Chelsie Snyder
Foot & Ankle Surgery · Marion, IANPI 1427468719
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 106 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 28 manufacturers reported payments, led by Stryker at 34.6% of the total. That places this record below the midpoint for foot & ankle surgery clinicians in IA, where the typical reported total is $2,625.
Across 106 payments — averaging $22.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$827
- Smith+Nephew$365
- Organogenesis Inc.$221
- Paratek Pharmaceuticals, Inc.$123
- Treace Medical Concepts, Inc.$100
- Kerecis Limited$79
- plus $676 from 22 others
What the payments were for
- Food & beverage$2,391100%
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 | 35 | $827 |
| Smith+Nephew | 13 | $365 |
| Organogenesis Inc. | 13 | $221 |
| Paratek Pharmaceuticals, Inc. | 6 | $123 |
| Treace Medical Concepts, Inc. | 3 | $100 |
| Kerecis Limited | 3 | $79 |
| Kowa Pharmaceuticals America, Inc. | 4 | $72 |
| Melinta Therapeutics, LLC | 4 | $68 |
| Medshape, Inc. | 1 | $66 |
| Integra Lifesciences Corporation | 2 | $61 |
| Vertex | 3 | $57 |
| Novastep Inc. | 1 | $56 |
| In2bones USA, LLC | 1 | $33 |
| Nabriva Therapeutics, PLC | 2 | $31 |
| Innovation Technologies Inc | 1 | $24 |
| Globus Medical | 1 | $24 |
| Mimedx Group, Inc. | 1 | $22 |
| Misonix Inc | 1 | $21 |
| Paragon 28, Inc. | 1 | $18 |
| Medela LLC | 1 | $18 |
| Heron Therapeutics, Inc. | 1 | $16 |
| Anika Therapeutics, Inc. | 1 | $15 |
| Amgen | 1 | $14 |
| Tactile Systems Technology Inc | 1 | $14 |
| CPM Medical Consultants, LLC | 1 | $14 |
| Merck | 1 | $12 |
| Arthrosurface Incorporated | 1 | $11 |
| Orthofix Medical, Inc. | 2 | $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.
How this compares
$2,391 in reported general payments places this provider in the 45th 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 |
|---|---|---|
| Methylprednisolone | 26 | $161 |
| Gabapentin | 17 | $109 |
| Meloxicam | 33 | $77 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Marion
- Michael LeeDes Moines$2.1M
- Phinit PhisitkulSioux City$1.4M
- Sean GrambartDes Moines$590K
- Kelsey MillonigDes Moines$330K
- Charles CibulaCedar Falls$38K
- Gregory FooteWaterloo$35K
- Nathan ShumwayCouncil Bluffs$33K
- Justin RaatzDes Moines$28K
- Tuvi MendelDavenport$26K
- Mica MurdochDes Moines$25K
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.