Jeffrey Dikis, DPM
Foot & Ankle Surgery · Marshalltown, IANPI 1740544386
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (29.0%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. Trimed, Inc. accounts for 84.1% of it on its own, with 12 other manufacturers making up the rest. 2025 is the largest year on record at $6,867, 7.2 times the $960 reported in 2019.
Across 100 payments — averaging $197.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$17K
- Stryker$1K
- Arthrex$736
- Prism Medical$709
- Novastep Inc.$141
- Henry Schein, Inc.$82
- plus $189 from 7 others
What the payments were for
- Consulting fees$3,50018%
- Speaking & faculty fees$5,00025%
- Travel & lodging$5,71729%
- Food & beverage$5,48028%
- Education$480%
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 |
|---|---|---|
| Trimed, Inc. | 28 | $16,609 |
| Stryker | 40 | $1,278 |
| Arthrex | 14 | $736 |
| Prism Medical | 8 | $709 |
| Novastep Inc. | 1 | $141 |
| Henry Schein, Inc. | 1 | $82 |
| Acera Surgical, Inc. | 1 | $62 |
| Wardlow Enterprises | 1 | $32 |
| Vertex | 2 | $29 |
| Orthofix Medical, Inc. | 1 | $18 |
| Amgen | 1 | $17 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $16 |
| Smith+Nephew | 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.
- Tools - WFS$5,222
- Tools - AFS$4,510
- Tools - FPS$1,304
- INFINITY ADAPTIS$224
- NEXIS$141
- AUGMENT INJECTABLE$140
- ANCHORAGE$120
- FLEXBAND$115
- ORTHOLOC 3DI$115
- T2$109
- T2 ALPHA$109
- PROstep$109
How this compares
$19,746 in reported general payments places this provider in the 85th percentile of 112 foot & ankle surgery providers in Iowa.
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 |
|---|---|---|
| Oxycodone Hcl | 83 | $275 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $205 |
| Methylprednisolone | 12 | $79 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 19 | $77 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Marshalltown
- Michael LeeDes Moines$2.1M
- Phinit PhisitkulSioux City$1.4M
- Sean GrambartDes Moines$590K
- Kelsey MillonigDes Moines$330K
- Charles CibulaCedar Falls$38K
- Gregory FooteWaterloo$35K
- Nathan ShumwayCouncil Bluffs$33K
- Justin RaatzDes Moines$28K
- Tuvi MendelDavenport$26K
- Mica MurdochDes Moines$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.