Darren Day, DPM
Foot & Ankle Surgery · Honolulu, HINPI 1356831820
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (52.3%), food and beverage and education — rather than concentrated in one kind of arrangement. It is spread thinly across 14 manufacturers, the largest accounting for just 22.6%. Reporting peaked in 2021 at $2,967 and has fallen 88.2% since, to $351 in 2025.
Across 96 payments — averaging $88.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$2K
- Stryker$2K
- Arthrex$1K
- Rock Medical Orthopedics, Inc.$1K
- Elevate Surgical Co$930
- Orthofix Medical, Inc.$436
- plus $864 from 8 others
What the payments were for
- Travel & lodging$4,42552%
- Food & beverage$2,83133%
- Education$1,20014%
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 |
|---|---|---|
| Acumed LLC | 8 | $1,915 |
| Stryker | 13 | $1,627 |
| Arthrex | 16 | $1,471 |
| Rock Medical Orthopedics, Inc. | 2 | $1,213 |
| Elevate Surgical Co | 3 | $930 |
| Orthofix Medical, Inc. | 21 | $436 |
| Smith+Nephew | 9 | $313 |
| AbbVie | 12 | $294 |
| Kowa Pharmaceuticals America, Inc. | 4 | $78 |
| Organogenesis Inc. | 3 | $67 |
| Solventum Corporation | 2 | $48 |
| Exact Sciences | 1 | $28 |
| Trimed, Inc. | 1 | $23 |
| KCI USA, Inc. | 1 | $13 |
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.
- Acutrak Headless Compression Screw System$1,574
- PROCINCH$1,154
- Extremifix Cannulated Screw System$1,112
- ExtremiLock Ankle$1,112
- EnCompass Metatarsal Resurfacing Implant$1,112
- ExtremiFuse Hammertoe Fixation System$1,112
- Forefoot/Midfoot Plating System$462
- Fibula Rod System$462
- ICONIX$168
- ACUMED$147
- GRAFIX PL$124
- TRUELOK SYSTEM$122
- TrueLok$122
- Trinity ELITE$122
How this compares
Too few foot & ankle surgery providers in Hawaiito place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Ciclopirox | 15 | $590 |
| Doxycycline Hyclate | 39 | $390 |
| Ammonium Lactate | 13 | $206 |
| Meloxicam | 14 | $37 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Honolulu
- Byron CarrascoHonolulu$3K
- Gregory MorrisHonolulu$2K
- Caleb LazarreHonolulu$26
- Kari TanimotoHonolulu$17
- Alicia UnangstTripler Army Medical Center$17K
- Shaun ChangKailua$14K
- Lowell TongAiea$10K
- Victoria ScalaKailua Kona$5K
- David LeeLahaina$4K
- Jennifer LeeKailua$3K
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.