Jessica Little, DPM
Foot & Ankle Surgery · Mayfield, KYNPI 1093093254
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (42.7%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 27 manufacturers reported payments, led by Arthrex at 39.7% of the total. Reporting peaked in 2019 at $3,027 and has fallen 75.1% since, to $753 in 2025.
Across 115 payments — averaging $63.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$3K
- Gentleman Orthopedic Solutions$3K
- Treace Medical Concepts, Inc.$336
- Paratek Pharmaceuticals, Inc.$278
- Kerecis Limited$169
- Smith+Nephew$140
- plus $909 from 21 others
What the payments were for
- Travel & lodging$1,37419%
- Food & beverage$2,78138%
- Education$3,09143%
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 | 27 | $2,879 |
| Gentleman Orthopedic Solutions | 10 | $2,535 |
| Treace Medical Concepts, Inc. | 7 | $336 |
| Paratek Pharmaceuticals, Inc. | 17 | $278 |
| Kerecis Limited | 3 | $169 |
| Smith+Nephew | 8 | $140 |
| Stryker | 2 | $127 |
| Medtronic | 3 | $126 |
| Johnson & Johnson | 3 | $81 |
| AbbVie | 5 | $76 |
| Tactile Systems Technology Inc | 5 | $73 |
| Reapplix Inc. | 3 | $65 |
| Amgen | 4 | $48 |
| Zyla Life Sciences, Inc. | 3 | $45 |
| Melinta Therapeutics, LLC | 2 | $31 |
| Kowa Pharmaceuticals America, Inc. | 2 | $27 |
| Polynovo North America LLC | 1 | $27 |
| Abbott | 1 | $26 |
| Organogenesis Inc. | 1 | $22 |
| Solventum Corporation | 1 | $22 |
| Advanced Oxygen Therapy Inc. | 1 | $19 |
| KCI USA, Inc. | 1 | $18 |
| Globus Medical | 1 | $18 |
| Mimedx Group, Inc. | 1 | $17 |
| Zimmer Biomet | 1 | $14 |
| Reprise Biomedical, Inc. | 1 | $14 |
| Merck | 1 | $11 |
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
$7,246 in reported general payments places this provider in the 70th 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 |
|---|---|---|
| Linezolid | 21 | $2,692 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 73 | $788 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 94 | $733 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 24 | $373 |
| Methylprednisolone | 73 | $372 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 35 | $364 |
| Doxycycline Monohydrate | 37 | $345 |
| CeftriaxoneCeftriaxone Sodium | 16 | $320 |
| Ondansetron OdtOndansetron | 13 | $273 |
| Ciprofloxacin Hcl | 39 | $269 |
| Levofloxacin | 34 | $239 |
| Ibuprofen | 37 | $235 |
| Terbinafine Hcl | 18 | $234 |
| Ondansetron Hcl | 23 | $191 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 35 | $130 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Mayfield
- 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.