Ashley McClain
Foot & Ankle Surgery · Des Moines, IANPI 1659669760
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,529 of the $5,387 with a category attached, or 65.5%. 23 manufacturers reported payments, led by Stryker at 24.1% of the total. Reporting peaked in 2019 at $1,822 and has fallen 74.6% since, to $463 in 2025.
Across 140 payments — averaging $38.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1K
- Medical Device Business Services, Inc.$1K
- Wardlow Enterprises$567
- Smith+Nephew$429
- Johnson & Johnson$410
- AbbVie$310
- plus $1K from 17 others
What the payments were for
- Travel & lodging$1,13821%
- Food & beverage$3,52966%
- Education$54910%
- Other$1713%
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 | 47 | $1,299 |
| Medical Device Business Services, Inc. | 6 | $1,229 |
| Wardlow Enterprises | 2 | $567 |
| Smith+Nephew | 29 | $429 |
| Johnson & Johnson | 10 | $410 |
| AbbVie | 13 | $310 |
| Integra Lifesciences Corporation | 3 | $272 |
| Acera Surgical, Inc. | 4 | $173 |
| Organogenesis Inc. | 5 | $121 |
| Heron Therapeutics, Inc. | 4 | $121 |
| Zimmer Biomet | 1 | $97 |
| Medline Industries LP | 1 | $88 |
| Kerecis Limited | 2 | $40 |
| Tactile Systems Technology Inc | 2 | $36 |
| Misonix Inc | 2 | $36 |
| Urgo Medical North America, LLC | 2 | $35 |
| Vertex | 1 | $26 |
| Ossio Inc | 1 | $23 |
| Novo Nordisk | 1 | $19 |
| Solventum Corporation | 1 | $16 |
| Boston Scientific | 1 | $15 |
| Abbott | 1 | $12 |
| Arthrex | 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.
How this compares
$5,387 in reported general payments places this provider in the 65th 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 |
|---|---|---|
| Diclofenac Potassium | 45 | $1,044 |
| Gabapentin | 63 | $1,041 |
| Ciclopirox | 16 | $699 |
| Betamethasone Dipropionate | 14 | $693 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 32 | $325 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $270 |
| Ibuprofen | 25 | $201 |
| Levofloxacin | 22 | $200 |
| Cephalexin | 20 | $152 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 19 | $136 |
| Oxycodone Hcl | 17 | $86 |
| Triamcinolone Acetonide | 13 | $74 |
| Meloxicam | 24 | $50 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Des Moines
- Michael LeeDes Moines$2.1M
- Sean GrambartDes Moines$590K
- Kelsey MillonigDes Moines$330K
- Justin RaatzDes Moines$28K
- Mica MurdochDes Moines$25K
- Emily AnzmannDes Moines$15K
- Blake HaleDes Moines$14K
- Monique RodriguezDes Moines$4K
- Erica ReedDes Moines$3K
- Phinit PhisitkulSioux City$1.4M
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.