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Kyle Smith, DPM

Foot & Ankle Surgery · Toledo, OHNPI 1821653155

Payments from drug & device makers

What this record shows

The money is spread across several categories — travel and lodging (41.8%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 31 manufacturers reported payments, led by Integra Lifesciences Corporation at 42.3% of the total. Among foot & ankle surgery clinicians in OH with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$72,484in general payments, 2019–2025

Across 295 payments — averaging $245.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Integra Lifesciences Corporation$31K
  • Orthofix Medical, Inc.$24K
  • Stryker$6K
  • Rock Medical Orthopedics, Inc.$4K
  • Access Pro Medical, LLC$2K
  • Vilex LLC$2K
  • plus $4K from 25 others

What the payments were for

  • Consulting fees$25,16635%
  • Travel & lodging$30,27042%
  • Food & beverage$10,52515%
  • Education$6,0688%
  • Entertainment$230%
  • Other$4321%

General payments by program year

21
22
23
24
25

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.

CompanyPaymentsTotal
Integra Lifesciences Corporation91$30,651
Orthofix Medical, Inc.63$23,622
Stryker51$6,264
Rock Medical Orthopedics, Inc.10$3,736
Access Pro Medical, LLC7$1,983
Vilex LLC5$1,983
Arthrex7$1,929
Tulavi Therapeutics, Inc.4$581
Smith+Nephew22$485
Arteriocyte Medical Systems, Inc.2$313
Kerecis Limited2$127
Organogenesis Inc.4$100
Medtronic1$95
Mimedx Group, Inc.1$67
Axogen2$64
Zimmer Biomet2$59
Bioventus LLC1$53
Johnson & Johnson(2 entities)3$51
Paragon 28, Inc.3$49
Paratek Pharmaceuticals, Inc.2$33
KCI USA, Inc.2$30
Pacira Pharmaceuticals Incorporated1$29
Exact Sciences1$26
Averitas Pharma Inc.1$26
Argentum Medical1$23
Avanos Medical1$21
Kowa Pharmaceuticals America, Inc.1$21
ANI Pharmaceuticals, Inc.1$18
Alafair Biosciences, Inc.1$14
Amgen1$14
Acumed LLC1$14

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

$72,484 in reported general payments places this provider in the 90th percentile of 429 foot & ankle surgery providers in Ohio.

See all foot & ankle surgery providers in Ohio →

Medicare billing

Part B allowed, 2024
$113,165
Medicare patients
165
Services billed
2,035

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

DrugClaimsCost to plans & patients
Neomycin-Polymyxin-HydrocortNeomycin/Polymyxin B/Hydrocort15$766
Doxycycline Hyclate44$380
Gabapentin14$254
Ciprofloxacin Hcl22$200
Ammonium Lactate17$199
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim11$111
Methylprednisolone20$100
Meloxicam47$98
Levofloxacin12$58
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen15$52
Tizanidine Hcl11$47
Tramadol Hcl24$38

Paid to pharmacies, not to this prescriber.

Other foot & ankle surgery in Toledo

See the full list for Ohio →

Where these figures come from

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