Andrew Ganshirt, DPM
Foot & Ankle Surgery · Bettendorf, IANPI 1780213223
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,642 of the $3,437 with a category attached, or 76.9%. 11 manufacturers reported payments, led by Stryker at 54.3% of the total.
Across 47 payments — averaging $73.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$2K
- Paragon 28, Inc.$538
- Johnson & Johnson$185
- Prism Medical$166
- Kerecis Limited$164
- Arthrex$148
- plus $372 from 5 others
What the payments were for
- Travel & lodging$79523%
- Food & beverage$2,64277%
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 |
|---|---|---|
| Stryker | 30 | $1,865 |
| Paragon 28, Inc. | 3 | $538 |
| Johnson & Johnson | 3 | $185 |
| Prism Medical | 4 | $166 |
| Kerecis Limited | 1 | $164 |
| Arthrex | 1 | $148 |
| Nevro Corp. | 1 | $145 |
| Wardlow Enterprises | 1 | $96 |
| Organogenesis Inc. | 1 | $57 |
| Acera Surgical, Inc. | 1 | $51 |
| Zimmer Biomet | 1 | $22 |
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.
- Kerecis SurgiClose$657
- Product Portfolio$538
- PROstep$392
- Kerecis GraftGuide$164
- ORTHOLOC 2 LAPIFUSE$164
- G-FORCE$160
- ALPHAVENT$160
- ARTHREX$148
- Omnia$145
- AUGMENT INJECTABLE$140
- HAMMERLOCK$112
- OMEGA$106
How this compares
$3,437 in reported general payments places this provider in the 55th percentile of 112 foot & ankle surgery providers in Iowa.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 52 | $499 |
| Methylprednisolone | 43 | $235 |
| Terbinafine Hcl | 48 | $218 |
| Meloxicam | 72 | $151 |
| Doxycycline Hyclate | 18 | $135 |
| Tramadol Hcl | 14 | $70 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $54 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Bettendorf
- Beau ShayBettendorf$19K
- Anthony ChesserBettendorf$11K
- Jessica KatzerBettendorf$5K
- Michael LeeDes Moines$2.1M
- Phinit PhisitkulSioux City$1.4M
- Sean GrambartDes Moines$590K
- Kelsey MillonigDes Moines$330K
- Charles CibulaCedar Falls$38K
- Gregory FooteWaterloo$35K
- Nathan ShumwayCouncil Bluffs$33K
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.