Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Consulting Fee | $53,313 | 38 | 65.4% |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $14,400 | 4 | 17.7% |
| Royalty or License | $8,184 | 8 | 10.0% |
| Travel and Lodging | $4,418 | 20 | 5.4% |
| Food and Beverage | $1,233 | 23 | 1.5% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Globus Medical, Inc. | $81,143 | 86 | $0 (2024) |
| Stryker Corporation | $178.95 | 2 | $0 (2017) |
| MEDACTA USA, INC. | $154.00 | 2 | $0 (2019) |
| Flexion Therapeutics, Inc. | $44.92 | 1 | $0 (2019) |
| DePuy Synthes Sales Inc. | $26.75 | 2 | $0 (2019) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $15,918 | 14 | Globus Medical, Inc. ($15,918) |
| 2023 | $27,950 | 27 | Globus Medical, Inc. ($27,950) |
| 2022 | $15,883 | 20 | Globus Medical, Inc. ($15,883) |
| 2021 | $11,025 | 13 | Globus Medical, Inc. ($11,025) |
| 2020 | $1,013 | 3 | Globus Medical, Inc. ($1,013) |
| 2019 | $7,357 | 10 | Globus Medical, Inc. ($7,143) |
| 2018 | $2,223 | 4 | Globus Medical, Inc. ($2,212) |
| 2017 | $178.95 | 2 | Stryker Corporation ($178.95) |
All Payment Transactions
93 individual payment records from CMS Open Payments — Page 1 of 4
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/12/2024 | Globus Medical, Inc. | Ankle Fracture System (Device) | Food and Beverage | In-kind items and services | $109.97 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 09/11/2024 | Globus Medical, Inc. | EVO Retrograde (Device) | Royalty or License | Cash or cash equivalent | $1,800.78 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 09/11/2024 | Globus Medical, Inc. | Stretto (Device) | Royalty or License | Cash or cash equivalent | $287.48 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 08/30/2024 | Globus Medical, Inc. | — | Consulting Fee | Cash or cash equivalent | $2,300.00 | General |
| 08/30/2024 | Globus Medical, Inc. | — | Consulting Fee | Cash or cash equivalent | $2,300.00 | General |
| 07/18/2024 | Globus Medical, Inc. | — | Travel and Lodging | In-kind items and services | $22.11 | General |
| 07/18/2024 | Globus Medical, Inc. | — | Travel and Lodging | In-kind items and services | $22.11 | General |
| 06/07/2024 | Globus Medical, Inc. | CREO (Device) | Travel and Lodging | Cash or cash equivalent | $450.40 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 06/07/2024 | Globus Medical, Inc. | CREO (Device) | Travel and Lodging | Cash or cash equivalent | $5.00 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 05/23/2024 | Globus Medical, Inc. | EVO Retrograde (Device) | Royalty or License | Cash or cash equivalent | $1,757.48 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 05/23/2024 | Globus Medical, Inc. | Stretto (Device) | Royalty or License | Cash or cash equivalent | $229.27 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 03/21/2024 | Globus Medical, Inc. | Distal Femur Plate System (Device) | Food and Beverage | In-kind items and services | $108.33 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 01/25/2024 | Globus Medical, Inc. | — | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | Cash or cash equivalent | $3,600.00 | General |
| 01/25/2024 | Globus Medical, Inc. | — | Consulting Fee | Cash or cash equivalent | $2,925.00 | General |
| 12/31/2023 | Globus Medical, Inc. | EVO Retrograde (Device) | Royalty or License | Cash or cash equivalent | $1,384.45 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 12/15/2023 | Globus Medical, Inc. | Periprosthetic Fracture (Device) | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | In-kind items and services | $3,600.00 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 12/15/2023 | Globus Medical, Inc. | Periprosthetic Fracture (Device) | Consulting Fee | Cash or cash equivalent | $2,925.00 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 12/15/2023 | Globus Medical, Inc. | Periprosthetic Fracture (Device) | Food and Beverage | In-kind items and services | $8.45 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 09/30/2023 | Globus Medical, Inc. | EVO Retrograde (Device) | Royalty or License | Cash or cash equivalent | $1,030.23 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 07/07/2023 | Globus Medical, Inc. | Periprosthetic Fracture (Device) | Consulting Fee | Cash or cash equivalent | $1,462.50 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 06/30/2023 | Globus Medical, Inc. | EVO Retrograde (Device) | Royalty or License | Cash or cash equivalent | $957.18 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 06/11/2023 | Globus Medical, Inc. | EVO Retrograde (Device) | Food and Beverage | In-kind items and services | $18.72 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 06/09/2023 | Globus Medical, Inc. | Periprosthetic Fracture (Device) | Travel and Lodging | In-kind items and services | $402.20 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 06/09/2023 | Globus Medical, Inc. | Periprosthetic Fracture (Device) | Travel and Lodging | In-kind items and services | $4.00 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 05/09/2023 | Globus Medical, Inc. | Tibial Nail (Device) | Food and Beverage | In-kind items and services | $3.84 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 13 | 491 | 545 | $239,094 | $85,622 |
