Kirk Larkin, DPM
Foot & Ankle Surgery · Las Vegas, NVNPI 1558691071
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (48.9%), education and travel and lodging — rather than concentrated in one kind of arrangement. 25 manufacturers reported payments, led by Goode Surgical Inc at 33.9% of the total. Reporting peaked in 2022 at $1,638 and has fallen 95.2% since, to $79 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in NV, where the typical reported total is $3,921.
Across 74 payments — averaging $52.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Goode Surgical Inc$1K
- Stryker$1K
- Paragon 28, Inc.$347
- Treace Medical Concepts, Inc.$234
- Smith+Nephew$165
- Orthofix Medical, Inc.$108
- plus $648 from 19 others
What the payments were for
- Travel & lodging$76720%
- Food & beverage$1,88649%
- Education$1,20031%
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 |
|---|---|---|
| Goode Surgical Inc | 5 | $1,307 |
| Stryker(2 entities) | 17 | $1,044 |
| Paragon 28, Inc. | 5 | $347 |
| Treace Medical Concepts, Inc. | 12 | $234 |
| Smith+Nephew | 5 | $165 |
| Orthofix Medical, Inc. | 5 | $108 |
| Organogenesis Inc. | 2 | $89 |
| Biotissue Holdings Inc. | 2 | $86 |
| Nevro Corp. | 2 | $53 |
| Polynovo North America LLC | 1 | $48 |
| Bioventus LLC | 2 | $43 |
| Cardiovascular Systems Inc. | 1 | $39 |
| Mimedx Group, Inc. | 2 | $38 |
| Johnson & Johnson | 1 | $34 |
| Paratek Pharmaceuticals, Inc. | 2 | $32 |
| Nalu Medical, Inc. | 1 | $32 |
| Misonix Inc | 1 | $22 |
| GRT US Holding, Inc. | 1 | $21 |
| Curonix LLC | 1 | $20 |
| Innovation Technologies Inc | 1 | $18 |
| Abbott | 1 | $18 |
| Zimmer Biomet | 1 | $16 |
| KCI USA, Inc. | 1 | $14 |
| Tactile Systems Technology Inc | 1 | $13 |
| Advanced Oxygen Therapy Inc. | 1 | $12 |
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.
- PROPHECY$175
How this compares
$3,853 in reported general payments places this provider in the 45th percentile of 84 foot & ankle surgery providers in Nevada.
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 |
|---|---|---|
| Cephalexin | 13 | $442 |
| Methylprednisolone | 24 | $120 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Las Vegas
- Troy WatsonLas Vegas$1.2M
- Ira WeinerLas Vegas$135K
- Abdolreza RaissiLas Vegas$110K
- Anthony BorgiaLas Vegas$47K
- Nahad WasselLas Vegas$24K
- Casey BurchillLas Vegas$20K
- Timothy BrookesLas Vegas$14K
- Daniel HallmanLas Vegas$12K
- Grant BeckLas Vegas$10K
- Thomman KuruvillaLas Vegas$9K
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.