Brent Thielges, DPM
Foot & Ankle Surgery · Pasco, WANPI 1043507973
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 210 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Stryker accounts for 68.4% of it on its own, with 22 other manufacturers making up the rest.
Across 210 payments — averaging $32.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$5K
- Smith+Nephew$439
- Mimedx Group, Inc.$380
- Organogenesis Inc.$367
- Treace Medical Concepts, Inc.$342
- Summit Surgical Corp.$84
- plus $519 from 17 others
What the payments were for
- Food & beverage$6,744100%
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) | 125 | $4,612 |
| Smith+Nephew | 25 | $439 |
| Mimedx Group, Inc. | 11 | $380 |
| Organogenesis Inc. | 15 | $367 |
| Treace Medical Concepts, Inc. | 10 | $342 |
| Summit Surgical Corp. | 1 | $84 |
| Biowound Solutions, Inc. | 4 | $76 |
| Bioventus LLC | 3 | $59 |
| Linvatec Corporation | 1 | $55 |
| Invictus Surgical Incorporated | 1 | $43 |
| Next Science LLC | 2 | $35 |
| Ossio Inc | 1 | $34 |
| Zimmer Biomet | 1 | $32 |
| Paragon 28, Inc. | 1 | $31 |
| Nevro Corp. | 1 | $25 |
| Paratek Pharmaceuticals, Inc. | 1 | $20 |
| Medline Industries LP | 1 | $18 |
| Amgen | 1 | $17 |
| Fusion Orthopedics USA, LLC | 1 | $17 |
| Melinta Therapeutics, LLC | 1 | $17 |
| Abbott | 1 | $16 |
| Arteriocyte Medical Systems, Inc. | 1 | $13 |
| Acell, Inc. | 1 | $10 |
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.
- AUGMENT$150
- Lapiplasty System$143
- T2$114
- ICONIX$110
- VITOSS$107
- AUGMENT INJECTABLE$101
How this compares
$6,744 in reported general payments places this provider in the 80th percentile of 203 foot & ankle surgery providers in Washington.
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 |
|---|---|---|
| Pregabalin | 13 | $2,704 |
| Fluconazole | 130 | $2,669 |
| Ketoconazole | 79 | $1,943 |
| Diclofenac Sodium | 127 | $1,240 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 18 | $1,091 |
| Terbinafine Hcl | 63 | $1,037 |
| Gabapentin | 81 | $756 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 85 | $709 |
| Duloxetine Hcl | 37 | $412 |
| Nitro-BidNitroglycerin | 15 | $390 |
| Cephalexin | 31 | $269 |
| Clindamycin Hcl | 19 | $251 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 19 | $167 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 21 | $119 |
| Meloxicam | 22 | $36 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Pasco
- Joshua GrimmPasco$6K
- Jeffrey ChristensenEverett$828K
- David DalstromSeattle$491K
- Richard LamourOlympia$87K
- Adam AlbabaSeattle$46K
- Stephen BenirschkeSeattle$45K
- Craig CliffordFederal Way$44K
- Shawn KhademiRenton$43K
- Gregory GrabowskiBellevue$34K
- Jacob McLeodLongview$34K
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.