Jeremy Kalma, MD
Foot and Ankle Surgery · Lexington, KYNPI 1083064968
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (44.0%), education and food and beverage — rather than concentrated in one kind of arrangement. Arthrex accounts for 67.0% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2021 at $12,148 and has fallen 98.6% since, to $166 in 2025. Among foot and ankle surgery clinicians in KY 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 113 payments — averaging $200.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$15K
- Pinnacle, Inc$2K
- Stryker$2K
- Zimmer Biomet$1K
- Paragon 28, Inc.$970
- Legacy Ortho LLC$716
- plus $799 from 6 others
What the payments were for
- Grants$10,00044%
- Travel & lodging$2,53911%
- Food & beverage$3,99618%
- Education$6,16727%
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 |
|---|---|---|
| Arthrex | 29 | $15,205 |
| Pinnacle, Inc | 3 | $1,984 |
| Stryker | 25 | $1,713 |
| Zimmer Biomet | 37 | $1,314 |
| Paragon 28, Inc. | 5 | $970 |
| Legacy Ortho LLC | 4 | $716 |
| Medical Device Business Services, Inc. | 3 | $600 |
| Pacira Therapeutics, Inc. | 1 | $105 |
| Treace Medical Concepts, Inc. | 2 | $41 |
| Johnson & Johnson | 2 | $23 |
| Heron Therapeutics, Inc. | 1 | $15 |
| Bioventus LLC | 1 | $15 |
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.
- Product Portfolio$715
- Knees Product Portfolio$640
- INFINITY$291
- TRITANIUM$260
- MAKO$255
- TRIATHLON$255
- AUGMENT INJECTABLE$165
- STAR$160
- INVISION$157
- PROPHECY$157
- INBONE$157
- ES2$144
- ACCOLADE$139
- Comprehensive Nano$122
- GMRS$122
- EXETER$122
- ALLOGRAFT$119
- Trauma Product Portfolio$118
- Hips Product Portfolio$118
- TRIDENT$116
How this compares
$22,702 in reported general payments places this provider in the 90th percentile of 141 foot and 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 |
|---|---|---|
| Oxycodone Hcl | 15 | $55 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Lexington
- Bradford FineLexington$82K
- Michelle HurlessLexington$14K
- Benjamin SchneiderLexington$9K
- Victoria SainLexington$6K
- Ali AhmedLexington$4K
- William Adams IiPaducah$485K
- Sofie PinneyCynthiana$130K
- Carl KihmLouisville$89K
- Nicholas LacoLouisville$60K
- Jay LechnerLouisville$29K
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.