Covered recipient · General Payments record

PAUL J HOULE

Allopathic & Osteopathic Physicians Neurological Surgery

NPI: 1184624330
CMS profile: 7934
Location: HYANNIS, MA

General Payments · PY2018–2024

$696,276.24

Reported across 657 records
CMS publication 2026-01-23

Latest program year · PY2024

$155,696.53

152 records · 0 disputed

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	$115,200.00	8
Travel and Lodging	$25,417.20	59
Royalty or License	$8,671.99	4
Food and Beverage	$6,332.34	80
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$75.00	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Integrity Implants Inc.	$134,792.60	86
Alphatec Spine, Inc	$9,003.05	22
Kuros Biosciences USA, Inc	$7,356.21	9
Arthrex, Inc.	$2,640.70	23
Kairos Surgical Inc	$721.12	2
SPINEART USA INC	$590.00	1
Cerapedics Inc.	$176.32	1
DePuy Synthes Sales Inc.	$171.07	3
Augmedics Inc.	$91.57	1
Highridge Medical LLC	$86.46	1
Medtronic, Inc.	$37.38	2
Medical Device Business Services, Inc.	$30.05	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$38,905.05	75
PY2019	$124,606.82	39
PY2020	$103,504.68	99
PY2021	$80,788.72	112
PY2022	$97,607.66	96
PY2023	$95,166.78	84
PY2024	$155,696.53	152

