Joseph Romani, DPM
Foot & Ankle Surgery · Binghamton, NYNPI 1013323252
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (51.7%), travel and lodging and education — rather than concentrated in one kind of arrangement. 7 manufacturers reported payments, led by Arthrex at 56.0% of the total. 2025 is the largest year on record at $13,150, more than ten times the $1,093 reported in 2019. Among foot & ankle surgery clinicians in NY 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 52 payments — averaging $418.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$12K
- Prodigy Surgical Distribution, Inc.$7K
- Paragon 28, Inc.$1K
- Stryker$1K
- Treace Medical Concepts, Inc.$288
- International Life Sciences$120
- plus $54 from 1 others
What the payments were for
- Speaking & faculty fees$11,25052%
- Travel & lodging$5,23724%
- Food & beverage$1,5747%
- Education$3,68017%
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 | 11 | $12,184 |
| Prodigy Surgical Distribution, Inc. | 10 | $6,754 |
| Paragon 28, Inc. | 10 | $1,327 |
| Stryker(2 entities) | 9 | $1,013 |
| Treace Medical Concepts, Inc. | 9 | $288 |
| International Life Sciences | 1 | $120 |
| Baxter Healthcare | 2 | $54 |
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
$21,741 in reported general payments places this provider in the 90th percentile of 652 foot & ankle surgery providers in New York.
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 |
|---|---|---|
| Ammonium Lactate | 87 | $1,324 |
| Diclofenac Sodium | 47 | $1,104 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 41 | $159 |
| Cephalexin | 15 | $84 |
| Methylprednisolone | 13 | $83 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Binghamton
- Nathan JuddBinghamton$81K
- James McWilliamHarrison$4.7M
- Jonathan DelandNew York$4M
- George Vitole Roy$2.5M
- Constantine DemetracopoulosNew York$888K
- Anne JohnsonNew York$815K
- Scott EllisNew York$597K
- John KennedyNew York$534K
- Michael KellerKingston$532K
- Judith BaumhauerRochester$328K
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.