Jacob Rizkalla, DPM
Foot & Ankle Surgery · Somerset, KYNPI 1134784978
Payments from drug & device makers
Across 23 payments — averaging $97.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mid-atlantic Surgical Systems, LLC$1K
- Paragon 28, Inc.$471
- Stryker$168
- AbbVie$125
- Cardiovascular Systems Inc.$49
- Smith+Nephew$40
- plus $187 from 10 others
What the payments were for
- Travel & lodging$1878%
- Food & beverage$86538%
- Education$1,20053%
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 |
|---|---|---|
| Mid-atlantic Surgical Systems, LLC | 2 | $1,213 |
| Paragon 28, Inc. | 3 | $471 |
| Stryker | 4 | $168 |
| AbbVie | 1 | $125 |
| Cardiovascular Systems Inc. | 1 | $49 |
| Smith+Nephew | 2 | $40 |
| Legacy Ortho LLC | 1 | $29 |
| Mimedx Group, Inc. | 1 | $28 |
| Bioventus LLC | 1 | $18 |
| Averitas Pharma Inc. | 1 | $18 |
| KCI USA, Inc. | 1 | $17 |
| Polynovo North America LLC | 1 | $16 |
| Kerecis Limited | 1 | $16 |
| Integra Lifesciences Corporation | 1 | $16 |
| Treace Medical Concepts, Inc. | 1 | $15 |
| Avita Medical Americas, LLC | 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.
How this compares
$2,252 in reported general payments places this provider in the 40th percentile of 141 foot & ankle surgery providers in Kentucky.
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 |
|---|---|---|
| Doxycycline Hyclate | 51 | $360 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 20 | $170 |
| Ciprofloxacin Hcl | 15 | $83 |
| Mupirocin | 17 | $60 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $33 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Somerset
- William Adams IiPaducah$485K
- Sofie PinneyCynthiana$130K
- Carl KihmLouisville$89K
- Bradford FineLexington$82K
- Nicholas LacoLouisville$60K
- Jay LechnerLouisville$29K
- Russell BakerCarrollton$27K
- William McGloneLouisville$26K
- Timothy FordLouisville$26K
- Garrett WiremanLouisville$26K
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.