Ashim Wadehra, DPM
Foot & Ankle Surgery · Wayne, MINPI 1821448721
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (54.7%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 33 manufacturers reported payments, led by Pinnacle, Inc at 43.8% of the total. Reporting peaked in 2022 at $14,805 and has fallen 98.6% since, to $207 in 2025. Among foot & ankle surgery clinicians in MI 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 158 payments — averaging $209.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pinnacle, Inc$15K
- Paragon 28, Inc.$6K
- Crossroads Orthopedics, LLC$3K
- Stryker$3K
- Arthrex$2K
- Medline Industries LP$1K
- plus $5K from 27 others
What the payments were for
- Travel & lodging$8,03624%
- Food & beverage$6,94621%
- Education$18,14055%
- Gifts$280%
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 | 27 | $14,505 |
| Paragon 28, Inc. | 30 | $5,611 |
| Crossroads Orthopedics, LLC | 5 | $3,075 |
| Stryker(2 entities) | 17 | $2,545 |
| Arthrex | 5 | $1,568 |
| Medline Industries LP | 13 | $1,317 |
| Vilex LLC | 2 | $1,055 |
| Osteomed LLC | 7 | $571 |
| Cardiovascular Systems Inc. | 9 | $464 |
| Bone Support Inc. | 3 | $417 |
| Integra Lifesciences Corporation | 3 | $286 |
| Johnson & Johnson | 3 | $221 |
| Acumed LLC | 2 | $199 |
| Treace Medical Concepts, Inc. | 2 | $150 |
| Flower Orthopedics Coporation | 1 | $149 |
| Amgen(2 entities) | 4 | $144 |
| Zimmer Biomet | 3 | $141 |
| Nevro Corp. | 1 | $130 |
| Kuros Biosciences USA, Inc | 1 | $113 |
| Crossroads Extremity Systems, LLC | 1 | $94 |
| Smith+Nephew | 3 | $69 |
| Biotissue Holdings Inc. | 1 | $68 |
| Bioventus LLC | 2 | $43 |
| Convatec Inc. | 2 | $42 |
| Linvatec Corporation | 2 | $29 |
| IBSA Pharma Inc. | 2 | $24 |
| Vertex | 1 | $23 |
| Bsn Medical Inc | 1 | $22 |
| Anika Therapeutics, Inc. | 1 | $18 |
| Paratek Pharmaceuticals, Inc. | 1 | $18 |
| Orthofix Medical, Inc. | 1 | $14 |
| Organogenesis Inc. | 1 | $14 |
| Cardinal Health 200 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.
- Product Portfolio$2,564
- PROstep$1,617
- Medline Unite Foot Plating System$1,104
- DYNEX$1,055
- TAR$603
- INTEGRA$446
- VARIAX$426
- CERAMENTBONE VOID FILLER$417
- CERAMENT G$417
- APEX 3D$324
- FIXOS$281
- Portfolio$242
- OsteoMed$222
- INTEGRA DERMAL REGENERATION TEMPLATE$149
- PRIMATRIX$149
- SILVERBACK$137
- SALVATION$133
- Omnia$130
- Lapiplasty System$119
- SPEEDTRAP$118
How this compares
$33,150 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Cephalexin | 12 | $64 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Wayne
- Ashley MarianoWayne$14K
- Andrew RobitailleWayne$13K
- 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
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.