George Sehl, DPM
Foot & Ankle Surgery · Iowa City, IANPI 1194806448
Payments from drug & device makers
What this record shows
Stryker accounts for 72.3% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2022 at $2,864 and has fallen 94.8% since, to $150 in 2025.
Across 72 payments — averaging $60.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3K
- Organogenesis Inc.$330
- Surgenex LLC$150
- Amgen$141
- Musculoskeletal Transplant Foundation Inc.$89
- Johnson & Johnson$87
- plus $410 from 11 others
What the payments were for
- Travel & lodging$2,21951%
- Food & beverage$2,14449%
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 |
|---|---|---|
| Stryker | 26 | $3,155 |
| Organogenesis Inc. | 6 | $330 |
| Surgenex LLC | 7 | $150 |
| Amgen(2 entities) | 8 | $141 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $89 |
| Johnson & Johnson | 3 | $87 |
| Kerecis Limited | 2 | $70 |
| Zimmer Biomet | 3 | $58 |
| Smith+Nephew | 4 | $57 |
| Treace Medical Concepts, Inc. | 2 | $49 |
| Nevro Corp. | 2 | $45 |
| Kowa Pharmaceuticals America, Inc. | 2 | $36 |
| Alfasigma USA, Inc. | 2 | $28 |
| DJO, LLC | 1 | $22 |
| Paratek Pharmaceuticals, Inc. | 1 | $19 |
| Acera Surgical, Inc. | 1 | $16 |
| Arthrosurface Incorporated | 1 | $11 |
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.
- ORTHOLOC 3DI$2,163
- ANCHORAGE$157
- PROPHECY$150
- INFINITY$130
- Apligraf$121
- Dermagraft$121
- Puraply/Affinity/NuTech$121
- PuraPly$113
How this compares
$4,362 in reported general payments places this provider in the 60th percentile of 112 foot & ankle surgery providers in Iowa.
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 | 52 | $1,340 |
| Gabapentin | 132 | $1,007 |
| CiclopiroxCiclopirox Olamine | 59 | $685 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 59 | $491 |
| Pregabalin | 26 | $457 |
| Cephalexin | 40 | $328 |
| Diclofenac Sodium | 43 | $304 |
| Ammonium Lactate | 13 | $270 |
| Doxycycline Monohydrate | 11 | $258 |
| Doxycycline Hyclate | 31 | $246 |
| Azithromycin | 39 | $218 |
| Terbinafine Hcl | 11 | $212 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 24 | $117 |
| Allopurinol | 28 | $95 |
| Meloxicam | 91 | $92 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Iowa City
- Aly FayedIowa City$18K
- Victoria HoelscherIowa City$11K
- Bopha ChreaIowa City$10K
- Michael LeeDes Moines$2.1M
- Phinit PhisitkulSioux City$1.4M
- Sean GrambartDes Moines$590K
- Kelsey MillonigDes Moines$330K
- Charles CibulaCedar Falls$38K
- Gregory FooteWaterloo$35K
- Nathan ShumwayCouncil Bluffs$33K
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.