Lex Herwen Barte
Foot & Ankle Surgery · Erie, PANPI 1538787221
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $6,434 of the $9,708 with a category attached, or 66.3%. It is spread thinly across 29 manufacturers, the largest accounting for just 15.4%. Reporting peaked in 2023 at $3,705 and has fallen 81.6% since, to $683 in 2025.
Across 137 payments — averaging $70.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$1K
- Orthofix Medical, Inc.$1K
- Mid-atlantic Surgical Systems, LLC$1K
- Paragon 28, Inc.$1K
- Stryker$694
- Treace Medical Concepts, Inc.$519
- plus $3K from 23 others
What the payments were for
- Travel & lodging$1,65017%
- Food & beverage$6,43466%
- Education$1,62517%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Smith+Nephew | 55 | $1,490 |
| Orthofix Medical, Inc. | 13 | $1,351 |
| Mid-atlantic Surgical Systems, LLC | 3 | $1,254 |
| Paragon 28, Inc. | 5 | $1,013 |
| Stryker | 8 | $694 |
| Treace Medical Concepts, Inc. | 5 | $519 |
| Integra Lifesciences Corporation | 5 | $468 |
| Medical Device Business Services, Inc. | 2 | $425 |
| Misonix Inc | 5 | $394 |
| Kerecis Limited | 3 | $306 |
| Inari Medical, Inc. | 2 | $257 |
| Evolution Surgical, Inc | 3 | $239 |
| Trimed, Inc. | 1 | $178 |
| Abbott | 3 | $164 |
| Fusion Orthopedics USA, LLC | 2 | $141 |
| Organogenesis Inc. | 1 | $125 |
| Enduromed, LLC | 1 | $109 |
| BD | 1 | $102 |
| Flower Orthopedics Coporation | 2 | $93 |
| Alafair Biosciences, Inc. | 1 | $64 |
| Paratek Pharmaceuticals, Inc. | 3 | $63 |
| Bioventus LLC | 1 | $54 |
| Amgen(2 entities) | 2 | $47 |
| Lifenet Health | 3 | $44 |
| Amarin Pharma, Inc. | 2 | $37 |
| Novo Nordisk | 2 | $28 |
| Averitas Pharma Inc. | 1 | $23 |
| KCI USA, Inc. | 1 | $15 |
| Merck | 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.
- TrueLok$1,863
- INTEGRA$1,061
- Portfolio$697
- Kerecis Omega3 SurgiClose$576
- Kerecis Omega3 Marigen$541
- Lapiplasty System$499
- INTEGRA DERMAL REGENERATION TEMPLATE$354
- PRIMATRIX$354
- STRAVIX PL$283
- Kerecis Omega3 GraftGuide$279
- FLOWTRIEVER CATHETER, S$226
- CT THROMBECTOMY SYSTEM KIT$226
- Tools - AFS$178
- NA$177
- PROSTEP MICA$157
- PHANTOM Hindfoot$150
- GRAFIX PL$148
- STRAVIX MESH$148
- OASIS MICRO$148
- PROstep$129
How this compares
$9,708 in reported general payments places this provider in the 80th percentile of 575 foot & ankle surgery providers in Pennsylvania.
Other foot & ankle surgery in Erie
- Anthony ColonnaErie$38K
- William DecarboBelle Vernon$3.5M
- David PedowitzBryn Mawr$1.6M
- Noman SiddiquiScranton$1.3M
- Peter MangonePittsburgh$1.1M
- Stephen BrigidoBethlehem$656K
- Guido LaportaDunmore$625K
- Adam TeichmanAllentown$545K
- Thomas RocchioAllentown$524K
- Jason MillerMalvern$501K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.