Justin Raatz
Foot & Ankle Surgery · Des Moines, IANPI 1306175104
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $17,875 of the $27,983 with a category attached, or 63.9%. Zimmer Biomet accounts for 73.0% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2022 at $12,344 and has fallen 90.0% since, to $1,234 in 2025. Among foot & ankle surgery clinicians in IA 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 82 payments — averaging $341.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$20K
- Arthrex$4K
- Wardlow Enterprises$1K
- Prism Medical$1K
- Stryker$261
- Ortho Solutions Inc$203
- plus $216 from 8 others
What the payments were for
- Consulting fees$17,87564%
- Travel & lodging$5,22419%
- Food & beverage$1,8217%
- Education$3,06311%
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 |
|---|---|---|
| Zimmer Biomet | 26 | $20,422 |
| Arthrex | 22 | $4,299 |
| Wardlow Enterprises | 9 | $1,458 |
| Prism Medical | 4 | $1,124 |
| Stryker | 9 | $261 |
| Ortho Solutions Inc | 2 | $203 |
| Johnson & Johnson | 3 | $74 |
| Crossroads Extremity Systems, LLC | 1 | $33 |
| Ossio Inc | 1 | $23 |
| Smith+Nephew | 1 | $22 |
| Integra Lifesciences Corporation | 1 | $22 |
| Convatec Inc. | 1 | $15 |
| Organogenesis Inc. | 1 | $14 |
| Pacira Pharmaceuticals Incorporated | 1 | $13 |
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.
- InCore Lapidus$19,372
- Trabecular Metal (TM)$578
- ARTHREX$438
- ANCHORAGE$132
- Juggerloc$107
How this compares
$27,983 in reported general payments places this provider in the 90th percentile of 112 foot & ankle surgery providers in Iowa.
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 | 83 | $402 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 35 | $311 |
| Doxycycline Hyclate | 25 | $208 |
| Terbinafine Hcl | 12 | $188 |
| Methylprednisolone | 32 | $160 |
| Mupirocin | 23 | $118 |
| Allopurinol | 12 | $67 |
| Meloxicam | 27 | $20 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Des Moines
- Michael LeeDes Moines$2.1M
- Sean GrambartDes Moines$590K
- Kelsey MillonigDes Moines$330K
- Mica MurdochDes Moines$25K
- Emily AnzmannDes Moines$15K
- Blake HaleDes Moines$14K
- Ashley McClainDes Moines$5K
- Monique RodriguezDes Moines$4K
- Erica ReedDes Moines$3K
- Phinit PhisitkulSioux City$1.4M
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.