Kevin Nagamani, MD
Foot and Ankle Surgery · Denver, CONPI 1174521496
Payments from drug & device makers
What this record shows
This record is dominated by ownership interests: $275,000 of the $288,053 with a category attached, or 95.5%. Paragon 28, Inc. accounts for 95.5% of it on its own, with 29 other manufacturers making up the rest. Reporting peaked in 2019 at $276,314 and has fallen 99.2% since, to $2,118 in 2025. Among foot and ankle surgery clinicians in CO 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 163 payments — averaging $1767.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$275K
- Arthrex$2K
- Acumed LLC$2K
- Zimmer Biomet$1K
- Treace Medical Concepts, Inc.$1K
- Voom Medical Devices, Inc.$922
- plus $5K from 24 others
What the payments were for
- Travel & lodging$5,4722%
- Food & beverage$6,3822%
- Education$1,2000%
- Ownership interest$275,00095%
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 |
|---|---|---|
| Paragon 28, Inc. | 13 | $275,230 |
| Arthrex | 28 | $2,272 |
| Acumed LLC | 9 | $1,838 |
| Zimmer Biomet | 17 | $1,472 |
| Treace Medical Concepts, Inc. | 5 | $1,448 |
| Voom Medical Devices, Inc. | 3 | $922 |
| Vilex LLC | 8 | $865 |
| Crossroads Extremity Systems, LLC | 9 | $824 |
| Smith+Nephew | 18 | $435 |
| Fusion Orthopedics USA, LLC | 3 | $344 |
| Stryker(2 entities) | 5 | $311 |
| Novastep Inc. | 3 | $293 |
| Integra Lifesciences Corporation | 13 | $228 |
| Biotissue Holdings Inc. | 1 | $178 |
| Ortho Solutions Inc | 2 | $178 |
| Pacira Therapeutics, Inc. | 1 | $148 |
| Mentor Worldwide LLC | 1 | $148 |
| KCI USA, Inc. | 2 | $139 |
| Baudax Bio Inc. | 1 | $131 |
| Bioventus LLC | 7 | $126 |
| Radius Health, Inc. | 1 | $124 |
| Medacta USA, Inc. | 1 | $112 |
| Restor3d, Inc. | 1 | $69 |
| Ferring Pharmaceuticals Inc. | 4 | $58 |
| Gemini Mountain Medical, LLC | 1 | $39 |
| Globus Medical | 2 | $35 |
| Acell, Inc. | 1 | $29 |
| Kerecis Limited | 1 | $24 |
| Arteriocyte Medical Systems, Inc. | 1 | $22 |
| Fusion Orthopedics, LLC. | 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.
- ACUMED$4,773
- Lapiplasty System$1,404
- OsteoMed$947
- REVCON INSTRUMENT KIT, STERILE$922
- Avenir$734
- HINTERMANN$668
- Medical Implant$592
- CLARIX$178
- Zilretta$148
- MENTOR MemoryGel Resterilizable Gel Sizer$148
- SALVATION$147
- PECA Bunion Correction System$145
- ANJESO$131
- TAPESTRY$131
- ActivBraid$126
- Tymlos$124
- VAC VERAFLO$122
- CARTIVA$121
- MECTALIF$112
- APEX 3D TAR$109
How this compares
$288,053 in reported general payments places this provider in the 95th percentile of 181 foot and ankle surgery providers in Colorado.
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 | 17 | $98 |
| Cephalexin | 12 | $49 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Denver
- Keith JacobsonDenver$241K
- Stephen WallaceDenver$33K
- Marissa JamiesonDenver$30K
- Matthew GorskiDenver$14K
- Eric JaakolaDenver$14K
- Olivera JovicDenver$10K
- Lauren MolchanDenver$10K
- Emma KayalDenver$8K
- Michael HoughtonFort Collins$2M
- Joshua MetzlEnglewood$1.8M
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.