Jonathan Rouse, DPM
Foot & Ankle Surgery · Omaha, NENPI 1003250556
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (57.6%), travel and lodging and education — rather than concentrated in one kind of arrangement. Stryker accounts for 79.0% of it on its own, with 23 other manufacturers making up the rest. Reporting peaked in 2023 at $7,474 and has fallen 73.4% since, to $1,990 in 2025.
Across 250 payments — averaging $80.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$16K
- Treace Medical Concepts, Inc.$2K
- Smith+Nephew$836
- Organogenesis Inc.$491
- Medical Device Business Services, Inc.$303
- Musculoskeletal Transplant Foundation Inc.$222
- plus $703 from 18 others
What the payments were for
- Travel & lodging$8,24641%
- Food & beverage$11,60358%
- Education$3032%
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
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 |
|---|---|---|
| Stryker | 161 | $15,924 |
| Treace Medical Concepts, Inc. | 11 | $1,673 |
| Smith+Nephew | 33 | $836 |
| Organogenesis Inc. | 10 | $491 |
| Medical Device Business Services, Inc. | 2 | $303 |
| Musculoskeletal Transplant Foundation Inc. | 2 | $222 |
| Averitas Pharma Inc. | 4 | $92 |
| Kerecis Limited | 4 | $84 |
| Integra Lifesciences Corporation | 3 | $81 |
| Paratek Pharmaceuticals, Inc. | 4 | $62 |
| Orpyx Medical Technologies US Inc. | 1 | $53 |
| Next Science LLC | 1 | $47 |
| Innovation Technologies Inc | 2 | $43 |
| Amgen | 2 | $31 |
| Advanced Oxygen Therapy Inc. | 1 | $29 |
| Polynovo North America LLC | 1 | $27 |
| KCI USA, Inc. | 1 | $26 |
| Conetic Solutions, Inc. | 1 | $24 |
| Orthofix Medical, Inc. | 1 | $20 |
| Baudax Bio Inc. | 1 | $19 |
| GRT US Holding, Inc. | 1 | $19 |
| Solventum Corporation | 1 | $16 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
| Zimmer Biomet | 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.
- PROstep$2,476
- HOFFMANN$1,904
- Lapiplasty System$1,316
- ORTHOLOC 2 LAPIFUSE$1,261
- AUGMENT INJECTABLE$1,133
- Viaflow$1,074
- ORTHOLOC 3DI$927
- INBONE$871
- INVISION$871
- PROPHECY$871
- VARIAX$769
- INFINITY$696
- STAR$557
- OMEGA$337
- ORTHOLOC 3DI CROSSCHECK$324
- FIXOS$322
- Actishield$319
- GRAFIX PL$264
- CITREFIX$169
- BIOskin$168
How this compares
$20,152 in reported general payments places this provider in the 75th percentile of 43 foot & ankle surgery providers in Nebraska.
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 |
|---|---|---|
| Pregabalin | 12 | $822 |
| Gabapentin | 33 | $368 |
| Doxycycline Hyclate | 15 | $225 |
| Clotrimazole | 12 | $220 |
| Methylprednisolone | 24 | $156 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Omaha
- Bradley CoppleOmaha$83K
- Robert GreenhagenOmaha$29K
- Patrick NelsonOmaha$28K
- Scott NelsonOmaha$16K
- Jordan SikesOmaha$15K
- Shannon LensingOmaha$11K
- Jorge AmaroOmaha$10K
- Kevin GrosshansOmaha$8K
- Kent DinucciOmaha$4K
- Reanen MichaelOmaha$4K
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.