Helena Meyer, DO
Foot and Ankle Surgery · Dartmouth, MANPI 1619265238
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (53.8%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 5 manufacturers reported payments, led by Kairos Surgical Inc at 48.3% of the total. Among foot and ankle surgery clinicians in MA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 60 payments — averaging $205.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kairos Surgical Inc$6K
- Stryker$3K
- Arthrex$2K
- Coastal Technology Solutions LLC$1K
- Axogen$45
What the payments were for
- Travel & lodging$4,59737%
- Food & beverage$1,1149%
- Education$6,64254%
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 |
|---|---|---|
| Kairos Surgical Inc | 10 | $5,961 |
| Stryker | 20 | $2,633 |
| Arthrex | 21 | $2,403 |
| Coastal Technology Solutions LLC | 8 | $1,313 |
| Axogen | 1 | $45 |
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.
- PROstep$1,280
- PROSTEP MICA$809
- HOFFMANN$150
How this compares
$12,354 in reported general payments places this provider in the 90th percentile of 122 foot and ankle surgery providers in Massachusetts.
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 |
|---|---|---|
| Diclofenac Sodium | 75 | $1,570 |
| Celecoxib | 38 | $659 |
| Nitroglycerin PatchNitroglycerin | 11 | $521 |
| Methylprednisolone | 49 | $358 |
| Meloxicam | 130 | $314 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 11 | $209 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $141 |
| Gabapentin | 13 | $38 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Dartmouth
- Jay EmlenDartmouth$2K
- Harry SchneiderCambridge$174K
- Craig LareauSpringfield$115K
- David SipalaBrighton$94K
- Philip BasileCambridge$90K
- Michael SgangaNatick$90K
- Joseph FleckNorth Chelmsford$35K
- Michael SkoniecznyPlymouth$33K
- Richard BakerHyannis$16K
- Mark SlovenkaiWaltham$14K
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.