Aleksandr Emerel
Foot & Ankle Surgery · Malvern, PANPI 1508283029
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (58.8%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 30 manufacturers reported payments, led by Synthes USA Products LLC at 37.6% of the total. Reporting peaked in 2021 at $18,860 and has fallen 65.4% since, to $6,524 in 2025. Among foot & ankle surgery clinicians in PA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 204 payments — averaging $261.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Synthes USA Products LLC$20K
- Paragon 28, Inc.$12K
- Medical Device Business Services, Inc.$9K
- Arthrex$5K
- Johnson & Johnson$2K
- Liberty Surgical Inc.$1K
- plus $4K from 24 others
What the payments were for
- Consulting fees$31,34059%
- Speaking & faculty fees$1,2502%
- Travel & lodging$10,58520%
- Food & beverage$7,62514%
- Education$2,5395%
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 |
|---|---|---|
| Synthes USA Products LLC | 24 | $20,044 |
| Paragon 28, Inc. | 29 | $12,476 |
| Medical Device Business Services, Inc. | 14 | $9,274 |
| Arthrex | 28 | $4,653 |
| Johnson & Johnson | 15 | $1,962 |
| Liberty Surgical Inc. | 9 | $1,269 |
| Paladin Technology Solutions | 20 | $1,246 |
| Stryker | 12 | $776 |
| Smith+Nephew | 6 | $323 |
| Pacira Therapeutics, Inc. | 10 | $162 |
| KCI USA, Inc. | 2 | $144 |
| Integra Lifesciences Corporation | 2 | $135 |
| Pacira Pharmaceuticals Incorporated | 1 | $112 |
| Acera Surgical, Inc. | 1 | $102 |
| Zimmer Biomet | 2 | $91 |
| Vertex | 4 | $73 |
| Bioventus LLC | 3 | $67 |
| Ferring Pharmaceuticals Inc. | 3 | $66 |
| Electronic Waveform Lab, Inc. | 2 | $49 |
| Avanos Medical | 2 | $48 |
| Heraeus Medical, LLC. | 2 | $42 |
| DJO, LLC | 2 | $40 |
| Sanofi-aventis U.S. LLC | 2 | $38 |
| AbbVie | 2 | $34 |
| Kowa Pharmaceuticals America, Inc. | 2 | $28 |
| Treace Medical Concepts, Inc. | 1 | $22 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $20 |
| Amgen | 1 | $19 |
| Medartis Inc. | 1 | $13 |
| Orthogenrx Inc. | 1 | $12 |
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.
- NA$12,240
- MILAGRO$12,240
- Portfolio$4,535
- Product Portfolio$3,428
- TRAUMA$2,319
- VA-LCP PLATES & SCREWS$849
- APEX 3D$842
- Phantom Fibula Nail$578
- HOFFMANN$154
- MOTOBAND$142
- INFINITY$139
- DISTAL EXTREMITIES IMPLANTS FOOT & ANKLE ANKLE FUSION$135
- ANKLE FRACTURE PLATING SYSTEM$134
- GRAFIX PL$124
- STRAVIX PL$124
- BILAYER WOUND MATRIX (BWM)$118
- INTEGRA WOUND MATRIX (IWM)$118
- PRIMATRIX$118
- IDRT$118
- FLOWABLE$118
How this compares
$53,339 in reported general payments places this provider in the 95th percentile of 575 foot & ankle surgery providers in Pennsylvania.
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 |
|---|---|---|
| Terbinafine Hcl | 18 | $234 |
| Methylprednisolone | 29 | $139 |
| Cephalexin | 34 | $112 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 18 | $78 |
| Doxycycline Hyclate | 13 | $66 |
| Tramadol Hcl | 16 | $28 |
| Meloxicam | 12 | $10 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Malvern
- Jason MillerMalvern$501K
- Thomas MilisitsMalvern$16K
- William DecarboBelle Vernon$3.5M
- David PedowitzBryn Mawr$1.6M
- Noman SiddiquiScranton$1.3M
- Peter MangonePittsburgh$1.1M
- Stephen BrigidoBethlehem$656K
- Guido LaportaDunmore$625K
- Adam TeichmanAllentown$545K
- Thomas RocchioAllentown$524K
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.