Payment records · PY2024 (152)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2018 2019 2020 2021 2022 2023 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
Alphatec Spine, Inc	$25.00	03/14/2024	Travel and Lodging	Undisputed	01/23/2026	1095495996	CMS
Alphatec Spine, Inc	$2,589.49	03/14/2024	Travel and Lodging	Undisputed	01/23/2026	1095495998	CMS
Alphatec Spine, Inc	$113.66	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1095496020	CMS
Alphatec Spine, Inc	$127.65	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1095496022	CMS
Alphatec Spine, Inc	$24.45	04/02/2024	Travel and Lodging	Undisputed	01/23/2026	1095496024	CMS
Alphatec Spine, Inc	$162.76	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1095496018	CMS
Alphatec Spine, Inc	$1,154.20	04/11/2024	Travel and Lodging	Undisputed	01/23/2026	1095495966	CMS
Alphatec Spine, Inc	$15.05	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1095496014	CMS
Alphatec Spine, Inc	$537.71	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1095496016	CMS
Alphatec Spine, Inc	$1,477.06	10/17/2024	Travel and Lodging	Undisputed	01/23/2026	1095496006	CMS
Alphatec Spine, Inc	$18.08	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1095496086	CMS
Alphatec Spine, Inc	$100.89	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1095496078	CMS
Alphatec Spine, Inc	$83.63	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1095496080	CMS
Alphatec Spine, Inc	$128.18	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1095496092	CMS
Alphatec Spine, Inc	$98.61	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1095496084	CMS
Alphatec Spine, Inc	$15.09	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1095496088	CMS
Alphatec Spine, Inc	$25.56	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1095496090	CMS
Alphatec Spine, Inc	$877.35	12/10/2024	Travel and Lodging	Undisputed	01/23/2026	1095496094	CMS
Alphatec Spine, Inc	$518.00	12/12/2024	Travel and Lodging	Undisputed	01/23/2026	1095495976	CMS
Alphatec Spine, Inc	$156.00	12/13/2024	Travel and Lodging	Undisputed	01/23/2026	1095496082	CMS
Alphatec Spine, Inc	$141.00	12/13/2024	Travel and Lodging	Undisputed	01/23/2026	1095496098	CMS
Alphatec Spine, Inc	$613.63	12/21/2024	Travel and Lodging	Undisputed	01/23/2026	1095496096	CMS
Arthrex, Inc.	$427.35	01/05/2024	Travel and Lodging	Undisputed	01/23/2026	1146557790	CMS
Arthrex, Inc.	$5.00	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1146557794	CMS
Arthrex, Inc.	$5.00	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1146557796	CMS
Arthrex, Inc.	$24.00	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1146557798	CMS
Arthrex, Inc.	$30.00	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1146557812	CMS
Arthrex, Inc.	$427.35	01/06/2024	Travel and Lodging	Undisputed	01/23/2026	1146557788	CMS
Arthrex, Inc.	$10.00	01/06/2024	Food and Beverage	Undisputed	01/23/2026	1146557800	CMS
Arthrex, Inc.	$10.00	01/06/2024	Food and Beverage	Undisputed	01/23/2026	1146557802	CMS
Arthrex, Inc.	$5.00	01/06/2024	Food and Beverage	Undisputed	01/23/2026	1146557804	CMS
Arthrex, Inc.	$5.00	01/06/2024	Food and Beverage	Undisputed	01/23/2026	1146557806	CMS
Arthrex, Inc.	$5.00	01/06/2024	Food and Beverage	Undisputed	01/23/2026	1146557808	CMS
Arthrex, Inc.	$5.00	01/06/2024	Food and Beverage	Undisputed	01/23/2026	1146557810	CMS
Arthrex, Inc.	$50.00	01/06/2024	Food and Beverage	Undisputed	01/23/2026	1146557814	CMS
Arthrex, Inc.	$173.90	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1146557792	CMS
Arthrex, Inc.	$786.20	10/31/2024	Travel and Lodging	Undisputed	01/23/2026	1146557816	CMS
Arthrex, Inc.	$238.65	11/07/2024	Travel and Lodging	Undisputed	01/23/2026	1146557832	CMS
Arthrex, Inc.	$24.00	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1146557820	CMS
Arthrex, Inc.	$10.00	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1146557822	CMS
Arthrex, Inc.	$10.00	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1146557824	CMS
Arthrex, Inc.	$75.00	11/13/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1146557818	CMS
