Lily Skeel, DPM
Foot & Ankle Surgery · Chesterfield, MINPI 1871159780
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (42.0%), food and beverage and education — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Paragon 28, Inc. at 33.9% of the total. 2025 is the largest year on record at $4,102, 2.7 times the $1,534 reported in 2021.
Across 114 payments — averaging $125.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$5K
- Pinnacle, Inc$4K
- Treace Medical Concepts, Inc.$2K
- Stryker$1K
- Arthrex$640
- Amgen$272
- plus $2K from 17 others
What the payments were for
- Travel & lodging$5,99942%
- Food & beverage$4,69333%
- Education$3,60025%
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. | 28 | $4,844 |
| Pinnacle, Inc | 19 | $4,036 |
| Treace Medical Concepts, Inc. | 9 | $1,571 |
| Stryker | 11 | $1,278 |
| Arthrex | 7 | $640 |
| Amgen(2 entities) | 7 | $272 |
| Smith+Nephew | 8 | $255 |
| Nevro Corp. | 3 | $222 |
| Urgo Medical North America, LLC | 3 | $201 |
| Acumed LLC | 2 | $159 |
| Sanara Medtech Inc. | 1 | $145 |
| AbbVie | 1 | $123 |
| Osteomed LLC | 1 | $103 |
| KCI USA, Inc. | 1 | $98 |
| Misonix Inc | 1 | $98 |
| Johnson & Johnson | 2 | $72 |
| Mimedx Group, Inc. | 2 | $40 |
| Paratek Pharmaceuticals, Inc. | 2 | $36 |
| Tactile Systems Technology Inc | 2 | $31 |
| Integra Lifesciences Corporation | 1 | $20 |
| Cashflow Solutions, LLC | 1 | $20 |
| Surgenex LLC | 1 | $16 |
| Bioventus LLC | 1 | $13 |
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.
- Portfolio$2,853
- LAPIPLASTY SYSTEM 1$1,265
- APEX 3D$873
- PROstep$570
- Bun-Yo-Matic$501
- AUGMENT INJECTABLE$285
- CITREFIX$285
- OsteoMed$282
- EASYFUSE$165
- VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP$146
- CellerateRx$145
- ALLOGRAFT$137
- ALLOWRAP$137
- GRAFIX PL$136
- Precision MIS Bunion$133
- DALVANCE$123
- INFINITY$120
- T2$120
- TMC NANOPLASTY SYSTEM$118
- Omnia$114
How this compares
$14,292 in reported general payments places this provider in the 85th percentile of 384 foot & ankle surgery providers in Michigan.
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 |
|---|---|---|
| Ketoconazole | 40 | $560 |
| Ammonium Lactate | 14 | $200 |
| Ciclopirox | 17 | $165 |
| Cephalexin | 24 | $70 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Chesterfield
- Jonathan KingChesterfield$12K
- John AndersonGrand Rapids$1.3M
- Brian LoderClinton Township$854K
- Karl DunnClinton Twp$434K
- Anthony LalamaMacomb$421K
- Christopher ZingasSaint Clair Shores$227K
- John MaskillGrand Rapids$202K
- Michael SwordsLansing$189K
- Gregory SheremetaTroy$87K
- Jason WesloskyClinton Township$87K
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.