Besim Becoja
Foot & Ankle Surgery · Wayne, MINPI 1639862907
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,107 of the $4,724 with a category attached, or 86.9%. It is spread thinly across 23 manufacturers, the largest accounting for just 19.5% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,308, 3.7 times the $626 reported in 2023.
Across 95 payments — averaging $49.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$919
- Acumed LLC$627
- Bone Support Inc.$506
- Integra Lifesciences Corporation$477
- Kerecis Limited$405
- Paragon 28, Inc.$355
- plus $1K from 17 others
What the payments were for
- Travel & lodging$61713%
- Food & beverage$4,10787%
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 | 8 | $919 |
| Acumed LLC | 16 | $627 |
| Bone Support Inc. | 5 | $506 |
| Integra Lifesciences Corporation | 18 | $477 |
| Kerecis Limited | 5 | $405 |
| Paragon 28, Inc. | 8 | $355 |
| Pinnacle, Inc | 6 | $319 |
| Kuros Biosciences USA, Inc | 2 | $224 |
| Solventum Corporation | 4 | $215 |
| Johnson & Johnson | 4 | $138 |
| Orthofix Medical, Inc. | 3 | $112 |
| Averitas Pharma Inc. | 4 | $108 |
| Restor3d, Inc. | 1 | $67 |
| Surgenex LLC | 1 | $36 |
| AbbVie | 1 | $32 |
| Bioventus LLC | 2 | $30 |
| Davol Inc. | 1 | $25 |
| Lifenet Health | 1 | $24 |
| Organogenesis Inc. | 1 | $24 |
| Heron Therapeutics, Inc. | 1 | $24 |
| Paratek Pharmaceuticals, Inc. | 1 | $22 |
| Smith+Nephew | 1 | $18 |
| Amgen | 1 | $18 |
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.
- ACUMED$750
- Kerecis Omega3 Marigen$658
- ORTHOLOC 2 LAPIFUSE$617
- CERAMENTBONE VOID FILLER$422
- CERAMENT G$422
- INTEGRA$410
- MagnetOs$224
- Kerecis Omega3 SurgiClose$165
- INTEGRA DERMAL REGENERATION TEMPLATE$137
- PRIMATRIX$137
- PREVENA$107
- V.A.C. ULTA$107
- V.A.C. VERAFLO$107
How this compares
$4,724 in reported general payments places this provider in the 60th percentile of 384 foot & ankle surgery providers in Michigan.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $54 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Wayne
- Ashim WadehraWayne$33K
- 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
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.