Total Payments
$529,010
2024 Payments
$10,320
Companies
10
Transactions
80
Medicare Patients
769
Medicare Billing
$203,997
Payment Breakdown by Category
Royalty/License$360,542 (68.2%)
Other$124,000 (23.4%)
Consulting$36,500 (6.9%)
Travel$5,877 (1.1%)
Food & Beverage$2,029 (0.4%)
Gifts$62.50 (0.0%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Royalty or License | $360,542 | 28 | 68.2% |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $124,000 | 21 | 23.4% |
| Consulting Fee | $36,500 | 8 | 6.9% |
| Travel and Lodging | $5,877 | 3 | 1.1% |
| Food and Beverage | $2,029 | 19 | 0.4% |
| Gift | $62.50 | 1 | 0.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| The Institute of Musculoskeletal Science and Education | $485,567 | 54 | $0 (2023) |
| CTL Medical Corporation | $33,786 | 14 | $0 (2024) |
| Corentec America,Inc. | $8,229 | 2 | $0 (2017) |
| Wenzel Spine, Inc. | $1,337 | 4 | $0 (2024) |
| NuVasive, Inc. | $29.62 | 1 | $0 (2019) |
| DePuy Synthes Sales Inc. | $17.07 | 1 | $0 (2023) |
| Stryker Corporation | $13.68 | 1 | $0 (2022) |
| Camber Spine Technologoes | $13.04 | 1 | $0 (2017) |
| DJO, LLC | $10.55 | 1 | $0 (2018) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $10,320 | 7 | CTL Medical Corporation ($10,116) |
| 2023 | $68,365 | 12 | The Institute of Musculoskeletal Science and Education ($44,479) |
| 2022 | $39,027 | 8 | The Institute of Musculoskeletal Science and Education ($38,354) |
| 2021 | $29,513 | 5 | The Institute of Musculoskeletal Science and Education ($29,238) |
| 2020 | $41,379 | 4 | The Institute of Musculoskeletal Science and Education ($41,379) |
| 2019 | $55,721 | 5 | The Institute of Musculoskeletal Science and Education ($55,691) |
| 2018 | $124,376 | 12 | The Institute of Musculoskeletal Science and Education ($124,365) |
| 2017 | $160,310 | 27 | The Institute of Musculoskeletal Science and Education ($152,060) |
All Payment Transactions
80 individual payment records from CMS Open Payments — Page 1 of 4
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 05/30/2024 | CTL Medical Corporation | Spinal (Device) | Food and Beverage | Cash or cash equivalent | $43.06 | General |
| Category: Spinal Implants and Instruments | ||||||
| 04/18/2024 | Wenzel Spine, Inc. | VariLift (Device) | Food and Beverage | Cash or cash equivalent | $203.42 | General |
| Category: Implant | ||||||
| 03/20/2024 | CTL Medical Corporation | Spinal (Device) | Food and Beverage | Cash or cash equivalent | $33.78 | General |
| Category: Spinal Implants and Instruments | ||||||
| 01/29/2024 | CTL Medical Corporation | Spinal (Device) | Consulting Fee | Cash or cash equivalent | $3,500.00 | General |
| Category: Spinal Implants and Instruments | ||||||
| 01/19/2024 | CTL Medical Corporation | Spinal (Device) | Consulting Fee | Cash or cash equivalent | $2,500.00 | General |
| Category: Spinal Implants and Instruments | ||||||
| 01/12/2024 | CTL Medical Corporation | Spinal (Device) | Consulting Fee | Cash or cash equivalent | $4,000.00 | General |
| Category: Spinal Implants and Instruments | ||||||
| 01/03/2024 | CTL Medical Corporation | Spinal (Device) | Food and Beverage | Cash or cash equivalent | $39.33 | General |
| Category: Spinal Implants and Instruments | ||||||
| 12/29/2023 | The Institute of Musculoskeletal Science and Education | Spira (Device) | Royalty or License | Cash or cash equivalent | $7,252.59 | General |
| Category: Spine | ||||||
| 12/22/2023 | The Institute of Musculoskeletal Science and Education | Spira (Device) | Royalty or License | Cash or cash equivalent | $12,622.98 | General |
| Category: Spine | ||||||
