Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Consulting Fee | $206,934 | 83 | 51.6% |
| Unspecified | $158,065 | 14 | 39.4% |
| Travel and Lodging | $22,990 | 64 | 5.7% |
| Food and Beverage | $12,262 | 131 | 3.1% |
| Education | $756.00 | 2 | 0.2% |
Payments by Type
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| EXACTECH, INC. | $396,912 | 237 | $0 (2024) |
| Arthrex, Inc. | $1,196 | 8 | $0 (2024) |
| Alpha Orthopedic Systems | $600.38 | 7 | $0 (2023) |
| Smith+Nephew, Inc. | $507.56 | 11 | $0 (2024) |
| Stryker Corporation | $397.52 | 11 | $0 (2024) |
| Catalyst OrthoScience | $291.88 | 2 | $0 (2022) |
| Shoulder Innovations, Inc. | $243.69 | 1 | $0 (2024) |
| Cerapedics, Inc. | $174.62 | 1 | $0 (2019) |
| ACUMED LLC | $127.87 | 1 | $0 (2021) |
| MEDACTA USA, INC. | $122.64 | 1 | $0 (2022) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $82,711 | 33 | EXACTECH, INC. ($82,103) |
| 2023 | $89,306 | 39 | EXACTECH, INC. ($89,062) |
| 2022 | $91,665 | 56 | EXACTECH, INC. ($91,183) |
| 2021 | $28,099 | 37 | Exactech, Inc. ($27,840) |
| 2020 | $25,360 | 27 | Exactech, Inc. ($24,022) |
| 2019 | $42,182 | 54 | EXACTECH, INC. ($41,244) |
| 2018 | $27,168 | 23 | Exactech, Inc. ($27,057) |
| 2017 | $14,516 | 25 | Exactech, Inc. ($14,401) |
All Payment Transactions
294 individual payment records from CMS Open Payments — Page 1 of 12
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 11/19/2024 | Smith+Nephew, Inc. | AETOS Shoulder System (Device) | Food and Beverage | In-kind items and services | $26.13 | General |
| Category: Recon Shoulders or Extremity, Upper | ||||||
| 11/01/2024 | EXACTECH, INC. | EQUINOXE (Device) | Consulting Fee | Cash or cash equivalent | $1,000.00 | General |
| Category: ORTHOPAEDIC | ||||||
| 10/18/2024 | EXACTECH, INC. | EQUINOXE (Device) | Consulting Fee | Cash or cash equivalent | $1,500.00 | General |
| Category: ORTHOPAEDIC | ||||||
| 10/18/2024 | EXACTECH, INC. | EQUINOXE (Device) | Food and Beverage | In-kind items and services | $106.84 | General |
| Category: ORTHOPAEDIC | ||||||
| 10/01/2024 | EXACTECH, INC. | EQUINOXE (Device) | — | Cash or cash equivalent | $13,710.00 | Research |
| Study: CR09-005 EQUINOXE PMCF • Category: ORTHOPAEDIC | ||||||
| 10/01/2024 | DePuy Synthes Sales Inc. | SPEED (Device) | Food and Beverage | In-kind items and services | $40.11 | General |
| Category: Trauma | ||||||
| 09/26/2024 | EXACTECH, INC. | — | Consulting Fee | Cash or cash equivalent | $500.00 | General |
| 09/19/2024 | Shoulder Innovations, Inc. | InSet System (Device) | Food and Beverage | Cash or cash equivalent | $243.69 | General |
| Category: Orthopedic Implant | ||||||
| 08/01/2024 | EXACTECH, INC. | EQUINOXE (Device) | Consulting Fee | Cash or cash equivalent | $8,138.62 | General |
| Category: ORTHOPAEDIC | ||||||
| 08/01/2024 | EXACTECH, INC. | EQUINOXE (Device) | Travel and Lodging | In-kind items and services | $1,111.66 | General |
| Category: ORTHOPAEDIC | ||||||
| 08/01/2024 | EXACTECH, INC. | — | Consulting Fee | Cash or cash equivalent | $750.00 | General |
| 08/01/2024 | EXACTECH, INC. | EQUINOXE (Device) | Travel and Lodging | In-kind items and services | $535.15 | General |
| Category: ORTHOPAEDIC | ||||||
| 08/01/2024 | EXACTECH, INC. | EQUINOXE (Device) | Food and Beverage | In-kind items and services | $274.30 | General |
| Category: ORTHOPAEDIC | ||||||
| 08/01/2024 | EXACTECH, INC. | — | Food and Beverage | In-kind items and services | $38.24 | General |
