RxDoctor Payments Data

Jeffrey Appleman

Foot & Ankle Surgery · Cape Girardeau, MONPI 1245226216

Payments from drug & device makers

$798in general payments, 2019–2025

Across 16 payments — averaging $49.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$250
  • Convatec Inc.$242
  • Amgen$116
  • Organogenesis Inc.$52
  • Zyla Life Sciences, Inc.$28
  • Paragon 28, Inc.$26
  • plus $82 from 5 others

What the payments were for

  • Food & beverage$798100%

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

19
20
21
22
23
24
25

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.

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

$798 in reported general payments places this provider in the 20th percentile of 163 foot & ankle surgery providers in Missouri.

See all foot & ankle surgery providers in Missouri

Medicare billing

Part B allowed, 2024
$108,051
Medicare patients
699
Services billed
2,068

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

DrugClaimsCost to plans & patients
Ammonium Lactate25$627
Doxycycline Hyclate22$210
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen18$203
Cephalexin47$162
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav28$152
Pentoxifylline18$148
Gabapentin15$139
Terbinafine Hcl33$116
Methylprednisolone14$104
Levofloxacin17$99
Tramadol Hcl17$63

Paid to pharmacies, not to this prescriber.

Other foot & ankle surgery in Cape Girardeau

See the full list for Missouri

Where these figures come from

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