Firras Garada, DPM
Foot & Ankle Surgery · Warren, MINPI 1073008371
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (36.0%), education and food and beverage — rather than concentrated in one kind of arrangement. It is spread thinly across 27 manufacturers, the largest accounting for just 20.8%.
Across 142 payments — averaging $97.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$3K
- Pinnacle, Inc$2K
- Mimedx Group, Inc.$2K
- Stryker$1K
- Medical Device Business Services, Inc.$1K
- Treace Medical Concepts, Inc.$1K
- plus $3K from 21 others
What the payments were for
- Travel & lodging$4,99336%
- Food & beverage$4,42932%
- Education$4,45932%
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 |
|---|---|---|
| Arthrex | 10 | $2,887 |
| Pinnacle, Inc | 6 | $2,099 |
| Mimedx Group, Inc. | 8 | $1,854 |
| Stryker(2 entities) | 24 | $1,487 |
| Medical Device Business Services, Inc. | 6 | $1,317 |
| Treace Medical Concepts, Inc. | 14 | $1,199 |
| Paragon 28, Inc. | 6 | $839 |
| Organogenesis Inc. | 9 | $643 |
| Amgen(2 entities) | 18 | $204 |
| KCI USA, Inc. | 2 | $186 |
| Paratek Pharmaceuticals, Inc. | 11 | $175 |
| Johnson & Johnson(2 entities) | 5 | $169 |
| Integra Lifesciences Corporation | 3 | $137 |
| Smith+Nephew | 4 | $112 |
| Osteomed LLC | 2 | $97 |
| Cardiovascular Systems Inc. | 1 | $95 |
| Terumo Medical Corporation | 1 | $79 |
| Axogen | 1 | $78 |
| Misonix Inc | 1 | $50 |
| Acera Surgical, Inc. | 2 | $36 |
| Orthofix Medical, Inc. | 2 | $28 |
| Kerecis Limited | 1 | $26 |
| TEI Medical Inc. | 1 | $21 |
| Novastep Inc. | 1 | $19 |
| Surgenex LLC | 1 | $18 |
| Convatec Inc. | 1 | $15 |
| Vertex | 1 | $14 |
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.
- Lapiplasty System$915
- Product Portfolio$581
- MAKO$519
- PuraPly$285
- Portfolio$137
- ANCHORAGE$133
- VARIAX$133
- ASNIS$119
- OMNIGRAFT$110
- PRIMATRIX$110
- MEDIHONEY$110
- TCC-EZ$110
- AMNIOEXCEL$110
- Puraply Antimicrobial$107
How this compares
$13,882 in reported general payments places this provider in the 85th percentile of 384 foot & ankle surgery providers in Michigan.
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 |
|---|---|---|
| Ammonium Lactate | 62 | $858 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 11 | $341 |
| Gabapentin | 25 | $188 |
| Terbinafine Hcl | 22 | $186 |
| Doxycycline Hyclate | 33 | $166 |
| Ciclopirox | 12 | $158 |
| Doxycycline Monohydrate | 11 | $130 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Warren
- Ross BartleyWarren$16K
- Siraj PanchbhaiyaWarren$12K
- John AndersonGrand Rapids$1.3M
- Brian LoderClinton Township$854K
- Karl DunnClinton Twp$434K
- Anthony LalamaMacomb$421K
- Christopher ZingasSaint Clair Shores$227K
- John MaskillGrand Rapids$202K
- Michael SwordsLansing$189K
- Gregory SheremetaTroy$87K
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.