Kevin Palmer
Foot & Ankle Surgery · Boca Raton, FLNPI 1396962627
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (41.8%), royalties or licence payments and food and beverage — rather than concentrated in one kind of arrangement. 33 manufacturers reported payments, led by Vilex LLC at 58.5% of the total. Among foot & 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 245 payments — averaging $344.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vilex LLC$49K
- US Implant Solutions, LLC$22K
- Ossio Inc$8K
- Zyla Life Sciences, Inc.$1K
- Smith+Nephew$820
- Stryker$586
- plus $3K from 27 others
What the payments were for
- Royalty or licence$33,33240%
- Consulting fees$35,21542%
- Speaking & faculty fees$3,7504%
- Travel & lodging$1,7532%
- Food & beverage$10,25912%
- Education$40%
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 |
|---|---|---|
| Vilex LLC | 40 | $49,295 |
| US Implant Solutions, LLC | 5 | $21,563 |
| Ossio Inc | 11 | $8,208 |
| Zyla Life Sciences, Inc. | 105 | $1,065 |
| Smith+Nephew | 15 | $820 |
| Stryker(2 entities) | 8 | $586 |
| DJO, LLC | 7 | $241 |
| Nalu Medical, Inc. | 2 | $225 |
| Treace Medical Concepts, Inc. | 3 | $224 |
| Carbofix Orthopedics Inc | 7 | $212 |
| Fusion Orthopedics USA, LLC | 2 | $205 |
| Crossroads Extremity Systems, LLC | 2 | $200 |
| Southern Edge Orthopaedics, Inc. | 2 | $185 |
| Acera Surgical, Inc. | 1 | $151 |
| Organogenesis Inc. | 2 | $120 |
| Zimmer Biomet | 5 | $116 |
| Amgen(2 entities) | 5 | $116 |
| Lifenet Health | 1 | $106 |
| Integra Lifesciences Corporation | 1 | $97 |
| Paragon 28, Inc. | 1 | $93 |
| Solventum Corporation | 1 | $85 |
| Bioventus LLC | 3 | $62 |
| KCI USA, Inc. | 2 | $58 |
| Embody, Inc. | 1 | $49 |
| Johnson & Johnson | 1 | $42 |
| Osiris Therapeutics Inc. | 1 | $41 |
| Orthofix Medical, Inc. | 3 | $40 |
| Kerecis Limited | 1 | $31 |
| Assertio Therapeutics, Inc. | 3 | $21 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
| Orthogenrx Inc. | 1 | $16 |
| ERMI LLC | 1 | $15 |
| Merck | 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.
- Fibula Nail$31,997
- DYNEX$6,715
- Vilex Fibula Nail$3,540
- HINTERMANN$2,022
- GRAFIX PL$364
- STRAVIX PL$255
- OASIS MICRO$255
- Restrata Wound Matrix$151
- Oasis$137
- GRAFTJACKET$136
- Nalu Neurostimulation System$134
- AUGMENT$125
- INFINITY ADAPTIS$118
- Lapiplasty System$118
- Stravix$110
- TheraGenesis Wound Matrix$106
How this compares
$84,314 in reported general payments places this provider in the 95th percentile of 850 foot & 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 |
|---|---|---|
| Gabapentin | 38 | $530 |
| Methylprednisolone | 24 | $175 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 27 | $143 |
| Cephalexin | 11 | $108 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $103 |
| Tramadol Hcl | 20 | $68 |
| Clindamycin Hcl | 12 | $67 |
| Levofloxacin | 15 | $56 |
| Meloxicam | 13 | $38 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Boca Raton
- Jodi SchoenhausBoca Raton$187K
- Thomas SangiovanniCoral Gables$2.1M
- Shayne JensenPanama City$1.3M
- Thomas RoukisOrlando$1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$861K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$785K
- Mario CalaHialeah$541K
- Christopher ReevesLake Mary$424K
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.