Arun Karwal
Foot & Ankle Surgery · Woonsocket, RINPI 1780025387
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,691 of the $4,301 with a category attached, or 85.8%. 19 manufacturers reported payments, led by Stryker at 33.6% of the total.
Across 110 payments — averaging $39.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1K
- Bioventus LLC$543
- Orthofix Medical, Inc.$421
- Smith+Nephew$414
- Integra Lifesciences Corporation$402
- Organogenesis Inc.$185
- plus $891 from 13 others
What the payments were for
- Consulting fees$42510%
- Travel & lodging$1854%
- Food & beverage$3,69186%
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(2 entities) | 25 | $1,444 |
| Bioventus LLC | 5 | $543 |
| Orthofix Medical, Inc. | 21 | $421 |
| Smith+Nephew | 24 | $414 |
| Integra Lifesciences Corporation | 14 | $402 |
| Organogenesis Inc. | 2 | $185 |
| Flower Orthopedics Coporation | 3 | $156 |
| Amgen | 1 | $120 |
| Inari Medical, Inc. | 1 | $106 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $100 |
| Johnson & Johnson | 1 | $89 |
| Kairos Surgical Inc | 1 | $87 |
| Kerecis Limited | 2 | $64 |
| Misonix Inc | 3 | $50 |
| Zimmer Biomet | 1 | $39 |
| Osiris Therapeutics Inc. | 1 | $27 |
| Dynasplint Systems Inc. | 2 | $26 |
| Paratek Pharmaceuticals, Inc. | 1 | $15 |
| KCI USA, 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.
- Exogen Ultrasound Bone Healing System$425
- RAYOS$359
- AUGMENT$239
- ORTHOLOC 3DI$232
- Apligraf$155
- BILAYER WOUND MATRIX (BWM)$125
- INTEGRA WOUND MATRIX (IWM)$125
- PRIMATRIX$125
- IDRT$125
- FLOWABLE$125
- PRIME SERIES$113
- HOFFMANN$109
- ANCHORAGE$109
- FLOWTRIEVER CATHETER, S$106
- CT THROMBECTOMY SYSTEM KIT$106
- INFINITY$102
How this compares
$4,301 in reported general payments places this provider in the 55th percentile of 58 foot & ankle surgery providers in Rhode Island.
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 |
|---|---|---|
| Ciclopirox | 14 | $534 |
| Methylprednisolone | 36 | $344 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 68 | $290 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 21 | $284 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 23 | $196 |
| Ketoconazole | 13 | $136 |
| Hydroxyzine Pamoate | 16 | $97 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Woonsocket
- Shaylyn McTeagueWoonsocket$2K
- Christopher DigiovanniProvidence$665K
- Anthony MechrefeWarwick$92K
- Douglas GlodEast Providence$74K
- Matthew LawrencePawtucket$38K
- Michal SzparaPawtucket$37K
- Michael ReuterBristol$34K
- Jason TartaglioneWarwick$21K
- David RuggieroRiverside$16K
- Brian PontarelliProvidence$15K
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.