James Vavra
Foot & Ankle Surgery · Pewaukee, WINPI 1619969391
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,929 of the $3,687 with a category attached, or 79.4%. It is spread thinly across 32 manufacturers, the largest accounting for just 15.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,200 and has fallen 54.9% since, to $541 in 2025.
Across 84 payments — averaging $43.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$584
- Kerecis Limited$564
- Smith+Nephew$333
- Stryker$322
- Integra Lifesciences Corporation$249
- Musculoskeletal Transplant Foundation Inc.$238
- plus $1K from 26 others
What the payments were for
- Speaking & faculty fees$1344%
- Travel & lodging$38710%
- Food & beverage$2,92979%
- Entertainment$2386%
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 |
|---|---|---|
| Paragon 28, Inc. | 3 | $584 |
| Kerecis Limited | 7 | $564 |
| Smith+Nephew | 16 | $333 |
| Stryker(2 entities) | 7 | $322 |
| Integra Lifesciences Corporation | 4 | $249 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $238 |
| Acell, Inc. | 3 | $221 |
| Organogenesis Inc. | 3 | $164 |
| Fusion Orthopedics USA, LLC | 5 | $160 |
| Johnson & Johnson | 3 | $128 |
| Amgen | 8 | $115 |
| Merck | 2 | $95 |
| DJO, LLC | 2 | $48 |
| In2bones USA, LLC | 1 | $38 |
| Urgo Medical North America, LLC | 1 | $37 |
| Medtronic | 1 | $33 |
| Acera Surgical, Inc. | 1 | $32 |
| Axogen | 1 | $32 |
| ANI Pharmaceuticals, Inc. | 1 | $30 |
| Bioventus LLC | 1 | $28 |
| Melinta Therapeutics, LLC | 2 | $27 |
| Orthofix Medical, Inc. | 1 | $24 |
| Mimedx Group, Inc. | 1 | $24 |
| Treace Medical Concepts, Inc. | 1 | $23 |
| Solventum Corporation | 1 | $22 |
| Enduromed, LLC | 1 | $22 |
| AbbVie | 1 | $18 |
| Paratek Pharmaceuticals, Inc. | 1 | $17 |
| Arthrosurface Incorporated | 1 | $16 |
| Tactile Systems Technology Inc | 1 | $14 |
| KCI USA, Inc. | 1 | $14 |
| Polynovo North America LLC | 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.
- Kerecis SurgiClose$550
- Kerecis Omega3 Marigen$431
- INTEGRA MESHED BILAYER WOUND MATRIX$148
- INTEGRA WOUND MATRIX (IWM)$148
- PRIMATRIX$148
- INTEGRA DERMAL REGENERATION TEMPLATE$148
- INTEGRA FLOWABLE WOUND MATRIX$148
- Kerecis GraftGuide$137
- Apligraf$134
- Dermagraft$134
- Puraply/Affinity/NuTech$134
- Kerecis Omega3 SurgiClose$108
How this compares
$3,687 in reported general payments places this provider in the 55th percentile of 105 foot & ankle surgery providers in Wisconsin.
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 |
|---|---|---|
| Moxifloxacin Hcl | 13 | $909 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 27 | $340 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 28 | $263 |
| CefuroximeCefuroxime Axetil | 16 | $203 |
| Meloxicam | 58 | $195 |
| Doxycycline Hyclate | 13 | $181 |
| Methylprednisolone | 25 | $166 |
| Tramadol Hcl | 13 | $34 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Pewaukee
- Leng XiongPewaukee$9K
- Anton SellaPewaukee$5K
- Tyler VeldkampPewaukee$2K
- Mitch HulbertSheboygan$96K
- James WhelanBeloit$51K
- Nikita GramaStevens Point$31K
- Keith AndersonHayward$31K
- Jay ChristensenAppleton$26K
- Jason BurkleMadison$26K
- Hui ZhangOak Creek$25K
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.