Covered recipient · General Payments record
IAN R BYRAM
Allopathic & Osteopathic Physicians Orthopaedic Surgery Sports Medicine
General Payments · PY2018–2024
$228,426.36
- Reported across 255 records
- CMS publication 2026-01-23
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How these totals are calculated
- The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
- General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
- Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
- Methodology & Data — sourcing, labeling, and limitations.
By nature of payment
PY2024 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Consulting Fee | $26,183.62 | 11 |
| Travel and Lodging | $1,944.21 | 4 |
| Food and Beverage | $1,497.76 | 14 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| EXACTECH, INC. | $29,018.01 | 20 |
| Shoulder Innovations, Inc. | $243.69 | 1 |
| Smith & Nephew, Inc. | $155.67 | 3 |
| Arthrex, Inc. | $101.57 | 1 |
| Stryker Corporation | $42.88 | 2 |
| DePuy Synthes Sales Inc. | $40.11 | 1 |
| Ethicon US, LLC | $23.66 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (29)
Sorted by paying entity, then date · as published by CMS
Program year 2024 201820192020202120222023
Record-level detail is published for PY2024; earlier years are summarised in
“By program year”.
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Arthrex, Inc. | $101.57 | 02/22/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1146537196 | CMS |
| DePuy Synthes Sales Inc. | $40.11 | 10/01/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1077888764 | CMS |
| Ethicon US, LLC | $23.66 | 06/25/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1077645460 | CMS |
| EXACTECH, INC. | $69.92 | 01/19/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1151236547 | CMS |
| EXACTECH, INC. | $5,750.00 | 01/19/2024 | Consulting Fee | Undisputed | 01/23/2026 | 1151236581 | CMS |
| EXACTECH, INC. | $285.59 | 01/21/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1151236545 | CMS |
| EXACTECH, INC. | $1,500.00 | 02/13/2024 | Consulting Fee | Undisputed | 01/23/2026 | 1151236585 | CMS |
| EXACTECH, INC. | $500.00 | 02/29/2024 | Consulting Fee | Undisputed | 01/23/2026 | 1151236583 | CMS |
| EXACTECH, INC. | $500.00 | 03/28/2024 | Consulting Fee | Undisputed | 01/23/2026 | 1151236549 | CMS |
| EXACTECH, INC. | $500.00 | 04/03/2024 | Consulting Fee | Undisputed | 01/23/2026 | 1151234633 | CMS |
| EXACTECH, INC. | $185.21 | 04/05/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1151234629 | CMS |
| EXACTECH, INC. | $5,545.00 | 04/05/2024 | Consulting Fee | Undisputed | 01/23/2026 | 1151234631 | CMS |
| EXACTECH, INC. | $227.48 | 04/05/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1151234635 | CMS |
| EXACTECH, INC. | $535.15 | 08/01/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1151234221 | CMS |
| EXACTECH, INC. | $274.30 | 08/01/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1151234223 | CMS |
| EXACTECH, INC. | $38.24 | 08/01/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1151234251 | CMS |
| EXACTECH, INC. | $1,111.66 | 08/01/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1151234253 | CMS |
| EXACTECH, INC. | $750.00 | 08/01/2024 | Consulting Fee | Undisputed | 01/23/2026 | 1151234257 | CMS |
| EXACTECH, INC. | $8,138.62 | 08/01/2024 | Consulting Fee | Undisputed | 01/23/2026 | 1151234259 | CMS |
| EXACTECH, INC. | $500.00 | 09/26/2024 | Consulting Fee | Undisputed | 01/23/2026 | 1151234255 | CMS |
| EXACTECH, INC. | $1,500.00 | 10/18/2024 | Consulting Fee | Undisputed | 01/23/2026 | 1151234387 | CMS |
| EXACTECH, INC. | $106.84 | 10/18/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1151234395 | CMS |
| EXACTECH, INC. | $1,000.00 | 11/01/2024 | Consulting Fee | Undisputed | 01/23/2026 | 1151234389 | CMS |
| Shoulder Innovations, Inc. | $243.69 | 09/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1154013111 | CMS |
| Smith+Nephew, Inc. | $30.10 | 01/03/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1149497633 | CMS |
| Smith+Nephew, Inc. | $99.44 | 07/18/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1149497635 | CMS |
| Smith+Nephew, Inc. | $26.13 | 11/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1149497631 | CMS |
| Stryker Corporation | $18.36 | 04/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119789592 | CMS |
| Stryker Corporation | $24.52 | 04/25/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119789594 | CMS |
Source & provenance
- Dataset
- CMS Open Payments — General Payments
- Publisher of source data
- Centers for Medicare & Medicaid Services
- CMS publication date
- 2026-01-23
- Program years on this page
- 2018, 2019, 2020, 2021, 2022, 2023, 2024
- Source files
- Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
- Generated from
- OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv
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Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.