Thomas Byrnes, MD
Sports Medicine · Seattle, WANPI 1417343302
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (51.4%), grants and food and beverage — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Arthrex at 38.2% of the total. Reporting peaked in 2021 at $11,528 and has fallen 97.5% since, to $286 in 2025. Among sports medicine clinicians in WA 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 37 payments — averaging $323.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$5K
- Medical Device Business Services, Inc.$4K
- Liberty Surgical Inc.$2K
- Linvatec Corporation$261
- Zimmer Biomet$203
- Invictus Surgical Incorporated$53
- plus $80 from 3 others
What the payments were for
- Grants$4,40037%
- Travel & lodging$5885%
- Food & beverage$8377%
- Education$6,15051%
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 |
|---|---|---|
| Arthrex | 24 | $4,578 |
| Medical Device Business Services, Inc. | 1 | $4,400 |
| Liberty Surgical Inc. | 2 | $2,400 |
| Linvatec Corporation | 1 | $261 |
| Zimmer Biomet | 4 | $203 |
| Invictus Surgical Incorporated | 2 | $53 |
| Vericel Corporation | 1 | $34 |
| Summit Surgical Corp. | 1 | $26 |
| Smith+Nephew | 1 | $20 |
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
$11,975 in reported general payments places this provider in the 90th percentile of 132 sports medicine providers in Washington.
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 |
|---|---|---|
| Naproxen | 13 | $68 |
| Oxycodone Hcl | 13 | $68 |
| Ondansetron Hcl | 13 | $36 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Seattle
- Adam PourchoSeattle$38K
- Taylor BuuckSeattle$14K
- Winston WarmeSeattle$12K
- Ahmad NamousSeattle$9K
- Albert GeeSeattle$9K
- Phillip HenningSeattle$9K
- Jonathan HodaxSeattle$8K
- Emily CooperSeattle$4K
- Ashwin RaoSeattle$3K
- Matthew GriersonSeattle$2K
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.