Ryan Patterson, MD
Hand Surgery · Tyler, TXNPI 1508040411
Payments from drug & device makers
What this record shows
This record is dominated by education: $7,526 of the $11,776 with a category attached, or 63.9%. Acell, Inc. accounts for 63.9% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2019 at $8,089 and has fallen 96.0% since, to $327 in 2025.
Across 51 payments — averaging $230.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acell, Inc.$8K
- Pylant Medical$2K
- Arthrex$961
- Stryker$433
- Axogen$235
- Linvatec Corporation$189
- plus $891 from 10 others
What the payments were for
- Travel & lodging$1,35211%
- Food & beverage$2,75223%
- Education$7,52664%
- Other$1471%
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 |
|---|---|---|
| Acell, Inc. | 5 | $7,526 |
| Pylant Medical | 11 | $1,542 |
| Arthrex | 7 | $961 |
| Stryker | 7 | $433 |
| Axogen | 6 | $235 |
| Linvatec Corporation | 3 | $189 |
| Kerecis Limited | 1 | $151 |
| Innovation Technologies Inc | 1 | $147 |
| Integra Lifesciences Corporation | 1 | $147 |
| Acera Surgical, Inc. | 1 | $134 |
| Wound Management Technologies, Inc | 1 | $113 |
| Arthrosurface Incorporated | 1 | $74 |
| Mimedx Group, Inc. | 2 | $42 |
| Bioventus LLC | 2 | $32 |
| Polynovo North America LLC | 1 | $26 |
| Seapearl East, Inc | 1 | $25 |
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.
- Kerecis Omega3 Marigen$604
- Kerecis Omega3 SurgiClose$151
- Irrisept$147
- MICROMATRIX$147
- Restrata Wound Matrix$134
- T2$121
- ASNIS$121
- SMART TOE$121
- GAMMA$121
- VARIAX$121
- AVANCE NERVE GRAFT$118
- AxoGuard Nerve Connector$118
- AxoGuard Nerve Protector$118
- AXOGUARD HA+ NERVE PROTECTOR$118
- AxoGuard Nerve Cap$118
- CellerateRx$113
- MAKO$105
How this compares
$11,776 in reported general payments places this provider in the 75th percentile of 170 hand surgery providers in Texas.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 148 | $1,219 |
| Celecoxib | 11 | $735 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 63 | $443 |
| Methylprednisolone | 45 | $337 |
| Tramadol Hcl | 86 | $198 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 40 | $164 |
| Meloxicam | 13 | $33 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Tyler
- Adrian ButlerTyler$16K
- David RingAustin$536K
- Kourosh JafarniaHouston$278K
- Brendan MackayLubbock$274K
- John FaillaceWoodway$212K
- Daniel KoehlerDallas$208K
- Timothy NiacarisArlington$160K
- Steven NiedermeierArlington$152K
- William PientkaFort Worth$113K
- Ann GoldenDallas$107K
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.