| 12/15/2023 | The Institute of Musculoskeletal Science and Education | Spira (Device) | Royalty or License | Cash or cash equivalent | $12,259.82 | General |
| Category: Spine | ||||||
| 11/07/2023 | The Institute of Musculoskeletal Science and Education | Spira (Device) | Royalty or License | Cash or cash equivalent | $12,344.05 | General |
| Category: Spine | ||||||
| 10/18/2023 | DePuy Synthes Sales Inc. | CRANIOPLASTIC (Device) | Food and Beverage | In-kind items and services | $17.07 | General |
| Category: Neurosurgery | ||||||
| 10/02/2023 | CTL Medical Corporation | Spinal (Device) | Consulting Fee | Cash or cash equivalent | $2,500.00 | General |
| Category: Spinal Implants and Instruments | ||||||
| 08/22/2023 | CTL Medical Corporation | Spinal (Device) | Consulting Fee | Cash or cash equivalent | $12,500.00 | General |
| Category: Spinal Implants and Instruments | ||||||
| 07/26/2023 | CTL Medical Corporation | Spinal (Device) | Food and Beverage | Cash or cash equivalent | $35.37 | General |
| Category: Spinal Implants and Instruments | ||||||
| 05/04/2023 | CTL Medical Corporation | Spinal (Device) | Consulting Fee | Cash or cash equivalent | $4,000.00 | General |
| Category: Spinal Implants and Instruments | ||||||
| 05/02/2023 | Wenzel Spine, Inc. | VariLift (Device) | Food and Beverage | Cash or cash equivalent | $294.50 | General |
| Category: Spine | ||||||
| 04/20/2023 | CTL Medical Corporation | Spinal (Device) | Consulting Fee | Cash or cash equivalent | $4,500.00 | General |
| Category: Spinal Implants and Instruments | ||||||
| 03/29/2023 | CTL Medical Corporation | Spinal (Device) | Food and Beverage | Cash or cash equivalent | $38.87 | General |
| Category: Spinal Implants and Instruments | ||||||
| 12/12/2022 | The Institute of Musculoskeletal Science and Education | Spira (Device) | Royalty or License | Cash or cash equivalent | $10,761.58 | General |
| Category: Spine | ||||||
| 11/02/2022 | The Institute of Musculoskeletal Science and Education | Spira (Device) | Royalty or License | Cash or cash equivalent | $9,647.42 | General |
| Category: Spine | ||||||
| 09/15/2022 | Wenzel Spine, Inc. | VariLift (Device) | Food and Beverage | Cash or cash equivalent | $563.53 | General |
| Category: Spine Implant | ||||||
| 09/13/2022 | CTL Medical Corporation | SPINAL (Device) | Food and Beverage | Cash or cash equivalent | $55.98 | General |
| Category: Spinal Implants and Instruments | ||||||
| 06/10/2022 | The Institute of Musculoskeletal Science and Education | Spira (Device) | Royalty or License | Cash or cash equivalent | $8,868.38 | General |
| Category: Spine | ||||||
| 04/25/2022 | Stryker Corporation | CORE (Device) | Food and Beverage | In-kind items and services | $13.68 | General |
| Category: NEURO SPINE ENT | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 3 | 89 | 102 | $28,189 | $7,589 |
| 2022 | 7 | 152 | 206 | $157,044 | $41,794 |
| 2021 | 11 | 271 | 341 | $263,915 | $72,606 |
| 2020 | 10 | 257 | 348 | $290,294 | $82,009 |
Total Patients
769
Total Services
997
Medicare Billing
$203,997
Procedure Codes
31
All Medicare Procedures & Services
31 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 46 | 59 | $17,582 | $4,808 | 27.3% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 28 | 28 | $8,372 | $2,184 | 26.1% |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | Office | 2023 | 15 | 15 | $2,235 | $596.54 | 26.7% |
| 22633 | Fusion of spine in lower back with partial removal of spine bone and disc | Facility | 2022 | 14 | 14 | $70,180 | $18,177 | 25.9% |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | Facility | 2022 | 13 | 39 | $28,576 | $7,483 | 26.2% |
