Adam Fleischer
Foot & Ankle Surgery · Chicago, ILNPI 1932111606
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.9%), education and travel and lodging — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Medwest Associates at 36.8% of the total. Reporting peaked in 2021 at $3,284 and has fallen 85.9% since, to $463 in 2025.
Across 140 payments — averaging $69.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medwest Associates$4K
- Smith+Nephew$2K
- Endo Pharmaceuticals Inc.$1K
- Stryker$631
- Kerecis Limited$419
- KCI USA, Inc.$250
- plus $1K from 17 others
Across 1 payment — averaging $1500.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Bristol Myers Squibb$2K
What the payments were for
- Consulting fees$2503%
- Travel & lodging$99210%
- Food & beverage$4,92451%
- Education$3,51636%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Medwest Associates | 6 | $3,565 |
| Smith+Nephew | 85 | $2,440 |
| Endo Pharmaceuticals Inc. | 8 | $1,298 |
| Stryker(2 entities) | 5 | $631 |
| Kerecis Limited | 4 | $419 |
| KCI USA, Inc. | 1 | $250 |
| Alafair Biosciences, Inc. | 2 | $177 |
| Organogenesis Inc. | 5 | $176 |
| Medline Industries LP | 2 | $125 |
| Orthofix Medical, Inc. | 3 | $100 |
| Zimmer Biomet | 2 | $91 |
| Johnson & Johnson | 3 | $74 |
| Nevro Corp. | 2 | $57 |
| Amgen | 2 | $50 |
| Globus Medical | 1 | $35 |
| Treace Medical Concepts, Inc. | 2 | $35 |
| Integra Lifesciences Corporation | 1 | $31 |
| Lightbody Medical Technologies Inc | 1 | $29 |
| Abbott | 1 | $24 |
| Aroa Biosurgery Incorporated | 1 | $21 |
| Polynovo North America LLC | 1 | $20 |
| Bioventus LLC | 1 | $18 |
| Paragon 28, Inc. | 1 | $15 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Stravix$831
- GRAFIX PL$706
- Kerecis Omega3 SurgiClose$680
- Kerecis Omega3 Marigen$596
- Grafix$412
- Kerecis Omega3 GraftGuide$408
- AUGMENT INJECTABLE$307
- PREVENA$250
- ACTISHIELD CF$165
- ORTHOLOC$140
- Grafix PRIME$134
- Kerecis Omega3 Wound$119
- Kerecis Omega3 Surgibind$119
- VersaWrap$114
How this compares
$9,682 in reported general payments places this provider in the 80th percentile of 555 foot & ankle surgery providers in Illinois.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Pentoxifylline | 19 | $478 |
| Terbinafine Hcl | 20 | $200 |
| Levofloxacin | 12 | $157 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $156 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Chicago
- Edgardo Rodriguez CollazoChicago$755K
- Stephanie OexemanChicago$206K
- Jeffrey AlexanderChicago$158K
- Matthew GaroufalisChicago$151K
- George HolmesChicago$134K
- Milap PatelChicago$52K
- Theodore PolizosChicago$47K
- Simon LeeChicago$34K
- Wonyong LeeChicago$23K
- Kamran HamidChicago$19K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.