Hand Surgery in Montana
16 providers, $221,008 in total reported payments from drug and device makers. Ranked below by lifetime general payments.
Ranking high here usually means a consulting or royalty arrangement, not wrongdoing. Payments to device inventors and trial investigators are legal, disclosed, and concentrated in a small number of people — which is exactly why a list like this has a steep top and a long flat tail.
What Medicare pays hand surgery clinicians in Montana
Across 13 hand surgery clinicians in Montana who billed Original Medicare Part B in 2024, Medicare allowed $2,415,340 in total — an average of $185,795 each, of which $157,637 was for services and the rest for drugs administered in the office.
This is not a salary. The rest is what Medicare allowed for services these clinicians billed — Original Medicare fee-for-service only. It excludes Medicare Advantage, which now covers more than half of Medicare enrollees, along with Medicaid and every commercial insurer, so for most clinicians it is a fraction of their practice. It is also gross revenue: staff, rent, supplies and malpractice premiums all come out of it before anyone is paid. Anyone quoting a figure like this as physician pay is misreading it.
Ranked by reported payments
- 1Heidi ShorsKalispell$108,395
- 2Julie AdamsKalispell$100,252
- 3Nathaniel FogelKalispell$5,215
- 4Thomas OwenBillings$3,009
- 5Alexander ChungGreat Falls$2,935
- 6Kiley ZieglerBillings$450
- 7Charles SullivanMissoula$226
- 8Taylor BuckleyMissoula$125
- 9Parley ThordersonKalispell$95
- 10Nicholas BeckBillings$90
- 11Paul PuckettMissoula$83
- 12Todd CameronGreat Falls$68
- 13Barry SmithBillings$29
- 14John CrawGreat Falls$26
- 15W Lea GorsuchGreat Falls$11
- 16Ralph CostanzoBillings$0