Joseph Difranco, DPM
Foot & Ankle Surgery · Erie, PANPI 1407881162
Payments from drug & device makers
Across 201 payments — averaging $29.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Organogenesis Inc.$2K
- Smith+Nephew$1K
- Kerecis Limited$491
- Bioventus LLC$422
- Treace Medical Concepts, Inc.$392
- Averitas Pharma Inc.$196
- plus $1K from 11 others
What the payments were for
- Food & beverage$5,70497%
- Education$2033%
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 |
|---|---|---|
| Organogenesis Inc. | 77 | $1,698 |
| Smith+Nephew | 72 | $1,464 |
| Kerecis Limited | 5 | $491 |
| Bioventus LLC | 11 | $422 |
| Treace Medical Concepts, Inc. | 4 | $392 |
| Averitas Pharma Inc. | 5 | $196 |
| Polynovo North America LLC | 4 | $177 |
| Misonix Inc | 3 | $170 |
| DJO, LLC | 3 | $158 |
| Integra Lifesciences Corporation | 1 | $151 |
| Stryker | 3 | $145 |
| Tactile Systems Technology Inc | 4 | $139 |
| Zimmer Biomet | 1 | $90 |
| Abbott | 4 | $88 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $75 |
| Vertex | 2 | $37 |
| KCI USA, Inc. | 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.
- Kerecis Omega3 SurgiClose$1,100
- Kerecis Omega3 Marigen$771
- Kerecis Omega3 GraftGuide$468
- INTEGRA$452
- PuraPly$449
- GRAFIX PL$275
- INTEGRA DERMAL REGENERATION TEMPLATE$151
- PRIMATRIX$151
- Exogen Ultrasound Bone Healing System$143
- Novosorb BTM$139
- Oasis$129
- TMC NANOPLASTY SYSTEM$129
- Puraply Antimicrobial$124
- TMC SPEEDMTP$113
- Qutenza$106
- DR COMFORT$103
- CITREFIX$100
How this compares
$5,907 in reported general payments places this provider in the 70th percentile of 575 foot & ankle surgery providers in Pennsylvania.
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 |
|---|---|---|
| Gabapentin | 19 | $532 |
| Celecoxib | 24 | $410 |
| CiclopiroxCiclopirox Olamine | 33 | $403 |
| Cefdinir | 41 | $349 |
| Terbinafine Hcl | 34 | $218 |
| Triamcinolone Acetonide | 25 | $140 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 32 | $123 |
| Allopurinol | 13 | $102 |
| Methylprednisolone | 16 | $93 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $68 |
| Meloxicam | 34 | $34 |
| Naproxen | 13 | $18 |
| Tramadol Hcl | 13 | $11 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Erie
- Anthony ColonnaErie$38K
- William DecarboBelle Vernon$3.5M
- David PedowitzBryn Mawr$1.7M
- Noman SiddiquiScranton$1.3M
- Peter MangonePittsburgh$1.1M
- Stephen BrigidoBethlehem$656K
- Guido LaportaDunmore$625K
- Jason MillerMalvern$551K
- Adam TeichmanAllentown$545K
- Thomas RocchioAllentown$524K
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.