Arthrex, Inc.	$131.82	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1146557830	CMS
Arthrex, Inc.	$86.44	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1146557826	CMS
Arthrex, Inc.	$95.99	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1146557828	CMS
Augmedics Inc.	$91.57	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1140892050	CMS
Cerapedics Inc.	$176.32	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1133356932	CMS
DePuy Synthes Sales Inc.	$28.20	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1077852332	CMS
DePuy Synthes Sales Inc.	$25.00	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1077852366	CMS
DePuy Synthes Sales Inc.	$117.87	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1077852339	CMS
Highridge Medical LLC	$86.46	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1149013204	CMS
Integrity Implants Inc. dba Accelus	$2,400.00	01/12/2024	Consulting Fee	Undisputed	01/23/2026	1151326409	CMS
Integrity Implants Inc. dba Accelus	$16.51	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1151326431	CMS
Integrity Implants Inc. dba Accelus	$35.03	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1151326433	CMS
Integrity Implants Inc. dba Accelus	$3,000.00	01/12/2024	Travel and Lodging	Undisputed	01/23/2026	1151326503	CMS
Integrity Implants Inc. dba Accelus	$177.12	01/13/2024	Food and Beverage	Undisputed	01/23/2026	1151326435	CMS
Integrity Implants Inc. dba Accelus	$31.26	01/13/2024	Food and Beverage	Undisputed	01/23/2026	1151326437	CMS
Integrity Implants Inc. dba Accelus	$270.00	01/15/2024	Travel and Lodging	Undisputed	01/23/2026	1151326505	CMS
Integrity Implants Inc. dba Accelus	$300.00	01/15/2024	Travel and Lodging	Undisputed	01/23/2026	1151326507	CMS
Integrity Implants Inc. dba Accelus	$1,777.05	03/31/2024	Royalty or License	Undisputed	01/23/2026	1151326423	CMS
Integrity Implants Inc. dba Accelus	$36.04	04/07/2024	Food and Beverage	Undisputed	01/23/2026	1151326439	CMS
Integrity Implants Inc. dba Accelus	$431.31	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1151326441	CMS
Integrity Implants Inc. dba Accelus	$1,253.20	04/13/2024	Travel and Lodging	Undisputed	01/23/2026	1151326509	CMS
Integrity Implants Inc. dba Accelus	$53.64	04/26/2024	Travel and Lodging	Undisputed	01/23/2026	1151326511	CMS
Integrity Implants Inc. dba Accelus	$118.01	04/27/2024	Food and Beverage	Undisputed	01/23/2026	1151326443	CMS
Integrity Implants Inc. dba Accelus	$16.30	04/27/2024	Food and Beverage	Undisputed	01/23/2026	1151326445	CMS
Integrity Implants Inc. dba Accelus	$11.26	04/28/2024	Food and Beverage	Undisputed	01/23/2026	1151326447	CMS
Integrity Implants Inc. dba Accelus	$23.31	04/28/2024	Food and Beverage	Undisputed	01/23/2026	1151326449	CMS
Integrity Implants Inc. dba Accelus	$1,109.70	05/02/2024	Travel and Lodging	Undisputed	01/23/2026	1151326513	CMS
Integrity Implants Inc. dba Accelus	$999.70	05/02/2024	Travel and Lodging	Undisputed	01/23/2026	1151326515	CMS
Integrity Implants Inc. dba Accelus	$166.96	05/11/2024	Food and Beverage	Undisputed	01/23/2026	1151326451	CMS
Integrity Implants Inc. dba Accelus	$52.87	05/11/2024	Food and Beverage	Undisputed	01/23/2026	1151326453	CMS
Integrity Implants Inc. dba Accelus	$27.49	05/11/2024	Food and Beverage	Undisputed	01/23/2026	1151326455	CMS
Integrity Implants Inc. dba Accelus	$9.61	05/11/2024	Travel and Lodging	Undisputed	01/23/2026	1151326517	CMS
Integrity Implants Inc. dba Accelus	$12.57	05/12/2024	Food and Beverage	Undisputed	01/23/2026	1151326457	CMS
Integrity Implants Inc. dba Accelus	$30.60	05/12/2024	Food and Beverage	Undisputed	01/23/2026	1151326459	CMS
Integrity Implants Inc. dba Accelus	$247.47	05/12/2024	Travel and Lodging	Undisputed	01/23/2026	1151326519	CMS
Integrity Implants Inc. dba Accelus	$87.32	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1151326461	CMS
Integrity Implants Inc. dba Accelus	$4,800.00	06/08/2024	Consulting Fee	Undisputed	01/23/2026	1151326411	CMS
