Diana Karnavas, DPM
Foot & Ankle Surgery · Warren, OHNPI 1194703157
Payments from drug & device makers
Across 198 payments — averaging $29.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$1K
- Organogenesis Inc.$867
- Tactile Systems Technology Inc$718
- Mimedx Group, Inc.$596
- Kerecis Limited$578
- Integra Lifesciences Corporation$575
- plus $1K from 15 others
What the payments were for
- Food & beverage$5,755100%
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 |
|---|---|---|
| Smith+Nephew | 37 | $1,049 |
| Organogenesis Inc. | 30 | $867 |
| Tactile Systems Technology Inc | 17 | $718 |
| Mimedx Group, Inc. | 48 | $596 |
| Kerecis Limited | 3 | $578 |
| Integra Lifesciences Corporation | 16 | $575 |
| Urgo Medical North America, LLC | 14 | $333 |
| Paratek Pharmaceuticals, Inc. | 5 | $176 |
| Melinta Therapeutics, LLC | 8 | $173 |
| KCI USA, Inc. | 3 | $144 |
| Osiris Therapeutics Inc. | 1 | $127 |
| Medtronic | 1 | $114 |
| Aroa Biosurgery Incorporated | 2 | $112 |
| Convatec Inc. | 3 | $49 |
| AbbVie | 3 | $47 |
| Merck | 2 | $26 |
| TEI Biosciences Inc | 1 | $18 |
| Solventum Corporation | 1 | $17 |
| Reapplix Inc. | 1 | $16 |
| Zimmer Biomet | 1 | $12 |
| Highridge Medical LLC | 1 | $10 |
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.
- INTEGRA$768
- Kerecis Omega3 Wound$578
- Flexitouch Plus$455
- INTEGRA DERMAL REGENERATION TEMPLATE$369
- Entre Plus$337
- PRIMATRIX$256
- Kerecis Omega3 Surgibind$170
- Kerecis Omega3 GraftGuide$170
- Kerecis Omega3 SurgiClose$170
- Stravix$127
- Grafix$127
- GrafixPL$127
- Nimbl$118
- IN.PACT Admiral$114
- INTEGRA MESHED BILAYER WOUND MATRIX$113
- INTEGRA WOUND MATRIX (IWM)$113
- PICO7$109
- RENASYS GO$109
- RENASYS TOUCH$109
- NUZYRA$105
How this compares
$5,755 in reported general payments places this provider in the 65th 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 |
|---|---|---|
| CiclopiroxCiclopirox Olamine | 243 | $4,144 |
| Doxycycline Hyclate | 75 | $840 |
| Gabapentin | 52 | $825 |
| Gentamicin Sulfate | 29 | $550 |
| Minocycline Hcl | 16 | $526 |
| Cilostazol | 12 | $307 |
| Terbinafine Hcl | 18 | $304 |
| Ketoconazole | 12 | $256 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 14 | $226 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 39 | $221 |
| Levofloxacin | 35 | $186 |
| Meloxicam | 63 | $112 |
| Methylprednisolone | 22 | $68 |
| Tramadol Hcl | 12 | $28 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Warren
- Christopher HyerWorthington$4.9M
- Thomas LeePickerington$4M
- Jordan GrossmanAkron$2.5M
- Robert GorslineHilliard$1.4M
- Jonathan FeibelGahanna$1.4M
- Mark PrisselWorthington$1.3M
- Windy ColeKent$889K
- Elizabeth HewittGrove City$464K
- Lee HladGahanna$440K
- Dominic RizzoBlue Ash$303K
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.