Total Payments
$19,076
2024 Payments
$1,898
Companies
24
Transactions
152
Medicare Patients
2,548
Medicare Billing
$156,989
Payment Breakdown by Category
Travel$7,883 (41.3%)
Food & Beverage$6,508 (34.1%)
Education$2,475 (13.0%)
Consulting$1,411 (7.4%)
Other$800.00 (4.2%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Travel and Lodging | $7,883 | 25 | 41.3% |
| Food and Beverage | $6,508 | 119 | 34.1% |
| Education | $2,475 | 3 | 13.0% |
| Consulting Fee | $1,411 | 4 | 7.4% |
| Honoraria | $800.00 | 1 | 4.2% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Arthrex, Inc. | $4,092 | 22 | $0 (2024) |
| Zimmer Biomet Holdings, Inc. | $2,752 | 29 | $0 (2022) |
| MicroAire Surgical Instruments LLC | $2,201 | 5 | $0 (2022) |
| AXOGEN | $2,076 | 10 | $0 (2024) |
| ACUMED LLC | $1,752 | 4 | $0 (2017) |
| Sonex Health, Inc. | $1,571 | 7 | $0 (2024) |
| Integra LifeSciences Corporation | $1,089 | 20 | $0 (2024) |
| Pylant Medical | $833.17 | 6 | $0 (2024) |
| Mid-Atlantic Surgical Systems, LLC | $797.23 | 5 | $0 (2021) |
| Stryker Corporation | $509.90 | 12 | $0 (2023) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $1,898 | 28 | Pylant Medical ($794.70) |
| 2023 | $1,125 | 22 | Stryker Corporation ($368.58) |
| 2022 | $199.31 | 3 | Integra LifeSciences Corporation ($111.21) |
| 2021 | $7,973 | 39 | Arthrex, Inc. ($3,570) |
| 2020 | $111.12 | 2 | Integra LifeSciences Corporation ($86.73) |
| 2019 | $3,497 | 29 | Zimmer Biomet Holdings, Inc. ($1,554) |
| 2018 | $2,025 | 15 | MicroAire Surgical Instruments LLC ($1,000) |
| 2017 | $2,247 | 14 | ACUMED LLC ($1,752) |
All Payment Transactions
152 individual payment records from CMS Open Payments — Page 1 of 7
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 11/18/2024 | Endo USA, Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $22.62 | General |
| Category: ORTHOPEDIC | ||||||
| 10/25/2024 | Arthrex, Inc. | — | Travel and Lodging | In-kind items and services | $238.65 | General |
| 10/25/2024 | Pylant Medical | — | Food and Beverage | In-kind items and services | $117.56 | General |
| 10/25/2024 | Arthrex, Inc. | — | Food and Beverage | In-kind items and services | $34.00 | General |
| 10/25/2024 | Arthrex, Inc. | — | Food and Beverage | In-kind items and services | $10.00 | General |
| 10/24/2024 | Arthrex, Inc. | — | Travel and Lodging | In-kind items and services | $238.65 | General |
| 10/24/2024 | Pylant Medical | — | Food and Beverage | In-kind items and services | $96.22 | General |
| 10/21/2024 | PolyNovo North America LLC | NOVOSORB BTM (Device) | Food and Beverage | In-kind items and services | $21.44 | General |
| Category: SYNTHETIC DERMAL SUBSTITUTE | ||||||
| 10/02/2024 | Integra LifeSciences Corporation | Integra (Device), Integra, Integra | Food and Beverage | In-kind items and services | $40.04 | General |
| Category: Recon-Skin and Wound | ||||||
| 09/24/2024 | Endo USA, Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $21.14 | General |
| Category: ORTHOPEDIC | ||||||
| 09/12/2024 | Pylant Medical | — | Food and Beverage | In-kind items and services | $30.65 | General |
| 09/06/2024 | Integra LifeSciences Corporation | Integra (Device), Integra, Integra | Food and Beverage | In-kind items and services | $23.41 | General |
| Category: Recon-Skin and Wound | ||||||
| 08/26/2024 | Pylant Medical | — | Travel and Lodging | In-kind items and services | $444.96 | General |
