Paul Houle, MD
Neurological Surgery · Hyannis, MANPI 1184624330
Payments from drug & device makers
Across 689 payments — averaging $1123.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integrity Implants Inc. Dba Accelus$230K
- Joimax, Inc.$204K
- Integrity Implants Inc.$201K
- Arthrex$118K
- Alphatec Spine, Inc$9K
- Kuros Biosciences USA, Inc$7K
- plus $6K from 21 others
What the payments were for
- Royalty or licence$27,6964%
- Consulting fees$408,03853%
- Speaking & faculty fees$68,2339%
- Travel & lodging$246,64432%
- Food & beverage$21,6153%
- Gifts$440%
- Entertainment$1,6900%
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 |
|---|---|---|
| Integrity Implants Inc. Dba Accelus | 166 | $229,722 |
| Joimax, Inc. | 14 | $203,696 |
| Integrity Implants Inc. | 293 | $200,929 |
| Arthrex | 105 | $117,610 |
| Alphatec Spine, Inc | 22 | $9,003 |
| Kuros Biosciences USA, Inc | 11 | $7,404 |
| Kairos Surgical Inc | 10 | $1,148 |
| Relievant Medsystems, Inc. | 13 | $891 |
| Medtronic(2 entities) | 18 | $641 |
| Spineart USA Inc | 1 | $590 |
| Johnson & Johnson(2 entities) | 11 | $412 |
| Augmedics Inc. | 4 | $322 |
| Irras USA, Inc. | 1 | $283 |
| Highridge Medical LLC | 2 | $235 |
| Zsfab, Inc. | 2 | $183 |
| Cerapedics Inc. | 1 | $176 |
| Orthofix Medical, Inc. | 3 | $162 |
| KCI USA, Inc. | 1 | $125 |
| Banner Surgical Solutions, Inc | 1 | $119 |
| Boston Scientific | 2 | $101 |
| Intrinsic Therapeutics | 1 | $75 |
| Zimmer Biomet | 2 | $30 |
| Medical Device Business Services, Inc. | 1 | $30 |
| Sanara Medtech Inc. | 1 | $24 |
| Integra Lifesciences Corporation | 1 | $23 |
| Piedmont Plus Innovation | 1 | $14 |
| Misonix Inc | 1 | $13 |
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.
- FlareHawk$294,823
- FlareHawk 7 ENDO$23,646
- FlareHawk 7$7,383
- MagnetOs$7,120
- Other - Miscellaneous$6,377
- REMI$3,000
- Intracept$1,593
- Xvision$687
- ARTHREX$306
- IRRASflow$283
- BIOLOGICS$276
- LineSider$250
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$176
- ENDURANT IIS$163
- IdentiTi$156
- MOBI-C PLUG & FIT US$148
- VAC VERAFLO$125
- VAC VERAFLO CLEANSE CHOICE$125
- PREVENA$125
- STEALTHSTATION S8 PLATFORM$107
How this compares
$773,960 in reported general payments places this provider in the 95th percentile of 183 neurological surgery providers in Massachusetts.
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 Hcl | 73 | $225 |
| Tizanidine Hcl | 44 | $95 |
| Methylprednisolone | 11 | $65 |
| Tramadol Hcl | 14 | $12 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Hyannis
- Alireza AtriBoston$1.7M
- Matthew PhilipsNorth Dartmouth$953K
- John ChiBoston$935K
- Howard WeinerBrookline$928K
- Simcha WellerBoston$905K
- Aman PatelBoston$832K
- Alexandra GolbyBoston$691K
- Robert RichardsonBoston$610K
- Peter WarnkeBoston$540K
- Philipp TausskyBoston$479K
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.