RxDoctor Payments Data

Joel Kelly, DPM

Foot & Ankle Surgery · Apex, NCNPI 1669632881

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $14,009 of the $15,680 with a category attached, or 89.3%. It is spread thinly across 46 manufacturers, the largest accounting for just 21.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2020 at $3,848 and has fallen 67.4% since, to $1,256 in 2025. Among foot & ankle surgery clinicians in NC 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.

$15,680in general payments, 2019–2025

Across 429 payments — averaging $36.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Musculoskeletal Transplant Foundation Inc.$3K
  • Convatec Inc.$3K
  • Smith+Nephew$2K
  • Epsfl, LLC$2K
  • Next Science LLC$626
  • Paratek Pharmaceuticals, Inc.$380
  • plus $4K from 40 others

What the payments were for

  • Consulting fees$921%
  • Speaking & faculty fees$1121%
  • Travel & lodging$1,2168%
  • Food & beverage$14,00989%
  • Entertainment$2512%

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

$15,680 in reported general payments places this provider in the 90th percentile of 196 foot & ankle surgery providers in North Carolina.

See all foot & ankle surgery providers in North Carolina

Medicare billing

Part B allowed, 2024
$961,204
Medicare patients
437
Services billed
4,768

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
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip30$700
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav37$366
Gabapentin13$190
Doxycycline Hyclate19$183
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen14$113
Terbinafine Hcl19$93
Meloxicam18$47

Paid to pharmacies, not to this prescriber.

Other foot & ankle surgery in Apex

See the full list for North Carolina

Where these figures come from

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