Ajay Ghai
Foot & Ankle Surgery · Visalia, CANPI 1346637576
Payments from drug & device makers
Across 92 payments — averaging $124.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sequoia Surgical, Inc.$3K
- Arthrex$3K
- Stryker$3K
- Integra Lifesciences Corporation$1K
- Organogenesis Inc.$419
- KCI USA, Inc.$197
- plus $571 from 12 others
What the payments were for
- Travel & lodging$3,84234%
- Food & beverage$2,68023%
- Education$4,88943%
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 |
|---|---|---|
| Sequoia Surgical, Inc. | 3 | $3,032 |
| Arthrex | 16 | $3,010 |
| Stryker | 27 | $2,921 |
| Integra Lifesciences Corporation | 11 | $1,261 |
| Organogenesis Inc. | 15 | $419 |
| KCI USA, Inc. | 2 | $197 |
| Orthofix Medical, Inc. | 3 | $158 |
| Exactech, Inc. | 1 | $97 |
| Medline Industries LP | 1 | $79 |
| Pacira Pharmaceuticals Incorporated | 2 | $46 |
| Bioventus LLC | 2 | $41 |
| Pacira Therapeutics, Inc. | 2 | $29 |
| Amgen | 2 | $25 |
| Averitas Pharma Inc. | 1 | $23 |
| Abbott | 1 | $23 |
| Kowa Pharmaceuticals America, Inc. | 1 | $19 |
| Nevro Corp. | 1 | $16 |
| Acell, 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.
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$980
- CADENCE ANKLE REPLACEMENT SYSTEM$980
- HALLU-LOCK$645
- PANTA NAIL$645
- TOTAL FOOT SYSTEM$645
- PROstep$610
- HOFFMANN$519
- PRIME SERIES$408
- STAR$255
- SONICANCHOR$193
- ADAPT$193
- SNAP$182
- AXSOS$170
- PROSTEP MICA$154
- PuraPly$124
- Physio-Stim$106
How this compares
$11,411 in reported general payments places this provider in the 85th percentile of 1,126 foot & ankle surgery providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ciclopirox | 54 | $964 |
| Cephalexin | 14 | $144 |
| Meloxicam | 14 | $85 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Visalia
- John ZimmermanBakersfield$4.6M
- Eric GizaSacramento$3.7M
- Thomas HarrisPasadena$3M
- Felix SigalLos Angeles$2.2M
- Thomas ChangSanta Rosa$2.1M
- Michael CoughlinSan Francisco$1.6M
- Vladimir ZeetserEncino$677K
- Jason NowakRedding$526K
- Candice BradyCamarillo$462K
- Andrew HsuOrange$456K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.