Has Paul Butros, MD received payments from drug or device companies?

Yes. Drug and device makers reported $127,485 in general payments to Paul Butros, MD across 130 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Paul Butros, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Paul Butros, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Paul Butros, MD

Diagnostic Radiology · Warrenton, VANPI 1316142029

Payments from drug & device makers

What this record shows

This record is dominated by other: $102,477 of the $127,485 with a category attached, or 80.4%. Angiodynamics, Inc. accounts for 80.9% of it on its own, with 20 other manufacturers making up the rest. Among diagnostic radiology clinicians in VA 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.

$127,485in general payments, 2019–2025

Across 130 payments — averaging $980.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Angiodynamics, Inc.$103K
Inari Medical, Inc.$17K
Penumbra, Inc.$4K
Bard Peripheral Vascular, Inc.$1K
Medtronic$595
Boston Scientific$291
plus $998 from 15 others

$50,048in research payments, 2019–2025

Across 35 payments — averaging $1429.94 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

Inari Medical, Inc.$50K

What the payments were for

Consulting fees$14,60011%
Speaking & faculty fees$3,6003%
Travel & lodging$1,2321%
Food & beverage$5,5754%
Other$102,47780%

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
Angiodynamics, Inc.	24	$103,111
Inari Medical, Inc.	26	$17,041
Penumbra, Inc.	6	$4,399
Bard Peripheral Vascular, Inc.	23	$1,050
Medtronic(2 entities)	12	$595
Boston Scientific	8	$291
Philips North America LLC	7	$239
Kestra Medical Technology Services, Inc.	1	$136
Sirtex Medical Inc	1	$97
Terumo Medical Corporation	1	$87
Balt USA, LLC	3	$68
Bayer	4	$64
Abbott	2	$59
Cardiovascular Systems Inc.	2	$48
Shockwave Medical, Inc	1	$41
Nevro Corp.	2	$40
Cordis US CORP.	2	$32
Endologix LLC	2	$31
Bard Access Systems, Inc.	1	$26
Veryan Medical Incorporated	1	$17
Cequr Corporation	1	$15

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

$127,485 in reported general payments places this provider in the 95th percentile of 881 diagnostic radiology providers in Virginia.

See all diagnostic radiology providers in Virginia →

Medicare billing

Part B allowed, 2024

$1,561,423

Medicare patients

389

Services billed

7,531

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	23	$22,314
XareltoRivaroxaban	17	$9,857
ClopidogrelClopidogrel Bisulfate	116	$1,431
Rosuvastatin Calcium	53	$615
Cilostazol	11	$221
Atorvastatin Calcium	25	$184

Paid to pharmacies, not to this prescriber.

Other diagnostic radiology in Warrenton

Salman MuftiWarrenton$4K
Ray BeauchampRichmond$1.5M
Ravi KamathFairfax$94K
Melany AtkinsFairfax$77K
Luke LancasterCharlottesville$56K
Colin DerdeynCharlottesville$46K
Michael HanleyCharlottesville$43K
Ryan GabrielNorth Chesterfield$41K
Dmitri SamoilovVirginia Beach$38K
Michael SneiderCharlottesville$38K

See the full list for Virginia →

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.

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