Kelly Miranda, DPM
Foot & Ankle Surgery · Washington, DCNPI 1184243305
Payments from drug & device makers
What this record shows
15 manufacturers reported payments, led by Orthofix Medical, Inc. at 51.1% of the total. Reporting peaked in 2023 at $3,101 and has fallen 88.8% since, to $349 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in DC, where the typical reported total is $3,977.
Across 46 payments — averaging $83.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$2K
- Trilliant Surgical LLC.$484
- Paragon 28, Inc.$370
- Convatec Inc.$202
- Amgen$197
- Stryker$148
- plus $480 from 9 others
What the payments were for
- Travel & lodging$2,29960%
- Food & beverage$1,54440%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 17 | $1,962 |
| Trilliant Surgical LLC. | 1 | $484 |
| Paragon 28, Inc. | 3 | $370 |
| Convatec Inc. | 4 | $202 |
| Amgen | 5 | $197 |
| Stryker | 1 | $148 |
| Kerecis Limited | 2 | $126 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $108 |
| ANI Pharmaceuticals, Inc. | 3 | $76 |
| Acumed LLC | 2 | $49 |
| Pacira Pharmaceuticals Incorporated | 2 | $38 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $30 |
| Nevro Corp. | 1 | $22 |
| Hydrofera LLC | 1 | $17 |
| Supreme Orthopedic Systems, LLC | 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.
How this compares
$3,843 in reported general payments places this provider in the 45th percentile of 23 foot & ankle surgery providers in District of Columbia.
See all foot & ankle surgery providers in District of Columbia →
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.
Other foot & ankle surgery in Washington
- Paul CooperWashington$186K
- John SteinbergWashington$166K
- Ali Rahnama VaghefWashington$132K
- Jayson AtvesWashington$24K
- Shelton McKenzieWashington$22K
- Bilal LouzatiWashington$18K
- Ali QadriWashington$17K
- Alex MattiaWashington$13K
- Emily DurranceWashington$9K
- Selin RuggieriWashington$7K
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.