Joshua Grimm
Foot & Ankle Surgery · Pasco, WANPI 1164719092
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.1% of the total across 172 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 22 manufacturers reported payments, led by Stryker at 56.1% of the total.
Across 172 payments — averaging $32.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3K
- Treace Medical Concepts, Inc.$809
- Smith+Nephew$449
- Mimedx Group, Inc.$384
- Organogenesis Inc.$367
- Biowound Solutions, Inc.$76
- plus $386 from 16 others
What the payments were for
- Travel & lodging$5049%
- Food & beverage$5,12791%
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 | 88 | $3,160 |
| Treace Medical Concepts, Inc. | 10 | $809 |
| Smith+Nephew | 25 | $449 |
| Mimedx Group, Inc. | 11 | $384 |
| Organogenesis Inc. | 15 | $367 |
| Biowound Solutions, Inc. | 4 | $76 |
| Bioventus LLC | 3 | $59 |
| Invictus Surgical Incorporated | 1 | $43 |
| Next Science LLC | 2 | $35 |
| Zimmer Biomet | 1 | $32 |
| Paragon 28, Inc. | 1 | $31 |
| Nevro Corp. | 1 | $25 |
| Paratek Pharmaceuticals, Inc. | 1 | $20 |
| Medline Industries LP | 1 | $18 |
| Ossio Inc | 1 | $17 |
| Amgen | 1 | $17 |
| Fusion Orthopedics USA, LLC | 1 | $17 |
| Melinta Therapeutics, LLC | 1 | $17 |
| Abbott | 1 | $16 |
| Johnson & Johnson | 1 | $15 |
| Arteriocyte Medical Systems, Inc. | 1 | $13 |
| Acell, Inc. | 1 | $10 |
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.
- Lapiplasty System$580
- T2$114
- ICONIX$110
- VITOSS$107
- AUGMENT INJECTABLE$101
How this compares
$5,630 in reported general payments places this provider in the 75th percentile of 203 foot & ankle surgery providers in Washington.
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 | 58 | $1,392 |
| Pregabalin | 15 | $631 |
| Duloxetine Hcl | 21 | $512 |
| Allopurinol | 12 | $303 |
| Cephalexin | 22 | $149 |
| Diclofenac Sodium | 15 | $100 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $71 |
| Colchicine | 12 | $9 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Pasco
- Brent ThielgesPasco$7K
- Jeffrey ChristensenEverett$828K
- David DalstromSeattle$491K
- Richard LamourOlympia$87K
- Adam AlbabaSeattle$46K
- Stephen BenirschkeSeattle$45K
- Craig CliffordFederal Way$44K
- Shawn KhademiRenton$43K
- Gregory GrabowskiBellevue$34K
- Jacob McLeodLongview$34K
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.