Integrity Implants Inc. dba Accelus	$11.07	06/08/2024	Food and Beverage	Undisputed	01/23/2026	1151326463	CMS
Integrity Implants Inc. dba Accelus	$33.15	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1151326465	CMS
Integrity Implants Inc. dba Accelus	$300.00	06/13/2024	Travel and Lodging	Undisputed	01/23/2026	1151326521	CMS
Integrity Implants Inc. dba Accelus	$290.15	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1151326467	CMS
Integrity Implants Inc. dba Accelus	$18.25	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1151326469	CMS
Integrity Implants Inc. dba Accelus	$18.71	06/14/2024	Travel and Lodging	Undisputed	01/23/2026	1151326523	CMS
Integrity Implants Inc. dba Accelus	$156.77	06/14/2024	Travel and Lodging	Undisputed	01/23/2026	1151326525	CMS
Integrity Implants Inc. dba Accelus	$132.58	06/14/2024	Travel and Lodging	Undisputed	01/23/2026	1151326527	CMS
Integrity Implants Inc. dba Accelus	$93.59	06/14/2024	Travel and Lodging	Undisputed	01/23/2026	1151326529	CMS
Integrity Implants Inc. dba Accelus	$3.62	06/15/2024	Travel and Lodging	Undisputed	01/23/2026	1151326531	CMS
Integrity Implants Inc. dba Accelus	$300.00	06/15/2024	Travel and Lodging	Undisputed	01/23/2026	1151326533	CMS
Integrity Implants Inc. dba Accelus	$300.00	06/15/2024	Travel and Lodging	Undisputed	01/23/2026	1151326535	CMS
Integrity Implants Inc. dba Accelus	$27.76	06/16/2024	Food and Beverage	Undisputed	01/23/2026	1151326471	CMS
Integrity Implants Inc. dba Accelus	$348.48	06/19/2024	Travel and Lodging	Undisputed	01/23/2026	1151326537	CMS
Integrity Implants Inc. dba Accelus	$318.48	06/22/2024	Travel and Lodging	Undisputed	01/23/2026	1151326539	CMS
Integrity Implants Inc. dba Accelus	$2,570.25	06/30/2024	Royalty or License	Undisputed	01/23/2026	1151326425	CMS
Integrity Implants Inc. dba Accelus	$25.00	07/17/2024	Travel and Lodging	Undisputed	01/23/2026	1151326541	CMS
Integrity Implants Inc. dba Accelus	$50.83	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1151326473	CMS
Integrity Implants Inc. dba Accelus	$572.11	07/18/2024	Travel and Lodging	Undisputed	01/23/2026	1151326543	CMS
Integrity Implants Inc. dba Accelus	$678.47	07/19/2024	Travel and Lodging	Undisputed	01/23/2026	1151326545	CMS
Integrity Implants Inc. dba Accelus	$337.97	07/19/2024	Travel and Lodging	Undisputed	01/23/2026	1151326547	CMS
Integrity Implants Inc. dba Accelus	$388.22	07/20/2024	Travel and Lodging	Undisputed	01/23/2026	1151326549	CMS
Integrity Implants Inc. dba Accelus	$75.93	07/26/2024	Travel and Lodging	Undisputed	01/23/2026	1151326551	CMS
Integrity Implants Inc. dba Accelus	$110.18	07/28/2024	Food and Beverage	Undisputed	01/23/2026	1151326475	CMS
Integrity Implants Inc. dba Accelus	$272.06	07/28/2024	Travel and Lodging	Undisputed	01/23/2026	1151326553	CMS
Integrity Implants Inc. dba Accelus	$3.38	07/28/2024	Travel and Lodging	Undisputed	01/23/2026	1151326555	CMS
Integrity Implants Inc. dba Accelus	$15.18	07/29/2024	Travel and Lodging	Undisputed	01/23/2026	1151326557	CMS
Integrity Implants Inc. dba Accelus	$282.00	07/29/2024	Travel and Lodging	Undisputed	01/23/2026	1151326559	CMS
Integrity Implants Inc. dba Accelus	$282.00	07/31/2024	Travel and Lodging	Undisputed	01/23/2026	1151326561	CMS
Integrity Implants Inc. dba Accelus	$48,000.00	08/01/2024	Consulting Fee	Undisputed	01/23/2026	1151326413	CMS
Integrity Implants Inc. dba Accelus	$16.16	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1151326477	CMS
Integrity Implants Inc. dba Accelus	$133.72	08/10/2024	Food and Beverage	Undisputed	01/23/2026	1151326479	CMS
Integrity Implants Inc. dba Accelus	$12.51	08/10/2024	Food and Beverage	Undisputed	01/23/2026	1151326481	CMS
Integrity Implants Inc. dba Accelus	$21.52	08/11/2024	Food and Beverage	Undisputed	01/23/2026	1151326483	CMS
Integrity Implants Inc. dba Accelus	$38.55	08/11/2024	Food and Beverage	Undisputed	01/23/2026	1151326485	CMS
Integrity Implants Inc. dba Accelus	$3.18	08/11/2024	Food and Beverage	Undisputed	01/23/2026	1151326487	CMS
Integrity Implants Inc. dba Accelus	$194.66	08/12/2024	Travel and Lodging	Undisputed	01/23/2026	1151326563	CMS
