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Hand Surgery in Texas

170 providers, $3,396,224 in total reported payments from drug and device makers. Ranked below by lifetime general payments. The median provider in this group received $3,330.

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 Texas

Part B allowed per clinician, 2024
$138,527
Of which, services
$133,079
Clinicians billing Part B
135

Across 135 hand surgery clinicians in Texas who billed Original Medicare Part B in 2024, Medicare allowed $18,701,100 in total — an average of $138,527 each, of which $133,079 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

  1. 1David RingAustin$536,309
  2. 2Kourosh JafarniaHouston$278,165
  3. 3Brendan MackayLubbock$273,595
  4. 4John FaillaceWoodway$211,593
  5. 5Daniel KoehlerDallas$208,498
  6. 6Timothy NiacarisArlington$160,395
  7. 7Steven NiedermeierArlington$151,722
  8. 8William PientkaFort Worth$113,297
  9. 9Ann GoldenDallas$106,658
  10. 10Cameron AtkinsonArlington$103,115
  11. 11Ryan RoseSan Antonio$89,198
  12. 12David WilsonFort Sam Houston$83,032
  13. 13Douglas CromackEl Paso$77,401
  14. 14Scott HecoxWaco$70,084
  15. 15Kimberly MezeraDallas$38,978
  16. 16Brian SagerSan Antonio$37,724
  17. 17Michael HowardPlano$35,444
  18. 18Christopher MiskovskyDallas$31,419
  19. 19Adil AhmedHouston$29,552
  20. 20Samuel PoseyFort Sam Houston$27,056
  21. 21Andrea TianHouston$25,798
  22. 22Brandon SteinSchertz$24,973
  23. 23Paul TavakolianBedford$21,849
  24. 24Christopher HopkinsMansfield$21,574
  25. 25James SaucedoThe Woodlands$18,342
  26. 26Kyle WoernerHouston$18,264
  27. 27Luke SeekerAustin$17,924
  28. 28Chip MooreAbilene$16,331
  29. 29Adrian ButlerTyler$16,248
  30. 30Adam SharHouston$15,967
  31. 31Nathan MenonSan Angelo$15,369
  32. 32Jason CoffmanSan Antonio$14,661
  33. 33Casey SabbagFort Sam Houston$14,254
  34. 34Taylor BatesFort Sam Houston$13,444
  35. 35Christopher CasstevensLakeway$13,415
  36. 36Scott MitchellHouston$11,952
  37. 37Shahram YariMcKinney$11,873
  38. 38Harris RoseAustin$11,861
  39. 39Darshan PatelHouston$11,815
  40. 40Ryan PattersonTyler$11,776
  41. 41Ronald BuczekAustin$11,654
  42. 42Chia WuBaytown$11,139
  43. 43Ahmed ElhessyEl Paso$11,130
  44. 44Ashton MansourHouston$10,862
  45. 45Christopher BatesFort Worth$10,654
  46. 46Miguel Pirela-CruzEl Paso$10,609
  47. 47Jeffrey JobeAustin$10,210
  48. 48Mark KhorsandiHouston$10,195
  49. 49James BennettHouston$10,189
  50. 50John JiulianoArlington$9,793
  51. 51Alejandro VerdugoLubbock$9,702
  52. 52Kent WeinheimerAmarillo$9,397
  53. 53Timothy LarsonDenton$9,337
  54. 54Bryan ReyesFort Worth$9,201
  55. 55Frank GeroldEdinburg$8,882
  56. 56Manish PatelAustin$8,532
  57. 57Hannah KimFort Worth$8,374
  58. 58Randy LuoHouston$8,364
  59. 59Christopher AllmonCarrollton$8,192
  60. 60Gus StraussCollege Station$7,665
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