| 22634 | Fusion of additional segment of spine with partial removal of spine bone and disc | Facility | 2022 | 11 | 18 | $24,709 | $6,328 | 25.6% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 44 | 59 | $16,598 | $5,001 | 30.1% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 37 | 37 | $10,367 | $2,744 | 26.5% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 18 | 23 | $4,374 | $1,406 | 32.1% |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | Office | 2022 | 15 | 16 | $2,240 | $654.59 | 29.2% |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach, single interspace and segment | Facility | 2021 | 19 | 19 | $93,518 | $23,699 | 25.3% |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | Facility | 2021 | 26 | 79 | $56,880 | $15,405 | 27.1% |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | Facility | 2021 | 12 | 12 | $24,096 | $6,907 | 28.7% |
| 22634 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach, single interspace and segment, each additional interspace and segment | Facility | 2021 | 11 | 18 | $23,904 | $6,734 | 28.2% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 53 | 60 | $16,440 | $5,098 | 31.0% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 44 | 44 | $18,436 | $4,909 | 26.6% |
| 99205 | New patient outpatient visit, total time 60-74 minutes | Office | 2021 | 21 | 21 | $11,067 | $3,300 | 29.8% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 26 | 28 | $5,208 | $1,923 | 36.9% |
| 99215 | Established patient outpatient visit, total time 40-54 minutes | Office | 2021 | 14 | 14 | $5,166 | $1,877 | 36.3% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 21 | 21 | $5,775 | $1,805 | 31.3% |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | Office | 2021 | 24 | 25 | $3,425 | $948.59 | 27.7% |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | Facility | 2020 | 14 | 14 | $64,316 | $18,482 | 28.7% |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | Facility | 2020 | 13 | 13 | $63,986 | $18,329 | 28.6% |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | Facility | 2020 | 26 | 75 | $54,000 | $15,113 | 28.0% |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | Facility | 2020 | 14 | 14 | $26,908 | $7,921 | 29.4% |
About Dr. James Randle, M.D
Dr. James Randle, M.D is a Neurological Surgery healthcare provider based in Nacogdoches, Texas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 08/30/2006. The National Provider Identifier (NPI) number assigned to this provider is 1457460370.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. James Randle, M.D has received a total of $529,010 in payments from pharmaceutical and medical device companies, with $10,320 received in 2024. These payments were reported across 80 transactions from 10 companies. The most common payment nature is "Royalty or License" ($360,542).
As a Medicare-enrolled provider, Randle has provided services to 769 Medicare beneficiaries, totaling 997 services with total Medicare billing of $203,997. Data is available for 4 years (2020–2023), covering 31 distinct procedure/service records.
Ad
Practice Information
- Specialty Neurological Surgery
- Location Nacogdoches, TX
- Active Since 08/30/2006
- Last Updated 09/10/2010
- Taxonomy Code 207T00000X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1457460370
Products in Payments
- Orthros (Device) $159,964
- Spira (Device) $82,833
- Spinal (Device) $33,690
- Lospa Modular Knee System (Device) $8,229
- VariLift (Device) $1,061
- VariLift-LX (Device) $275.14
- SPINAL (Device) $95.58
- XLIF (Device) $29.62
- CRANIOPLASTIC (Device) $17.07
- CORE (Device) $13.68
- CMF SPINALOGIC (Device) $10.55
- COFLEX (Device) $8.00
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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.