| 07/18/2024 | Smith+Nephew, Inc. | Bone Anchors with Arthroscopic Delivery System (Device), Bioinductive Implant with Arthroscopic Delivery System - Medium | Food and Beverage | In-kind items and services | $99.44 | General |
| Category: Extremities & Limb Restoration | ||||||
| 07/10/2024 | EXACTECH, INC. | EQUINOXE (Device) | — | Cash or cash equivalent | $13,755.00 | Research |
| Study: CR09-005 EQUINOXE PMCF • Category: ORTHOPAEDIC | ||||||
| 06/25/2024 | Ethicon US, LLC | ETHICON (Device), STRATAFIX | Food and Beverage | In-kind items and services | $23.66 | General |
| Category: Biosurgical | ||||||
| 04/25/2024 | Stryker Corporation | REUNION (Device) | Food and Beverage | In-kind items and services | $24.52 | General |
| Category: TRAUMA & EXTREMETIES | ||||||
| 04/08/2024 | Stryker Corporation | REUNION (Device) | Food and Beverage | In-kind items and services | $18.36 | General |
| Category: TRAUMA & EXTREMETIES | ||||||
| 04/05/2024 | EXACTECH, INC. | EQUINOXE (Device) | Consulting Fee | Cash or cash equivalent | $5,545.00 | General |
| Category: ORTHOPAEDIC | ||||||
| 04/05/2024 | EXACTECH, INC. | EQUINOXE (Device) | Travel and Lodging | In-kind items and services | $227.48 | General |
| Category: ORTHOPAEDIC | ||||||
| 04/05/2024 | EXACTECH, INC. | EQUINOXE (Device) | Food and Beverage | In-kind items and services | $185.21 | General |
| Category: ORTHOPAEDIC | ||||||
| 04/04/2024 | EXACTECH, INC. | EQUINOXE (Device) | — | Cash or cash equivalent | $8,795.00 | Research |
| Study: CR09-005 EQUINOXE PMCF • Category: ORTHOPAEDIC | ||||||
| 04/03/2024 | EXACTECH, INC. | EQUINOXE (Device) | Consulting Fee | Cash or cash equivalent | $500.00 | General |
| Category: ORTHOPAEDIC | ||||||
| 03/28/2024 | EXACTECH, INC. | EQUINOXE (Device) | Consulting Fee | Cash or cash equivalent | $500.00 | General |
| Category: ORTHOPAEDIC | ||||||
Research Studies & Clinical Trials
| Study Name | Company | Amount | Records |
|---|---|---|---|
| CR09-005 EQUINOXE PMCF | EXACTECH, INC. | $53,085 | 4 |
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 15 | 1,885 | 3,223 | $686,582 | $187,662 |
| 2022 | 16 | 1,620 | 2,695 | $586,518 | $159,937 |
| 2021 | 18 | 1,486 | 1,903 | $543,015 | $147,227 |
| 2020 | 15 | 1,207 | 1,512 | $516,060 | $122,044 |
All Medicare Procedures & Services
64 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 23472 | Prosthetic repair of shoulder joint, total shoulder | Facility | 2023 | 60 | 61 | $228,017 | $61,776 | 27.1% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 344 | 404 | $111,540 | $33,765 | 30.3% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 308 | 424 | $80,717 | $25,661 | 31.8% |
| 29827 | Repair of shoulder rotator cuff using an endoscope | Facility | 2023 | 26 | 26 | $72,510 | $20,179 | 27.8% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2023 | 230 | 285 | $50,391 | $12,476 | 24.8% |
| 73030 | X-ray of shoulder, minimum of 2 views | Office | 2023 | 388 | 500 | $47,500 | $11,541 | 24.3% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 68 | 68 | $28,406 | $6,877 | 24.2% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 67 | 67 | $18,316 | $4,586 | 25.0% |
| 20985 | Computer-assisted surgery for muscle and bone procedure | Facility | 2023 | 35 | 35 | $13,389 | $3,667 | 27.4% |
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | Facility | 2023 | 23 | 23 | $10,480 | $2,746 | 26.2% |
