Alexandra Black
Foot & Ankle Surgery · Palm Desert, CANPI 1669978664
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (35.2%), grants and travel and lodging — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Arthrex at 46.9% of the total. Reporting peaked in 2021 at $14,507 and has fallen 92.4% since, to $1,103 in 2025. Among foot & ankle surgery clinicians in CA 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 163 payments — averaging $183.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$14K
- Stryker$7K
- Paragon 28, Inc.$3K
- Acumed LLC$2K
- CDC Medical LLC$1K
- Medline Industries LP$1K
- plus $2K from 17 others
What the payments were for
- Grants$10,00033%
- Travel & lodging$5,70819%
- Food & beverage$10,49835%
- Education$3,60012%
- Gifts$460%
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 |
|---|---|---|
| Arthrex | 14 | $13,991 |
| Stryker | 73 | $6,568 |
| Paragon 28, Inc. | 16 | $2,816 |
| Acumed LLC | 7 | $1,654 |
| CDC Medical LLC | 9 | $1,407 |
| Medline Industries LP | 10 | $1,093 |
| Trimed, Inc. | 4 | $572 |
| Flower Orthopedics Coporation | 4 | $439 |
| Smith+Nephew | 8 | $264 |
| Orthofix Medical, Inc. | 2 | $217 |
| Shockwave Medical, Inc | 1 | $191 |
| Integra Lifesciences Corporation | 2 | $145 |
| AbbVie | 1 | $125 |
| Acera Surgical, Inc. | 1 | $110 |
| Empire Medical, Inc | 1 | $57 |
| Treace Medical Concepts, Inc. | 1 | $50 |
| Organogenesis Inc. | 2 | $33 |
| Paratek Pharmaceuticals, Inc. | 2 | $31 |
| Vertex | 1 | $29 |
| Arteriocyte Medical Systems, Inc. | 1 | $23 |
| Johnson & Johnson | 1 | $18 |
| Urgo Medical North America, LLC | 1 | $14 |
| Microaire Surgical Instruments LLC | 1 | $5 |
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.
- ACUMED$3,252
- OsteoMed$1,986
- PROPHECY$1,871
- Product Portfolio$1,141
- Portfolio$1,060
- Medline Unite Foot Plating System$874
- INFINITY$562
- AUGMENT INJECTABLE$453
- FUSEFORCE$330
- INTEGRA$327
- INBONE$308
- 7 X 23MM CITRELOCK IMPLANT$307
- ALLOWRAP$303
- PROstep$301
- ORTHOLOC 2 LAPIFUSE$283
- INFINITY ADAPTIS$260
- CITREFIX$258
- Physio-Stim$217
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$191
- GRAFTJACKET$174
How this compares
$29,852 in reported general payments places this provider in the 95th percentile of 1,126 foot & ankle surgery providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ciclopirox | 97 | $2,573 |
| Doxycycline Hyclate | 74 | $802 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 78 | $700 |
| Terbinafine Hcl | 61 | $596 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 29 | $233 |
| Methylprednisolone | 28 | $174 |
| Meloxicam | 47 | $123 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Palm Desert
- Ben WehrliPalm Desert$384K
- Eric GizaSacramento$3.6M
- Thomas HarrisPasadena$3M
- Thomas ChangSanta Rosa$2M
- Michael CoughlinSan Francisco$1.6M
- Vladimir ZeetserEncino$677K
- Jason NowakRedding$526K
- Candice BradyCamarillo$462K
- Andrew HsuOrange$456K
- Eric TanLos Angeles$447K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.