Christopher Hyer, DPM
Foot & Ankle Surgery · Worthington, OHNPI 1033185152
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $3,574,676 of the $4,722,190 with a category attached, or 75.7%. Stryker accounts for 62.7% of it on its own, with 37 other manufacturers making up the rest. Reporting peaked in 2022 at $926,990 and has fallen 57.7% since, to $391,878 in 2025. Among foot & ankle surgery clinicians in OH with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 1,104 payments — averaging $4277.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3M
- Smith+Nephew$491K
- Integra Lifesciences Corporation$337K
- International Life Sciences$240K
- Linvatec Corporation$207K
- Zimmer Biomet$117K
- plus $370K from 32 others
Across 39 payments — averaging $2389.35 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.
- Globus Medical$38K
- Vilex LLC$19K
- Integra Lifesciences Corporation$17K
- Smith+Nephew$13K
- Biotissue Holdings Inc.$6K
Across 9 payments — averaging $11,111 each. An ownership or investment interest held by the physician or an immediate family member.
- Gramercy Extremity Orthopedics LLC$100K
- In2bones USA, LLC$0
What the payments were for
- Royalty or licence$3,574,67676%
- Consulting fees$721,52715%
- Speaking & faculty fees$141,1703%
- Grants$5,0000%
- Travel & lodging$79,6962%
- Food & beverage$19,8840%
- Education$4,0910%
- Gifts$300%
- Other$176,1164%
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) | 638 | $2,959,476 |
| Smith+Nephew | 28 | $491,130 |
| Integra Lifesciences Corporation | 97 | $337,332 |
| International Life Sciences | 18 | $240,254 |
| Linvatec Corporation | 31 | $207,109 |
| Zimmer Biomet | 26 | $116,649 |
| In2bones USA, LLC | 48 | $76,811 |
| Ossio LTD | 2 | $76,672 |
| Vilex LLC | 40 | $63,277 |
| Ossio Inc | 15 | $51,927 |
| Restor3d, Inc. | 17 | $22,057 |
| Ascension Orthopedics, Inc. | 8 | $13,451 |
| Medshape, Inc. | 5 | $13,226 |
| Forma Medical | 10 | $11,929 |
| Paragon 28, Inc. | 16 | $11,041 |
| Gramercy Extremity Orthopedics LLC | 10 | $6,908 |
| Crossroads Extremity Systems, LLC | 5 | $6,697 |
| Bioventus LLC | 7 | $4,422 |
| Nvision Biomedical Technologies, Inc. | 11 | $3,638 |
| Medline Industries LP | 27 | $3,166 |
| Mirus, LLC | 11 | $1,233 |
| Ortho Solutions Inc | 2 | $775 |
| Kowa Pharmaceuticals America, Inc. | 1 | $625 |
| Bone Support Inc. | 4 | $538 |
| Kuros Biosciences USA, Inc | 3 | $278 |
| Celularity Inc. | 1 | $239 |
| Abbott | 2 | $226 |
| Biotissue Holdings Inc. | 4 | $195 |
| Orthofix Medical, Inc. | 2 | $189 |
| Amniox Medical, Inc. | 1 | $117 |
| Trimed, Inc. | 1 | $115 |
| Stimwave Technologies Incorporated | 2 | $102 |
| Treace Medical Concepts, Inc. | 1 | $91 |
| Osteomed LLC | 1 | $88 |
| Extremity Medical | 1 | $87 |
| Pfizer | 6 | $82 |
| 4web, Inc. | 1 | $22 |
| DJO, LLC | 1 | $20 |
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.
- Cadence$522,083
- ASNIS$421,745
- CLAW II$329,970
- ORTHOLOC 3DI$327,568
- CADENCE ANKLE REPLACEMENT SYSTEM$317,721
- SALVATION$288,486
- ORTHOLOC$262,140
- ORTHOLOC 2 LAPIFUSE$252,705
- BIOFOAM$245,314
- FLEXBAND$235,823
- AVENGER RADIAL HEAD, +4 STEMS$176,116
- PRO-TOE$172,183
- VALOR$158,692
- INFINITY$158,021
- CLAW$142,098
- Forefoot Twist Off$112,558
- PROstep$103,574
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$101,905
- TOTAL FOOT SYSTEM$101,242
- PANTA NAIL$101,058
How this compares
$4,722,190 in reported general payments places this provider in the 95th percentile of 429 foot & ankle surgery providers in Ohio.
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 | 53 | $245 |
| Celecoxib | 12 | $121 |
| Meloxicam | 21 | $106 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Worthington
- Mark PrisselWorthington$1.2M
- Roberto BrandaoWorthington$151K
- Travis LanganWorthington$141K
- Patrick BullWorthington$95K
- Sarah AbshierWorthington$33K
- Devon ConsulWorthington$32K
- David GossWorthington$29K
- Cameron MeyerWorthington$20K
- Thomas LeePickerington$4M
- Jordan GrossmanAkron$2.5M
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.