Kavita Iyengar, MD
Foot and Ankle Surgery · Panama City, FLNPI 1699040444
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (43.4%), royalties or licence payments and education — rather than concentrated in one kind of arrangement. 29 manufacturers reported payments, led by Johnson & Johnson at 29.3% of the total. Reporting peaked in 2023 at $26,376 and has fallen 82.2% since, to $4,701 in 2025. Among foot and ankle surgery clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 206 payments — averaging $397.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$24K
- Medical Device Business Services, Inc.$21K
- Arthrex$10K
- Crossroads Extremity Systems, LLC$9K
- Prime Surgical, LLC$8K
- Stryker$3K
- plus $7K from 23 others
What the payments were for
- Royalty or licence$13,97317%
- Consulting fees$35,53843%
- Speaking & faculty fees$3,0004%
- Travel & lodging$10,43613%
- Food & beverage$6,9919%
- Education$12,03515%
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 |
|---|---|---|
| Johnson & Johnson(2 entities) | 53 | $24,006 |
| Medical Device Business Services, Inc. | 23 | $20,938 |
| Arthrex | 18 | $9,722 |
| Crossroads Extremity Systems, LLC | 19 | $9,204 |
| Prime Surgical, LLC | 16 | $8,056 |
| Stryker(2 entities) | 30 | $3,121 |
| Trimed, Inc. | 4 | $2,870 |
| Medshape, Inc. | 2 | $1,179 |
| Trilliant Surgical LLC. | 1 | $963 |
| Anika Therapeutics, Inc. | 2 | $740 |
| Zimmer Biomet | 2 | $243 |
| Pacira Therapeutics, Inc. | 8 | $221 |
| Bioventus LLC | 3 | $133 |
| Ossio Inc | 2 | $102 |
| Treace Medical Concepts, Inc. | 1 | $81 |
| Boston Scientific | 4 | $66 |
| Smith+Nephew | 3 | $43 |
| Abbott | 2 | $38 |
| Convatec Inc. | 1 | $30 |
| Trice Medical, Inc. | 1 | $28 |
| Si-bone, Inc. | 2 | $28 |
| Solventum Corporation | 1 | $28 |
| Sanara Medtech Inc. | 2 | $26 |
| Pacira Pharmaceuticals Incorporated | 1 | $24 |
| Corcept Therapeutics | 1 | $20 |
| KCI USA, Inc. | 1 | $18 |
| ERMI LLC | 1 | $17 |
| Baudax Bio Inc. | 1 | $15 |
| Heron Therapeutics, Inc. | 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.
- MOTOBAND$12,132
- Medical Implant$3,419
- PROstep$1,278
- NA$1,168
- DynaClip Bone Fixation System, Quattro, 22mm x 20mm x 20mm$1,100
- Arsenal Ankle$963
- HemiCAP$600
- INFINITY$384
- PROPHECY$265
- CITREFIX$157
- AUGMENT INJECTABLE$147
- TACTOSET$140
- ROSA-Knee$134
- DYNACORD$122
- HEALIX KNOTLESS PEEK$122
- TFN ADVANCED$111
- Persona$108
How this compares
$81,972 in reported general payments places this provider in the 95th percentile of 850 foot and ankle surgery providers in Florida.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 178 | $1,196 |
| Gabapentin | 127 | $1,068 |
| Meloxicam | 351 | $1,031 |
| Cephalexin | 47 | $847 |
| Cyclobenzaprine Hcl | 89 | $681 |
| Clindamycin Hcl | 28 | $578 |
| Methylprednisolone | 52 | $430 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 69 | $424 |
| Diclofenac Sodium | 14 | $279 |
| SsdSilver Sulfadiazine | 12 | $100 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 11 | $94 |
| Ibuprofen | 12 | $90 |
| Silver Sulfadiazine | 12 | $60 |
| Tramadol Hcl | 19 | $53 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Panama City
- Shayne JensenPanama City$1.3M
- Thomas SangiovanniCoral Gables$2.1M
- Thomas RoukisOrlando$1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$861K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$785K
- Mario CalaHialeah$541K
- Christopher ReevesLake Mary$424K
- Ettore VulcanoMiami Beach$411K
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.