George Kardouss, DPM
Foot & Ankle Surgery · Dearborn, MINPI 1780175687
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (52.2%), education and travel and lodging — rather than concentrated in one kind of arrangement. 38 manufacturers reported payments, led by Treace Medical Concepts, Inc. at 26.3% of the total.
Across 144 payments — averaging $85.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Treace Medical Concepts, Inc.$3K
- Pinnacle, Inc$3K
- Medical Device Business Services, Inc.$777
- Stryker$676
- Acumed LLC$623
- Integra Lifesciences Corporation$539
- plus $4K from 32 others
What the payments were for
- Travel & lodging$2,58421%
- Food & beverage$6,41852%
- Education$3,29227%
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 |
|---|---|---|
| Treace Medical Concepts, Inc. | 11 | $3,231 |
| Pinnacle, Inc | 6 | $2,616 |
| Medical Device Business Services, Inc. | 5 | $777 |
| Stryker(2 entities) | 14 | $676 |
| Acumed LLC | 6 | $623 |
| Integra Lifesciences Corporation | 17 | $539 |
| Bone Support Inc. | 5 | $509 |
| Amgen(2 entities) | 8 | $343 |
| Paragon 28, Inc. | 7 | $329 |
| Johnson & Johnson | 6 | $309 |
| Nevro Corp. | 5 | $242 |
| Osteomed LLC | 4 | $242 |
| Zimmer Biomet | 3 | $230 |
| Mimedx Group, Inc. | 5 | $163 |
| Smith+Nephew | 7 | $139 |
| Cardiovascular Systems Inc. | 2 | $128 |
| Lilly USA, LLC | 2 | $125 |
| Kuros Biosciences USA, Inc | 1 | $110 |
| Paratek Pharmaceuticals, Inc. | 6 | $106 |
| Pacira Pharmaceuticals Incorporated | 1 | $102 |
| Davol Inc. | 1 | $100 |
| Organogenesis Inc. | 2 | $97 |
| KCI USA, Inc. | 2 | $85 |
| Kerecis Limited | 2 | $80 |
| Cardinal Health 200 LLC | 1 | $58 |
| Acera Surgical, Inc. | 1 | $48 |
| Solventum Corporation | 2 | $38 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $33 |
| UCB, Inc. | 1 | $29 |
| Surgenex LLC | 1 | $29 |
| Aroa Biosurgery Incorporated | 1 | $28 |
| Omeza LLC | 1 | $23 |
| Corcept Therapeutics | 1 | $20 |
| Bioventus LLC | 1 | $19 |
| AstraZeneca | 1 | $19 |
| Tonix Medicines, Inc. | 1 | $16 |
| Hartmann USA, Inc. | 1 | $16 |
| Abbott | 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.
- Lapiplasty System$1,747
- ACUMED$1,162
- LAPIPLASTY SYSTEM 1$898
- INTEGRA$685
- CERAMENTBONE VOID FILLER$426
- CERAMENT G$426
- OsteoMed$347
- INTEGRA DERMAL REGENERATION TEMPLATE$228
- PRIMATRIX$228
- Omnia$141
- INFINITY ADAPTIS$129
- T2$129
- TMC NANOPLASTY SYSTEM$120
- EXT-Extremilock Foot$115
- MagnetOs$110
- MOUNJARO$110
- Subchondroplasty$105
- EXPAREL$102
How this compares
$12,294 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 |
|---|---|---|
| Ketoconazole | 149 | $3,694 |
| Diclofenac Sodium | 85 | $1,932 |
| Ammonium Lactate | 80 | $1,404 |
| Betamethasone Dipropionate | 23 | $1,075 |
| Gabapentin | 110 | $593 |
| Allopurinol | 50 | $334 |
| Terbinafine Hcl | 12 | $320 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 13 | $239 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 27 | $214 |
| Methylprednisolone | 27 | $175 |
| Doxycycline Hyclate | 16 | $72 |
| Cyclobenzaprine Hcl | 34 | $69 |
| Meloxicam | 29 | $48 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Dearborn
- Nicole BrouyetteDearborn$71K
- Benjamin GetzDearborn$24K
- Alex DandashlyDearborn$20K
- Alaa MansourDearborn$16K
- 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
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.