Ray Shoulders
Physician Assistant · Hurst, TXNPI 1295166577
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (53.1%), travel and lodging and education — rather than concentrated in one kind of arrangement. 24 manufacturers reported payments, led by Medtronic at 32.0% of the total. Reporting peaked in 2021 at $2,914 and has fallen 97.9% since, to $61 in 2025. Among physician assistant clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 143 payments — averaging $46.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Arthrex$2K
- Pacira Pharmaceuticals Incorporated$897
- AbbVie$633
- Si-bone, Inc.$255
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$247
- plus $999 from 18 others
What the payments were for
- Travel & lodging$1,93629%
- Food & beverage$3,55053%
- Education$1,20018%
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 |
|---|---|---|
| Medtronic | 37 | $2,140 |
| Arthrex | 5 | $1,515 |
| Pacira Pharmaceuticals Incorporated | 6 | $897 |
| AbbVie | 34 | $633 |
| Si-bone, Inc. | 5 | $255 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 14 | $247 |
| Boston Scientific | 4 | $146 |
| Amgen(2 entities) | 7 | $130 |
| Hydrocision, Inc. | 1 | $103 |
| Collegium Pharmaceutical, Inc. | 6 | $94 |
| Pylant Medical | 1 | $81 |
| Biohaven Pharmaceuticals, Inc. | 4 | $74 |
| MML US, Inc. | 3 | $65 |
| Lundbeck LLC | 3 | $61 |
| Almatica Pharma LLC | 2 | $51 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $45 |
| Biotronik NRO, Inc. | 1 | $32 |
| Redhill Biopharma Inc. | 2 | $31 |
| USWM, LLC | 1 | $18 |
| Shield Therapeutics Inc | 1 | $15 |
| Lilly USA, LLC | 1 | $14 |
| Johnson & Johnson | 1 | $13 |
| Arbor Pharmaceuticals, Inc. | 1 | $13 |
| Nevro Corp. | 1 | $12 |
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.
- SYNCHROMEDII$863
- Iovera$840
- INTELLIS ADAPTIVESTIM$447
- UBRELVY$126
- iFuse Implant$115
- WAVEWRITER ALPHA$105
- RELISTOR$104
- TenJet$103
How this compares
$6,686 in reported general payments places this provider in the 90th percentile of 8,308 physician assistant providers in Texas.
Other physician assistant in Hurst
- Karen StickaHurst$159K
- Cynthia TrickettDallas$1.3M
- Kristine KuceraMelissa$797K
- Selina SantosAustin$543K
- Matthew BrunoMcKinney$538K
- Brooke HodnickSouthlake$479K
- Holly GloverArlington$418K
- Kirk GautierAthens$416K
- Jaime RomanPlano$338K
- Michael WhiteDallas$276K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.