Alexandra Larocca, DPM
Foot & Ankle Surgery · West Islip, NYNPI 1881009629
Payments from drug & device makers
Across 54 payments — averaging $37.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Organogenesis Inc.$971
- Smith+Nephew$251
- Tactile Systems Technology Inc$208
- Lifenet Health$126
- Johnson & Johnson$125
- Integra Lifesciences Corporation$112
- plus $225 from 8 others
What the payments were for
- Food & beverage$1,99699%
- Education$211%
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 |
|---|---|---|
| Organogenesis Inc. | 15 | $971 |
| Smith+Nephew | 14 | $251 |
| Tactile Systems Technology Inc | 11 | $208 |
| Lifenet Health | 1 | $126 |
| Johnson & Johnson | 1 | $125 |
| Integra Lifesciences Corporation | 2 | $112 |
| Stryker | 2 | $57 |
| Kerecis Limited | 1 | $45 |
| Solventum Corporation | 1 | $33 |
| Bioventus LLC | 1 | $22 |
| Osteomed LLC | 1 | $21 |
| Orthofix Medical, Inc. | 2 | $20 |
| Arthrosurface Incorporated | 1 | $13 |
| Melinta Therapeutics, LLC | 1 | $13 |
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.
- PuraPly$377
- Apligraf$226
- TheraGenesis Wound Matrix$126
- Puraply Antimicrobial$125
- DYNACORD$125
- HEALIX KNOTLESS PEEK$125
- Gryphon Orthocord$125
How this compares
$2,017 in reported general payments places this provider in the 45th percentile of 652 foot & ankle surgery providers in New York.
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 |
|---|---|---|
| JubliaEfinaconazole | 16 | $23,387 |
| Ammonium Lactate | 76 | $1,653 |
| Gentamicin Sulfate | 59 | $1,490 |
| Ketoconazole | 36 | $1,060 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 31 | $882 |
| Ciclopirox | 41 | $588 |
| Diclofenac Sodium | 21 | $461 |
| Mupirocin | 36 | $271 |
| Gabapentin | 14 | $198 |
| Doxycycline Hyclate | 22 | $133 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 23 | $127 |
| Ciprofloxacin Hcl | 12 | $44 |
| Meloxicam | 22 | $42 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in West Islip
- James McWilliamHarrison$4.7M
- Jonathan DelandNew York$4.1M
- George Vitole Roy$2.5M
- Constantine DemetracopoulosNew York$888K
- Anne JohnsonNew York$815K
- Scott EllisNew York$644K
- John KennedyNew York$613K
- Michael KellerKingston$532K
- Judith BaumhauerRochester$365K
- Edward AzarBrooklyn$224K
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.