| 2022 | 12 | 522 | 608 | $183,026 | $76,337 |
| 2021 | 12 | 574 | 697 | $189,601 | $85,058 |
| 2020 | 12 | 490 | 555 | $256,598 | $98,693 |
All Medicare Procedures & Services
49 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 27245 | Treatment of broken neck of thigh bone with bone implant | Facility | 2023 | 34 | 34 | $106,710 | $32,035 | 30.0% |
| 27236 | Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | Facility | 2023 | 19 | 19 | $50,035 | $17,641 | 35.3% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 101 | 102 | $25,417 | $10,080 | 39.7% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2023 | 108 | 140 | $9,480 | $6,137 | 64.7% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2023 | 64 | 72 | $7,459 | $4,677 | 62.7% |
| 23600 | Closed treatment of broken top of upper arm bone | Facility | 2023 | 15 | 15 | $8,016 | $3,652 | 45.6% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Facility | 2023 | 41 | 41 | $4,470 | $2,408 | 53.9% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 15 | 15 | $5,190 | $1,966 | 37.9% |
| 99284 | Emergency department visit with moderate level of medical decision making | Facility | 2023 | 20 | 20 | $7,360 | $1,874 | 25.5% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Facility | 2023 | 14 | 14 | $2,273 | $1,426 | 62.7% |
| 20610 | Aspiration and/or injection of fluid from large joint | Facility | 2023 | 28 | 41 | $4,735 | $1,411 | 29.8% |
| 27197 | Closed treatment of broken and/or dislocated pelvis and/or sacrum | Facility | 2023 | 13 | 13 | $3,845 | $1,258 | 32.7% |
| 99283 | Emergency department visit with low level of medical decision making | Facility | 2023 | 19 | 19 | $4,104 | $1,058 | 25.8% |
| 27245 | Treatment of broken neck of thigh bone with bone implant | Facility | 2022 | 26 | 26 | $78,208 | $25,475 | 32.6% |
| 27236 | Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | Facility | 2022 | 19 | 19 | $44,650 | $17,925 | 40.1% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2022 | 151 | 196 | $13,850 | $9,054 | 65.4% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 75 | 75 | $15,975 | $7,894 | 49.4% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2022 | 77 | 92 | $9,801 | $6,249 | 63.8% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Facility | 2022 | 55 | 55 | $6,257 | $3,125 | 49.9% |
| 20610 | Aspiration and/or injection of fluid from large joint | Facility | 2022 | 40 | 65 | $5,627 | $2,378 | 42.3% |
| 99221 | Initial hospital inpatient care per day, typically 30 minutes | Facility | 2022 | 21 | 21 | $3,338 | $1,654 | 49.5% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Facility | 2022 | 13 | 13 | $2,285 | $1,106 | 48.4% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Facility | 2022 | 20 | 21 | $921.00 | $588.35 | 63.9% |
| 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 | Facility | 2022 | 13 | 13 | $1,430 | $550.74 | 38.5% |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | Facility | 2022 | 12 | 12 | $684.00 | $339.02 | 49.6% |
About Dr. Thomas Shuler, MD
Dr. Thomas Shuler, MD is a Orthopaedic Surgery healthcare provider based in Roanoke, Virginia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 02/16/2006. The National Provider Identifier (NPI) number assigned to this provider is 1588638332.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Thomas Shuler, MD has received a total of $81,548 in payments from pharmaceutical and medical device companies, with $15,918 received in 2024. These payments were reported across 93 transactions from 5 companies. The most common payment nature is "Consulting Fee" ($53,313).
As a Medicare-enrolled provider, Shuler has provided services to 2,077 Medicare beneficiaries, totaling 2,405 services with total Medicare billing of $345,709. Data is available for 4 years (2020–2023), covering 49 distinct procedure/service records.
Practice Information
- Specialty Orthopaedic Surgery
- Location Roanoke, VA
- Active Since 02/16/2006
- Last Updated 03/14/2014
- Taxonomy Code 207X00000X
- Entity Type Individual
- NPI Number 1588638332
Products in Payments
- Periprosthetic Fracture (Device) $36,191
- A/R Femoral Nail (Device) $13,072
- EVO Retrograde (Device) $8,361
- Cerclage Cable Fixation (Device) $3,442
- Trauma (Device) $2,128
- Retrograde Nail (Device) $1,463
- Clavical Fixation (16-186) (Device) $827.04
- CABLE (Device) $675.00
- Stretto (Device) $516.75
- Syndesmosis Fixation (Device) $469.60
- Trauma - Prototype (Device) $460.59
- CREO (Device) $455.40
- Handpiece Power System (Device) $450.00
- Retrograde Fem Nail (Device) $337.50
- Clavicular Fracture Fixation (Device) $328.02
- gamma (Device) $178.95
- Distal Femur Plate System (Device) $177.95
- AUTOBAHN (Device) $147.69
- ANTHEM (Device) $142.58
- MASTERLOC (Device) $117.00
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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