| 72050 | X-ray of upper spine, 4-5 views | Office | 2023 | 30 | 30 | $3,900 | $1,015 | 26.0% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2023 | 232 | 1,215 | $12,150 | $963.72 | 7.9% |
| 73080 | X-ray of elbow, minimum of 3 views | Office | 2023 | 36 | 42 | $4,200 | $901.36 | 21.5% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 21 | 21 | $2,425 | $831.00 | 34.3% |
| 73564 | X-ray of knee, 4 or more views | Office | 2023 | 17 | 22 | $2,640 | $674.97 | 25.6% |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | Facility | 2022 | 52 | 52 | $196,958 | $54,297 | 27.6% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 247 | 280 | $77,305 | $23,022 | 29.8% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 266 | 367 | $69,866 | $22,181 | 31.7% |
| 29827 | Repair of shoulder rotator cuff using an endoscope | Facility | 2022 | 22 | 22 | $61,355 | $17,037 | 27.8% |
| 73030 | X-ray of shoulder, minimum of 2 views | Office | 2022 | 328 | 453 | $43,035 | $10,315 | 24.0% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2022 | 190 | 232 | $41,020 | $10,169 | 24.8% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 113 | 113 | $30,892 | $7,545 | 24.4% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 51 | 51 | $21,305 | $5,259 | 24.7% |
| 20985 | Computer-assisted surgery for muscle and bone procedure | Facility | 2022 | 31 | 31 | $11,859 | $3,293 | 27.8% |
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | Facility | 2022 | 19 | 19 | $8,657 | $2,400 | 27.7% |
About Dr. Ian Byram, MD
Dr. Ian Byram, MD is a Sports Medicine healthcare provider based in Franklin, Tennessee. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 01/04/2007. The National Provider Identifier (NPI) number assigned to this provider is 1124175948.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Ian Byram, MD has received a total of $401,007 in payments from pharmaceutical and medical device companies, with $82,711 received in 2024. These payments were reported across 294 transactions from 20 companies. The most common payment nature is "Consulting Fee" ($206,934).
As a Medicare-enrolled provider, Byram has provided services to 6,198 Medicare beneficiaries, totaling 9,333 services with total Medicare billing of $616,870. Data is available for 4 years (2020–2023), covering 64 distinct procedure/service records.
Practice Information
- Specialty Sports Medicine
- Location Franklin, TN
- Active Since 01/04/2007
- Last Updated 11/07/2024
- Taxonomy Code 207XX0005X
- Entity Type Individual
- NPI Number 1124175948
Products in Payments
- EQUINOXE (Device) $359,986
- Equinoxe (Device) $29,661
- REUNION (Device) $315.41
- Catalyst Total CSR (Device) $291.88
- InSet System (Device) $243.69
- Regeneten (Device) $210.79
- i-FACTOR Putty (Device) $174.62
- INHANCE (Device) $149.69
- Bone Anchors with Arthroscopic Delivery System (Device) $129.54
- Polarus 3 Solution (Device) $127.87
- OPTETRAK (Device) $123.26
- NEXT AR (Device) $122.64
- Arthrex (Device) $101.57
- NOVATION HIP (Device) $72.53
- ARTHROPLASTY IMPLANTS REVERS TOTAL SHOULDER REVERS (Device) $69.60
- Q-FIX (Device) $67.88
- ARTHROPLASTY IMPLANTS REVERS TOTAL SHOULDER MODULAR GLENOID SYSTEMS (Device) $66.50
- CEMEX (Device) $58.20
- ON-Q PUMP AND ACCESSORIES (Device) $57.65
- IVY AIR (Device) $47.58
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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