Integrity Implants Inc. dba Accelus	$312.00	08/13/2024	Travel and Lodging	Undisputed	01/23/2026	1151326565	CMS
Integrity Implants Inc. dba Accelus	$282.00	08/17/2024	Travel and Lodging	Undisputed	01/23/2026	1151326567	CMS
Integrity Implants Inc. dba Accelus	$12,000.00	09/01/2024	Consulting Fee	Undisputed	01/23/2026	1151326415	CMS
Integrity Implants Inc. dba Accelus	$428.48	09/05/2024	Travel and Lodging	Undisputed	01/23/2026	1151326569	CMS
Integrity Implants Inc. dba Accelus	$771.96	09/11/2024	Travel and Lodging	Undisputed	01/23/2026	1151326571	CMS
Integrity Implants Inc. dba Accelus	$56.99	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1151326489	CMS
Integrity Implants Inc. dba Accelus	$24.11	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1151326491	CMS
Integrity Implants Inc. dba Accelus	$300.20	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1151326493	CMS
Integrity Implants Inc. dba Accelus	$45.00	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1151326495	CMS
Integrity Implants Inc. dba Accelus	$155.28	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1151326497	CMS
Integrity Implants Inc. dba Accelus	$24.17	09/27/2024	Travel and Lodging	Undisputed	01/23/2026	1151326573	CMS
Integrity Implants Inc. dba Accelus	$29.58	09/28/2024	Food and Beverage	Undisputed	01/23/2026	1151326499	CMS
Integrity Implants Inc. dba Accelus	$19.76	09/28/2024	Travel and Lodging	Undisputed	01/23/2026	1151326575	CMS
Integrity Implants Inc. dba Accelus	$10.04	09/28/2024	Travel and Lodging	Undisputed	01/23/2026	1151326577	CMS
Integrity Implants Inc. dba Accelus	$18.72	09/28/2024	Travel and Lodging	Undisputed	01/23/2026	1151326579	CMS
Integrity Implants Inc. dba Accelus	$58.80	09/29/2024	Food and Beverage	Undisputed	01/23/2026	1151326501	CMS
Integrity Implants Inc. dba Accelus	$2,442.80	09/30/2024	Royalty or License	Undisputed	01/23/2026	1151326427	CMS
Integrity Implants Inc. dba Accelus	$12,000.00	10/01/2024	Consulting Fee	Undisputed	01/23/2026	1151326417	CMS
Integrity Implants Inc. dba Accelus	$15,000.00	10/01/2024	Consulting Fee	Undisputed	01/23/2026	1151326419	CMS
Integrity Implants Inc. dba Accelus	$15,000.00	10/01/2024	Consulting Fee	Undisputed	01/23/2026	1151326421	CMS
Integrity Implants Inc. dba Accelus	$1,881.89	12/31/2024	Royalty or License	Undisputed	01/23/2026	1151326429	CMS
Kairos Surgical Inc	$697.79	01/05/2024	Travel and Lodging	Undisputed	01/23/2026	1153902638	CMS
Kairos Surgical Inc	$23.33	11/08/2024	Travel and Lodging	Undisputed	01/23/2026	1153902642	CMS
Kuros Biosciences USA, Inc	$715.21	11/01/2024	Travel and Lodging	Undisputed	01/23/2026	1139157785	CMS
Kuros Biosciences USA, Inc	$30.00	11/01/2024	Travel and Lodging	Undisputed	01/23/2026	1139157787	CMS
Kuros Biosciences USA, Inc	$168.47	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1139157789	CMS
Kuros Biosciences USA, Inc	$49.13	12/06/2024	Travel and Lodging	Undisputed	01/23/2026	1139157791	CMS
Kuros Biosciences USA, Inc	$236.35	12/06/2024	Travel and Lodging	Undisputed	01/23/2026	1139157793	CMS
Kuros Biosciences USA, Inc	$41.18	12/07/2024	Food and Beverage	Undisputed	01/23/2026	1139157795	CMS
Kuros Biosciences USA, Inc	$49.03	12/07/2024	Food and Beverage	Undisputed	01/23/2026	1139157797	CMS
Kuros Biosciences USA, Inc	$66.84	12/07/2024	Food and Beverage	Undisputed	01/23/2026	1139157799	CMS
Kuros Biosciences USA, Inc	$6,000.00	12/30/2024	Consulting Fee	Undisputed	01/23/2026	1139157801	CMS
Medical Device Business Services, Inc.	$30.05	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1077786804	CMS
Medtronic, Inc.	$13.61	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1117099775	CMS
Medtronic, Inc.	$23.77	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1117099777	CMS
SPINEART USA INC	$590.00	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1140052558	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

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

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.