Angela Jacob
Foot & Ankle Surgery · West Bloomfield, MINPI 1124430806
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (42.3%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 38 manufacturers reported payments, led by Pinnacle, Inc at 32.2% of the total. Reporting peaked in 2022 at $4,794 and has fallen 72.6% since, to $1,315 in 2025.
Across 162 payments — averaging $97.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pinnacle, Inc$5K
- Paragon 28, Inc.$4K
- Arthrex$4K
- Stryker$1K
- Smith+Nephew$348
- Biotissue Holdings Inc.$143
- plus $1K from 32 others
What the payments were for
- Travel & lodging$5,14032%
- Food & beverage$3,98225%
- Education$6,69842%
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 |
|---|---|---|
| Pinnacle, Inc | 21 | $5,098 |
| Paragon 28, Inc. | 19 | $4,128 |
| Arthrex | 20 | $3,638 |
| Stryker(2 entities) | 29 | $1,178 |
| Smith+Nephew | 16 | $348 |
| Biotissue Holdings Inc. | 4 | $143 |
| Johnson & Johnson | 5 | $120 |
| Avinger Inc. | 3 | $110 |
| Cardiovascular Systems Inc. | 2 | $102 |
| Convatec Inc. | 2 | $90 |
| Rikco International, LLC | 2 | $88 |
| Anika Therapeutics, Inc. | 3 | $75 |
| Amgen(2 entities) | 3 | $62 |
| Kerecis Limited | 2 | $50 |
| Bard Peripheral Vascular, Inc. | 1 | $49 |
| Zimmer Biomet | 2 | $47 |
| Integra Lifesciences Corporation | 2 | $43 |
| Orthofix Medical, Inc. | 3 | $43 |
| Nevro Corp. | 1 | $33 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $30 |
| Treace Medical Concepts, Inc. | 2 | $29 |
| Kowa Pharmaceuticals America, Inc. | 2 | $28 |
| Aroa Biosurgery Incorporated | 1 | $26 |
| Linvatec Corporation | 2 | $25 |
| Nabriva Therapeutics, PLC | 1 | $24 |
| Averitas Pharma Inc. | 1 | $24 |
| Axogen | 1 | $20 |
| Next Science LLC | 1 | $20 |
| Osteomed LLC | 1 | $20 |
| Solventum Corporation | 1 | $19 |
| Bioventus LLC | 1 | $18 |
| Paratek Pharmaceuticals, Inc. | 1 | $16 |
| Vertex | 1 | $15 |
| Organogenesis Inc. | 1 | $14 |
| Cashflow Solutions, LLC | 1 | $14 |
| Arthrosurface Incorporated | 1 | $13 |
| Zyla Life Sciences, Inc. | 1 | $12 |
| Reprise Biomedical, Inc. | 1 | $7 |
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.
How this compares
$15,819 in reported general payments places this provider in the 85th percentile of 384 foot & ankle surgery providers in Michigan.
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 |
|---|---|---|
| Ketoconazole | 35 | $397 |
| Ammonium Lactate | 24 | $301 |
| Terbinafine Hcl | 16 | $274 |
| Mupirocin | 36 | $248 |
| Doxycycline Hyclate | 19 | $198 |
| Methylprednisolone | 25 | $164 |
| Ciprofloxacin Hcl | 19 | $132 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 19 | $131 |
| Clindamycin Hcl | 13 | $94 |
| Ibuprofen | 11 | $94 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $86 |
| Diclofenac Sodium | 22 | $77 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 13 | $74 |
| Meloxicam | 13 | $33 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in West Bloomfield
- John AndersonGrand Rapids$1.3M
- Brian LoderClinton Township$854K
- Karl DunnClinton Twp$434K
- Anthony LalamaMacomb$421K
- Christopher ZingasSaint Clair Shores$227K
- John MaskillGrand Rapids$202K
- Michael SwordsLansing$189K
- Gregory SheremetaTroy$87K
- Jason WesloskyClinton Township$87K
- Hatim BurhaniGrosse Pointe Woods$77K
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.