Carl van Gils
Foot & Ankle Surgery · St George, UTNPI 1518964212
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $18,900 of the $23,472 with a category attached, or 80.5%. 25 manufacturers reported payments, led by Trice Medical, Inc. at 46.9% of the total. Reporting peaked in 2023 at $20,519 and has fallen 99.6% since, to $84 in 2024.
Across 96 payments — averaging $244.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trice Medical, Inc.$11K
- Smith+Nephew$6K
- Axogen$5K
- Stimwave Technologies Incorporated$310
- Biotissue Holdings Inc.$217
- Amgen$203
- plus $1K from 19 others
Across 217 payments — averaging $2246.07 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Biotissue Holdings Inc.$293K
- Integra Lifesciences Corporation$112K
- Axogen$49K
- TEI Medical Inc.$33K
What the payments were for
- Consulting fees$18,90081%
- Travel & lodging$2,1679%
- Food & beverage$2,39310%
- Education$120%
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 |
|---|---|---|
| Trice Medical, Inc. | 3 | $11,016 |
| Smith+Nephew | 25 | $5,809 |
| Axogen | 5 | $4,571 |
| Stimwave Technologies Incorporated | 3 | $310 |
| Biotissue Holdings Inc. | 1 | $217 |
| Amgen | 5 | $203 |
| Bioventus LLC | 6 | $199 |
| Medline Industries LP | 2 | $163 |
| Organogenesis Inc. | 3 | $152 |
| KCI USA, Inc. | 6 | $136 |
| Melinta Therapeutics, LLC | 6 | $108 |
| Acera Surgical, Inc. | 6 | $106 |
| Convatec Inc. | 4 | $81 |
| AbbVie(2 entities) | 5 | $79 |
| Lifenet Health | 3 | $59 |
| Abbott | 1 | $55 |
| Misonix Inc | 3 | $50 |
| Aroa Biosurgery Incorporated | 2 | $38 |
| Alfasigma USA, Inc. | 1 | $24 |
| Nevro Corp. | 1 | $21 |
| Polynovo North America LLC | 1 | $19 |
| Esaote North America, Inc. | 1 | $17 |
| Solventum Corporation | 1 | $15 |
| Integra Lifesciences Corporation | 1 | $14 |
| Merck | 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.
- Grafix$5,366
- Oasis$5,366
- AVANCE NERVE GRAFT$4,485
- AxoGuard Nerve Connector$4,485
- AxoGuard Nerve Protector$4,485
- GRAFIX PL$4,400
- Grafix XC$4,400
- StimQ Receiver Stimulator Kit Channel A US w Receiver$287
- StimQ Freedom-4A Receiver Kit Channel A US w/ Receiver$287
- StimQ Freedom 8A Receiver Kit Channel A US w Receiver$287
- Freedom 4A Receiver Kit Channel A US w Receiver$287
- Freedom 8A Receiver Kit Channel A US w Receiver$287
- Prokera$217
- AmnioGraft$217
- AmnioGuard$217
- Hyalomatrix Wound Device$152
- KRYSTEXXA$123
- PuraPly$118
How this compares
$23,472 in reported general payments places this provider in the 85th percentile of 104 foot & ankle surgery providers in Utah.
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 | 47 | $956 |
| Pregabalin | 12 | $337 |
| Duloxetine Hcl | 13 | $322 |
| Doxycycline Monohydrate | 15 | $254 |
| Cephalexin | 14 | $121 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in St George
- Brent ClarkSt George$5K
- Ryan PetersonSt George$5K
- Gregory AndersonSalt Lake City$1.6M
- Ryan RigbyLogan$975K
- Florian NickischSalt Lake City$474K
- Brian LiljenquistSalt Lake City$263K
- Douglas TooleSalt Lake City$258K
- Francis ClarkWest Jordan$125K
- David SeegmillerSalt Lake City$120K
- Scott ClarkWest Jordan$74K
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.