| 08/26/2024 | Integra LifeSciences Corporation | Integra (Device), Integra, Integra | Food and Beverage | In-kind items and services | $38.56 | General |
| Category: Recon-Skin and Wound | ||||||
| 07/31/2024 | AXOGEN | Avance Nerve Graft (Device), AxoGuard Nerve Connector, AxoGuard Nerve Protector | Food and Beverage | In-kind items and services | $118.08 | General |
| Category: Neurology | ||||||
| 07/23/2024 | Ferring Pharmaceuticals Inc. | EUFLEXXA (Device) | Food and Beverage | In-kind items and services | $20.18 | General |
| Category: ORTHOPEDICS | ||||||
| 05/30/2024 | Bioventus LLC | DUROLANE (Device) | Food and Beverage | In-kind items and services | $20.72 | General |
| Category: ORTHOPEDICSORTHOPEDIC SURGERY | ||||||
| 05/29/2024 | Integra LifeSciences Corporation | Integra (Device), Integra, Integra | Food and Beverage | In-kind items and services | $7.25 | General |
| Category: Recon-Skin and Wound | ||||||
| 05/14/2024 | PolyNovo North America LLC | NOVOSORB BTM (Device) | Food and Beverage | In-kind items and services | $16.03 | General |
| Category: SYNTHETIC DERMAL SUBSTITUTE | ||||||
| 05/09/2024 | AXOGEN | Avance Nerve Graft (Device), AxoGuard Nerve Connector, AxoGuard Nerve Protector | Food and Beverage | In-kind items and services | $24.80 | General |
| Category: Neurology | ||||||
| 05/07/2024 | Endo USA, Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $22.94 | General |
| Category: ORTHOPEDIC | ||||||
| 05/02/2024 | Sonex Health, Inc. | SX-ONE MICROKNIFE (Device) | Food and Beverage | In-kind items and services | $15.36 | General |
| Category: ORTHOPEDIC | ||||||
| 05/01/2024 | Pylant Medical | — | Food and Beverage | In-kind items and services | $105.31 | General |
| 04/04/2024 | Integra LifeSciences Corporation | Integra (Device), Integra, Integra | Food and Beverage | In-kind items and services | $32.59 | General |
| Category: Recon-Skin and Wound | ||||||
| 04/03/2024 | Integra LifeSciences Corporation | Integra (Device), Integra, Integra | Food and Beverage | In-kind items and services | $23.19 | General |
| Category: Recon-Skin and Wound | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 14 | 416 | 513 | $70,504 | $19,288 |
| 2022 | 19 | 640 | 1,045 | $118,033 | $47,269 |
| 2021 | 20 | 722 | 1,184 | $110,141 | $46,865 |
| 2020 | 19 | 770 | 1,324 | $110,037 | $43,567 |
Total Patients
2,548
Total Services
4,066
Medicare Billing
$156,989
Procedure Codes
76
All Medicare Procedures & Services
76 procedure records from CMS Medicare Utilization — Page 1 of 4
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Facility | 2023 | 45 | 45 | $10,755 | $2,587 | 24.1% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 20 | 20 | $8,974 | $2,506 | 27.9% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Facility | 2023 | 24 | 24 | $8,760 | $2,345 | 26.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2023 | 25 | 25 | $5,794 | $1,797 | 31.0% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2023 | 29 | 35 | $5,600 | $1,765 | 31.5% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 20 | 20 | $3,300 | $1,355 | 41.1% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 22 | 24 | $3,216 | $1,231 | 38.3% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 12 | 12 | $3,146 | $1,098 | 34.9% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 11 | 11 | $2,101 | $813.62 | 38.7% |
| 20550 | Injection into tendon or ligament | Facility | 2023 | 24 | 31 | $4,224 | $774.07 | 18.3% |
