Cynthia Marzouka-Losito
Primary Podiatric Medicine · Village Of Palmetto Bay, FLNPI 1972684157
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 50 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 25 manufacturers, the largest accounting for just 17.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $780 and has fallen 65.8% since, to $267 in 2025.
Across 50 payments — averaging $50.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$431
- Paratek Pharmaceuticals, Inc.$282
- Smith+Nephew$277
- Musculoskeletal Transplant Foundation Inc.$235
- ETS Wound Care LLC$145
- GRT US Holding, Inc.$143
- plus $1K from 19 others
What the payments were for
- Food & beverage$2,529100%
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) | 5 | $431 |
| Paratek Pharmaceuticals, Inc. | 4 | $282 |
| Smith+Nephew | 6 | $277 |
| Musculoskeletal Transplant Foundation Inc. | 3 | $235 |
| ETS Wound Care LLC | 2 | $145 |
| GRT US Holding, Inc. | 2 | $143 |
| Medtronic | 2 | $142 |
| Bioventus LLC | 2 | $125 |
| Heron Therapeutics, Inc. | 1 | $120 |
| Johnson & Johnson | 2 | $112 |
| Kerecis Limited | 1 | $96 |
| Amgen | 4 | $69 |
| Sebela Pharmaceuticals Inc. | 4 | $61 |
| Convatec Inc. | 1 | $41 |
| Axogen | 1 | $37 |
| Kowa Pharmaceuticals America, Inc. | 1 | $28 |
| AbbVie | 1 | $25 |
| Innovation Technologies Inc | 1 | $24 |
| Abbott | 1 | $24 |
| Biotissue Holdings Inc. | 1 | $24 |
| Sanara Medtech Inc. | 1 | $21 |
| KCI USA, Inc. | 1 | $20 |
| Polynovo North America LLC | 1 | $18 |
| Nalu Medical, Inc. | 1 | $16 |
| Stimwave Technologies Incorporated | 1 | $12 |
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.
- NUZYRA$250
- ASNIS$149
- MIRRAGEN ADVANCED WOUND MATRIX$132
- Qutenza$128
- SALVATION$123
- Zynrelef$120
- VenaSeal$119
- Versajet$113
- INFINITY$108
- Exogen Ultrasound Bone Healing System$100
How this compares
$2,529 in reported general payments places this provider in the 70th percentile of 68 primary podiatric medicine providers in Florida.
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 |
|---|---|---|
| CiclopiroxCiclopirox Olamine | 194 | $1,059 |
| Ketoconazole | 107 | $535 |
| Silver Sulfadiazine | 61 | $352 |
| Mupirocin | 119 | $262 |
| Diclofenac Sodium | 89 | $253 |
| Ammonium Lactate | 11 | $162 |
| NyamycNystatin | 30 | $158 |
| Cephalexin | 25 | $35 |
| Tramadol Hcl | 19 | $17 |
| Doxycycline Monohydrate | 14 | $13 |
| Levofloxacin | 11 | $10 |
Paid to pharmacies, not to this prescriber.
Other primary podiatric medicine in Village Of Palmetto Bay
- Robert SnyderTamarac$623K
- Melissa VerdeLongwood$257K
- Kevin LapoffGreenacres$64K
- Beth PearceSt Augustine$27K
- Dmitry SandlerHialeah$11K
- Richard MercadoMiami$10K
- Gladys de LeonOrlando$8K
- Tanika HarlisPort Saint Lucie$6K
- Liana SeldinCoral Gables$4K
- Jasmine CruzBoynton Beach$4K
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.