 1 | $18 |
| Novo Nordisk | 1 | $17 |
| Davol Inc. | 1 | $16 |
| Endo Pharmaceuticals Inc. | 1 | $11 |
| Redhill Biopharma 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.
- Da Vinci Surgical System$56,469
- TITAN SGS BAILOUT CHUCK$42,225
- Titan SGS$2,975
- Reltone 200 Mg$1,279
- GLYCATE$1,279
- Reltone 400 Mg$1,279
- EndoFlip$998
- LigaSure$928
- TISSEEL$540
- Senhance Surgical Robotics System$515
- BIO-A Tissue Reinforcement$322
- SYNECOR Biomaterial$313
- GORE SEAMGUARD Bioabsorbable Staple Line Reinforce$303
- FLOSEAL$234
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$168
- Irrisept$150
- GELFOAM PLUS$149
- STRATTICE RECONSTRUCTIVE TISSUE MATRIX BPS$148
- TITAN SGS STANDARD GASTRIC STAPLER$144
- Weck$134
How this compares
$117,643 in reported general payments places this provider in the 95th percentile of 855 surgery providers in Georgia.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 31 | $179 |
Paid to pharmacies, not to this prescriber.
Other surgery in Atlanta
- Kendra GrubbAtlanta$374K
- Ankit PatelAtlanta$217K
- Kevin NguyenAtlanta$161K
- David ParkAtlanta$112K
- Dominic PapandriaAtlanta$60K
- Kenneth NewellAtlanta$50K
- Marwan KazimiAtlanta$33K
- Charles ProcterAtlanta$27K
- Vishwanath DanthuluriAtlanta$27K
- Idelberto BadellAtlanta$27K
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.