Gerard Costella, DPM
Foot & Ankle Surgery · Suffolk, VANPI 1437692530
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $9,216 of the $10,350 with a category attached, or 89.0%. 35 manufacturers reported payments, led by Stryker at 52.9% of the total.
Across 208 payments — averaging $49.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$5K
- Smith+Nephew$857
- Aroa Biosurgery Incorporated$600
- KCI USA, Inc.$347
- Bioventus LLC$316
- Medtronic$193
- plus $3K from 29 others
What the payments were for
- Consulting fees$6006%
- Travel & lodging$5345%
- Food & beverage$9,21689%
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 |
|---|---|---|
| Stryker | 118 | $5,478 |
| Smith+Nephew | 23 | $857 |
| Aroa Biosurgery Incorporated | 2 | $600 |
| KCI USA, Inc. | 3 | $347 |
| Bioventus LLC | 5 | $316 |
| Medtronic | 2 | $193 |
| Kerecis Limited | 3 | $193 |
| Linvatec Corporation | 3 | $191 |
| Organogenesis Inc. | 7 | $178 |
| Lifenet Health | 5 | $174 |
| Integra Lifesciences Corporation | 4 | $157 |
| Urgo Medical North America, LLC | 1 | $128 |
| Heron Therapeutics, Inc. | 2 | $121 |
| Arthrosurface Incorporated | 1 | $113 |
| Globus Medical | 1 | $112 |
| Paratek Pharmaceuticals, Inc. | 1 | $110 |
| Abbott | 4 | $101 |
| Anika Therapeutics, Inc. | 1 | $100 |
| Tenex Health Inc. | 1 | $98 |
| Osiris Therapeutics Inc. | 1 | $97 |
| Johnson & Johnson | 1 | $97 |
| Solventum Corporation | 1 | $88 |
| Biotissue Holdings Inc. | 1 | $85 |
| Trice Medical, Inc. | 2 | $79 |
| Paragon 28, Inc. | 1 | $67 |
| Merck | 3 | $47 |
| Tactile Systems Technology Inc | 1 | $42 |
| Convatec Inc. | 2 | $34 |
| Boston Scientific | 2 | $31 |
| Vertex | 1 | $27 |
| AbbVie | 1 | $25 |
| Novastep Inc. | 1 | $19 |
| Fidia Pharma USA Inc. | 1 | $18 |
| Innovation Technologies Inc | 1 | $16 |
| Melinta Therapeutics, LLC | 1 | $12 |
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.
- HOFFMANN$1,097
- EASYFUSE$527
- VARIAX$503
- ALLOWRAP$463
- Viaflow$357
- ANCHORAGE$349
- INTEGRA$335
- CITREFIX$289
- Stravix$261
- PROstep$247
- GRAFIX PL$243
- V.A.C. VERAFLO$234
- INTELLIS ADAPTIVESTIM$166
- 7 X 23MM CITRELOCK IMPLANT$165
- EASY CLIP$136
- UrgoK2$128
- VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP$128
- Grafix$124
- STRAVIX PL$124
- PROPHECY$123
How this compares
$10,350 in reported general payments places this provider in the 75th percentile of 260 foot & ankle surgery providers in Virginia.
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 |
|---|---|---|
| Gabapentin | 102 | $681 |
| Pregabalin | 29 | $536 |
| Ammonium Lactate | 22 | $491 |
| Ciclopirox | 19 | $423 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 21 | $123 |
| Doxycycline Hyclate | 33 | $114 |
| Terbinafine Hcl | 20 | $108 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 12 | $97 |
| Methylprednisolone | 14 | $86 |
| Cephalexin | 18 | $69 |
| Meloxicam | 13 | $24 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Suffolk
- Richard BrunoSuffolk$169K
- Davin CarrollSuffolk$14K
- Namrata DaruSuffolk$11K
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$857K
- Charles ZelenRoanoke$363K
- Ryan VazalesGlen Allen$337K
- Jugal DhariaFairfax$309K
- William SimonVirginia Beach$292K
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.