RxDoctor Payments Data

Devin Mangold, MD

Foot and Ankle Surgery · Fresno, CANPI 1326427444

Payments from drug & device makers

What this record shows

The money is spread across several categories — travel and lodging (47.0%), food and beverage and education — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Cornerstone Medical Associates, Inc. at 41.7% of the total. Reporting peaked in 2023 at $3,586 and has fallen 99.4% since, to $23 in 2025.

$7,533in general payments, 2019–2025

Across 101 payments — averaging $74.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Cornerstone Medical Associates, Inc.$3K
  • Arthrex$2K
  • Medical Device Business Services, Inc.$1K
  • Stryker$613
  • Johnson & Johnson$227
  • Paragon 28, Inc.$152
  • plus $274 from 3 others
$20,000in ownership & investment interests, 2019–2025

Across 2 payments — averaging $10,000 each. An ownership or investment interest held by the physician or an immediate family member.

  • Lazurite Inc.$20K

What the payments were for

  • Travel & lodging$3,54147%
  • Food & beverage$2,79237%
  • Education$1,20016%

General payments by program year

19
20
21
22
23
25

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.

CompanyPaymentsTotal
Cornerstone Medical Associates, Inc.12$3,144
Arthrex24$1,648
Medical Device Business Services, Inc.11$1,474
Stryker(2 entities)8$613
Johnson & Johnson2$227
Paragon 28, Inc.40$152
Exactech, Inc.2$133
Zimmer Biomet1$124
Bioventus LLC1$17

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

$7,533 in reported general payments places this provider in the 80th percentile of 1,126 foot and ankle surgery providers in California.

See all foot and ankle surgery providers in California →

Medicare billing

Part B allowed, 2024
$243,978
Medicare patients
454
Services billed
2,923

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

DrugClaimsCost to plans & patients
Oxycodone Hcl62$191
Hydroxyzine Pamoate38$114

Paid to pharmacies, not to this prescriber.

Other foot and ankle surgery in Fresno

See the full list for California →

Where these figures come from

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