RxDoctor Payments Data

William Hefley, MD

Orthopaedic Surgery · North Little Rock, ARNPI 1437116787

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $281,319 of the $306,298 with a category attached, or 91.8%. Exactech, Inc. accounts for 98.8% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2022 at $65,828 and has fallen 52.5% since, to $31,281 in 2025. Among orthopaedic surgery clinicians in AR 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.

$306,298in general payments, 2019–2025

Across 58 payments — averaging $5281.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Exactech, Inc.$303K
  • Midsouth Orthopedics Inc.$2K
  • Zimmer Biomet$1K
  • Paragon 28, Inc.$229
  • Johnson & Johnson$133
  • Stryker$115
  • plus $131 from 2 others
$12,479in research payments, 2019–2025

Across 1 payment — averaging $12,479 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.

  • Janssen Research & Development, LLC$12K

What the payments were for

  • Royalty or licence$281,31992%
  • Consulting fees$17,5956%
  • Travel & lodging$3,2411%
  • Food & beverage$1,4810%
  • Education$2,6611%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Exactech, Inc.43$302,727
Midsouth Orthopedics Inc.1$1,690
Zimmer Biomet7$1,274
Paragon 28, Inc.2$229
Johnson & Johnson(2 entities)2$133
Stryker1$115
Conformis, Inc.1$104
Amgen1$27

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

$306,298 in reported general payments places this provider in the 95th percentile of 168 orthopaedic surgery providers in Arkansas.

See all orthopaedic surgery providers in Arkansas

Medicare billing

Part B allowed, 2024
$484,613
Medicare patients
693
Services billed
3,766

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

DrugClaimsCost to plans & patients
Diclofenac Sodium347$3,059
Oxycodone Hcl303$1,549
Doxycycline Hyclate103$733
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen67$552
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim187$492
Ondansetron Hcl82$455
Meloxicam91$272
Celecoxib14$160
Prednisone11$132
Tramadol Hcl59$129
Amoxicillin62$71
Diazepam21$17

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in North Little Rock

See the full list for Arkansas

Where these figures come from

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