Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

ADRIAN LEE BUTLER

Allopathic & Osteopathic Physicians Orthopaedic Surgery Hand Surgery

NPI
1457473597
CMS profile
603755
Location
TYLER, TX

General Payments · PY2018–2024

$16,828.65

  • Reported across 138 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,897.74

28 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 paymentAmountRecords
Food and Beverage $975.48 25
Travel and Lodging $922.26 3

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Pylant Medical $794.70 5
Arthrex, Inc. $521.30 4
AXOGEN $220.43 3
Integra LifeSciences Corporation $165.04 6
Endo USA, Inc. $66.70 3
PolyNovo North America LLC $50.66 3
Endo Pharmaceuticals Inc. $22.65 1
Bioventus LLC $20.72 1
Ferring Pharmaceuticals Inc. $20.18 1
Sonex Health, Inc. $15.36 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $2,024.83 15
PY2019 $3,497.12 29
PY2020 $111.12 2
PY2021 $7,973.11 39
PY2022 $199.31 3
PY2023 $1,125.42 22
PY2024 $1,897.74 28

Payment records · PY2024 (28)

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. $238.65 10/24/2024 Travel and Lodging Undisputed 01/23/2026 1146541988 CMS
Arthrex, Inc. $10.00 10/25/2024 Food and Beverage Undisputed 01/23/2026 1146541984 CMS
Arthrex, Inc. $34.00 10/25/2024 Food and Beverage Undisputed 01/23/2026 1146541986 CMS
Arthrex, Inc. $238.65 10/25/2024 Travel and Lodging Undisputed 01/23/2026 1146541990 CMS
AXOGEN $77.55 01/30/2024 Food and Beverage Undisputed 01/23/2026 1143635081 CMS
AXOGEN $24.80 05/09/2024 Food and Beverage Undisputed 01/23/2026 1143638001 CMS
AXOGEN $118.08 07/31/2024 Food and Beverage Undisputed 01/23/2026 1143640116 CMS
Bioventus LLC $20.72 05/30/2024 Food and Beverage Undisputed 01/23/2026 1137437623 CMS
Endo Pharmaceuticals Inc. $22.65 01/19/2024 Food and Beverage Undisputed 01/23/2026 1137013006 CMS
Endo USA, Inc. $22.94 05/07/2024 Food and Beverage Undisputed 01/23/2026 1138578268 CMS
Endo USA, Inc. $21.14 09/24/2024 Food and Beverage Undisputed 01/23/2026 1138578270 CMS
Endo USA, Inc. $22.62 11/18/2024 Food and Beverage Undisputed 01/23/2026 1138578272 CMS
Ferring Pharmaceuticals Inc. $20.18 07/23/2024 Food and Beverage Undisputed 01/23/2026 1137467386 CMS
Integra LifeSciences Corporation $23.19 04/03/2024 Food and Beverage Undisputed 01/23/2026 1140071523 CMS
Integra LifeSciences Corporation $32.59 04/04/2024 Food and Beverage Undisputed 01/23/2026 1140071519 CMS
Integra LifeSciences Corporation $7.25 05/29/2024 Food and Beverage Undisputed 01/23/2026 1140071527 CMS
Integra LifeSciences Corporation $38.56 08/26/2024 Food and Beverage Undisputed 01/23/2026 1140071532 CMS
Integra LifeSciences Corporation $23.41 09/06/2024 Food and Beverage Undisputed 01/23/2026 1140071536 CMS
Integra LifeSciences Corporation $40.04 10/02/2024 Food and Beverage Undisputed 01/23/2026 1140071540 CMS
PolyNovo North America LLC $13.19 03/21/2024 Food and Beverage Undisputed 01/23/2026 1148174832 CMS
PolyNovo North America LLC $16.03 05/14/2024 Food and Beverage Undisputed 01/23/2026 1148174834 CMS
PolyNovo North America LLC $21.44 10/21/2024 Food and Beverage Undisputed 01/23/2026 1148174836 CMS
Pylant Medical $105.31 05/01/2024 Food and Beverage Undisputed 01/23/2026 1126525061 CMS
Pylant Medical $444.96 08/26/2024 Travel and Lodging Undisputed 01/23/2026 1126525055 CMS
Pylant Medical $30.65 09/12/2024 Food and Beverage Undisputed 01/23/2026 1126525057 CMS
Pylant Medical $96.22 10/24/2024 Food and Beverage Undisputed 01/23/2026 1126525053 CMS
Pylant Medical $117.56 10/25/2024 Food and Beverage Undisputed 01/23/2026 1126525059 CMS
Sonex Health, Inc. $15.36 05/02/2024 Food and Beverage Undisputed 01/23/2026 1134569008 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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