Ashley Mariano, DPM
Foot & Ankle Surgery · Wayne, MINPI 1144844671
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (57.9%), travel and lodging and education — rather than concentrated in one kind of arrangement. It is spread thinly across 30 manufacturers, the largest accounting for just 22.1%. Reporting peaked in 2023 at $4,550 and has fallen 60.2% since, to $1,811 in 2025.
Across 185 payments — averaging $76.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Treace Medical Concepts, Inc.$3K
- Pinnacle, Inc$2K
- Acumed LLC$1K
- Stryker$1K
- Medical Device Business Services, Inc.$1K
- Johnson & Johnson$863
- plus $5K from 24 others
What the payments were for
- Travel & lodging$3,66526%
- Food & beverage$8,21558%
- Education$2,31616%
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 |
|---|---|---|
| Treace Medical Concepts, Inc. | 12 | $3,138 |
| Pinnacle, Inc | 8 | $2,166 |
| Acumed LLC | 25 | $1,197 |
| Stryker | 23 | $1,035 |
| Medical Device Business Services, Inc. | 6 | $1,004 |
| Johnson & Johnson(2 entities) | 18 | $863 |
| Bone Support Inc. | 6 | $644 |
| Paragon 28, Inc. | 16 | $586 |
| Integra Lifesciences Corporation | 14 | $499 |
| Arthrex | 4 | $471 |
| Osteomed LLC | 10 | $430 |
| Kerecis Limited | 4 | $317 |
| Smith+Nephew | 5 | $289 |
| Nevro Corp. | 4 | $241 |
| Kuros Biosciences USA, Inc | 2 | $224 |
| Solventum Corporation | 4 | $215 |
| Averitas Pharma Inc. | 6 | $165 |
| Boston Scientific | 1 | $130 |
| Medtronic | 1 | $111 |
| Davol Inc. | 1 | $100 |
| Restor3d, Inc. | 1 | $67 |
| Bioventus LLC | 3 | $67 |
| Organogenesis Inc. | 2 | $47 |
| Heron Therapeutics, Inc. | 2 | $41 |
| Amgen(2 entities) | 2 | $36 |
| AbbVie | 1 | $32 |
| Lifenet Health | 1 | $24 |
| Mimedx Group, Inc. | 1 | $24 |
| ANI Pharmaceuticals, Inc. | 1 | $21 |
| Zimmer Biomet | 1 | $11 |
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.
- Lapiplasty System$2,960
- ACUMED$1,162
- INTEGRA$685
- Kerecis Omega3 Marigen$658
- CERAMENTBONE VOID FILLER$561
- CERAMENT G$561
- OsteoMed$347
- T2$300
- INTEGRA DERMAL REGENERATION TEMPLATE$228
- PRIMATRIX$228
- Stravix$228
- GRAFIX PL$228
- MagnetOs$224
- AUGMENT INJECTABLE$171
- VALOR$171
- Kerecis Omega3 SurgiClose$165
- ALLOFIBER$142
- Omnia$141
- INFINITY ADAPTIS$129
- CANNULATED SCREWS$125
How this compares
$14,196 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 |
|---|---|---|
| Gabapentin | 35 | $392 |
| Lidocaine-PrilocaineLidocaine/Prilocaine | 33 | $355 |
| Methylprednisolone | 21 | $134 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 11 | $127 |
| Doxycycline Hyclate | 16 | $111 |
| Meloxicam | 22 | $105 |
| Clindamycin Hcl | 15 | $104 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 19 | $91 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $87 |
| Mupirocin | 11 | $87 |
| Ibuprofen | 14 | $71 |
| Cephalexin | 16 | $68 |
| Ciprofloxacin Hcl | 15 | $59 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Wayne
- Ashim WadehraWayne$33K
- 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.