Judy Outsa
Foot & Ankle Surgery · Louisville, KYNPI 1821023250
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (56.5%), education and travel and lodging — rather than concentrated in one kind of arrangement. 32 manufacturers reported payments, led by Alpha Orthopedic Systems at 39.4% of the total. Reporting peaked in 2021 at $1,478 and has fallen 54.7% since, to $670 in 2025.
Across 117 payments — averaging $52.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alpha Orthopedic Systems$2K
- Organogenesis Inc.$930
- Misonix Inc$434
- Treace Medical Concepts, Inc.$390
- AbbVie$277
- Paratek Pharmaceuticals, Inc.$235
- plus $1K from 26 others
What the payments were for
- Travel & lodging$2594%
- Food & beverage$3,45156%
- Education$2,40039%
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 |
|---|---|---|
| Alpha Orthopedic Systems | 3 | $2,407 |
| Organogenesis Inc. | 23 | $930 |
| Misonix Inc | 18 | $434 |
| Treace Medical Concepts, Inc. | 3 | $390 |
| AbbVie(2 entities) | 16 | $277 |
| Paratek Pharmaceuticals, Inc. | 12 | $235 |
| Kerecis Limited | 4 | $206 |
| Sanara Medtech Inc. | 1 | $169 |
| Inari Medical, Inc. | 1 | $168 |
| Bioventus LLC | 6 | $166 |
| Stryker | 1 | $134 |
| Nevro Corp. | 4 | $75 |
| Avita Medical Americas, LLC | 2 | $58 |
| TEI Medical Inc. | 1 | $58 |
| Integra Lifesciences Corporation | 3 | $47 |
| Next Science LLC | 2 | $46 |
| Polynovo North America LLC | 2 | $41 |
| Royal Biologics, Inc. | 1 | $38 |
| Mimedx Group, Inc. | 1 | $34 |
| Smith+Nephew | 1 | $26 |
| Reapplix Inc. | 1 | $20 |
| Hydrofera LLC | 1 | $16 |
| KCI USA, Inc. | 1 | $16 |
| Medline Industries LP | 1 | $16 |
| Convatec Inc. | 1 | $14 |
| Melinta Therapeutics, LLC | 1 | $14 |
| Globus Medical | 1 | $14 |
| Bone Support Inc. | 1 | $13 |
| Paragon 28, Inc. | 1 | $12 |
| Reprise Biomedical, Inc. | 1 | $12 |
| Amgen | 1 | $12 |
| Dynasplint Systems Inc. | 1 | $11 |
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 Marigen$344
- Lapiplasty System$259
- Puraply Antimicrobial$228
- Apligraf$173
- CellerateRx$169
- FLOWTRIEVER CATHETER, S$168
- CT THROMBECTOMY SYSTEM KIT$168
- VALOR$134
- INBONE$134
- PROPHECY$134
- ORTHOLOC 3DI$134
- Kerecis Omega3 SurgiClose$115
- Kerecis Omega3 GraftGuide$115
- PuraPly$102
How this compares
$6,110 in reported general payments places this provider in the 65th percentile of 141 foot & ankle surgery providers in Kentucky.
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 |
|---|---|---|
| Doxycycline Hyclate | 89 | $771 |
| Ciclopirox | 38 | $707 |
| Cephalexin | 27 | $666 |
| Gabapentin | 51 | $499 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 32 | $279 |
| Pregabalin | 18 | $188 |
| Duloxetine Hcl | 15 | $96 |
| Ciprofloxacin Hcl | 14 | $74 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Louisville
- Carl KihmLouisville$89K
- Nicholas LacoLouisville$60K
- Jay LechnerLouisville$29K
- William McGloneLouisville$26K
- Timothy FordLouisville$26K
- Garrett WiremanLouisville$26K
- Jonathan TowarnickiLouisville$22K
- Zachary OgdenLouisville$22K
- Eric GustafsonLouisville$20K
- Nicholas VogelsangLouisville$18K
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.