| 20550 | Injection into tendon or ligament | Office | 2023 | 11 | 19 | $1,805 | $566.26 | 31.4% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 14 | 17 | $1,428 | $488.09 | 34.2% |
| 20605 | Aspiration and/or injection of fluid from medium joint | Office | 2023 | 12 | 14 | $1,938 | $445.32 | 23.0% |
| 73130 | X-ray of hand, minimum of 3 views | Facility | 2023 | 58 | 75 | $2,550 | $431.65 | 16.9% |
| 20600 | Aspiration and/or injection of fluid from small joint | Facility | 2023 | 15 | 16 | $3,458 | $418.00 | 12.1% |
| 73110 | X-ray of wrist, minimum of 3 views | Facility | 2023 | 28 | 45 | $1,575 | $285.48 | 18.1% |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | Office | 2023 | 28 | 55 | $880.00 | $254.39 | 28.9% |
| 73140 | X-ray of finger, minimum of 2 views | Facility | 2023 | 18 | 25 | $1,000 | $129.01 | 12.9% |
| 64721 | Release and/or relocation of hand nerve | Facility | 2022 | 25 | 32 | $22,811 | $8,570 | 37.6% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 53 | 53 | $13,091 | $6,060 | 46.3% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 67 | 67 | $11,054 | $5,531 | 50.0% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 62 | 73 | $9,782 | $4,852 | 49.6% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 37 | 42 | $8,022 | $3,688 | 46.0% |
| 26055 | Incision of tendon covering of finger | Facility | 2022 | 13 | 19 | $9,690 | $2,947 | 30.4% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 24 | 24 | $4,752 | $2,389 | 50.3% |
About Dr. Adrian Butler, MD
Dr. Adrian Butler, MD is a Orthopaedic Surgery healthcare provider based in Tyler, Texas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 04/06/2007. The National Provider Identifier (NPI) number assigned to this provider is 1457473597.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Adrian Butler, MD has received a total of $19,076 in payments from pharmaceutical and medical device companies, with $1,898 received in 2024. These payments were reported across 152 transactions from 24 companies. The most common payment nature is "Travel and Lodging" ($7,883).
As a Medicare-enrolled provider, Butler has provided services to 2,548 Medicare beneficiaries, totaling 4,066 services with total Medicare billing of $156,989. Data is available for 4 years (2020–2023), covering 76 distinct procedure/service records.
Ad
Practice Information
- Specialty Orthopaedic Surgery
- Other Specialties Hand Surgery
- Location Tyler, TX
- Active Since 04/06/2007
- Last Updated 06/05/2023
- Taxonomy Code 207X00000X
- Entity Type Individual
- NPI Number 1457473597
Products in Payments
- Avance Nerve Graft (Device) $2,026
- ULTRAGUIDECTR (Device) $1,555
- Hand Fracture System (Device) $1,226
- AC Joint Ziptight (Device) $957.68
- MAX VPC Screw System (Device) $616.70
- Acu-Loc/Acu-Loc 2 Wrist Plating System (Device) $515.88
- Integra (Device) $445.36
- Sports Medicine Product Portfolio (Device) $388.84
- VA-LCP PLATES & SCREWS (Device) $252.54
- INTEGRA MESHED BILAYER WOUND MATRIX (Device) $241.41
- WristMotion (Device) $226.30
- XIAFLEX (Biological) $211.23
- Alps Clavicle (Device) $181.07
- VARIAX (Device) $179.24
- Comprehensive Reverse (Device) $123.66
- TENOGLIDE (Device) $118.64
- EX NAILS (Device) $115.83
- Custom Shoulder Components (Device) $100.54
- KYPHON Balloon Kyphoplasty (Device) $93.17
- Comprehensive Shoulder (Device) $91.72
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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