Lucas Cosens, DC
Foot & Ankle Surgery · Salina, KSNPI 1972814457
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (57.5%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 35 manufacturers reported payments, led by Orthofix Medical, Inc. at 32.2% of the total.
Across 151 payments — averaging $64.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$3K
- Stryker$1K
- Titan Surgical Group, LLC$599
- Organogenesis Inc.$515
- Integra Lifesciences Corporation$508
- Arthrex$462
- plus $3K from 29 others
What the payments were for
- Speaking & faculty fees$2132%
- Travel & lodging$3,94240%
- Food & beverage$5,63258%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 28 | $3,150 |
| Stryker | 24 | $1,290 |
| Titan Surgical Group, LLC | 11 | $599 |
| Organogenesis Inc. | 16 | $515 |
| Integra Lifesciences Corporation | 8 | $508 |
| Arthrex | 2 | $462 |
| Smith+Nephew | 10 | $426 |
| Davol Inc. | 3 | $425 |
| Zimmer Biomet | 4 | $400 |
| Linvatec Corporation | 2 | $346 |
| Amgen | 2 | $250 |
| Treace Medical Concepts, Inc. | 5 | $243 |
| Kerecis Limited | 2 | $160 |
| Bioventus LLC | 3 | $124 |
| Heron Therapeutics, Inc. | 1 | $121 |
| Checkpoint Surgical, Inc | 1 | $102 |
| Johnson & Johnson | 2 | $74 |
| Arteriocyte Medical Systems, Inc. | 1 | $74 |
| Averitas Pharma Inc. | 2 | $56 |
| Aroa Biosurgery Incorporated | 3 | $53 |
| AbbVie | 3 | $53 |
| Vertex | 2 | $51 |
| Paratek Pharmaceuticals, Inc. | 3 | $48 |
| Medline Industries LP | 1 | $42 |
| Next Science LLC | 1 | $32 |
| Polynovo North America LLC | 1 | $26 |
| Tactile Systems Technology Inc | 2 | $24 |
| IBSA Pharma Inc. | 1 | $24 |
| Paragon 28, Inc. | 1 | $22 |
| Solventum Corporation | 1 | $20 |
| Mimedx Group, Inc. | 1 | $16 |
| Rock Medical Orthopedics, Inc. | 1 | $15 |
| Nevro Corp. | 1 | $13 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
| GRT US Holding, Inc. | 1 | $8 |
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$2,597
- HOFFMANN$590
- Kerecis Omega3 SurgiClose$426
- ARISTA AH FLEXITIP$425
- QUANTUM$304
- Nextremity General Instrument$272
- INTEGRA$257
- KRYSTEXXA$250
- Apligraf$213
- PURAPLY WOUND MATRIX$213
- Affinity$213
- NOVACHOR$213
- NuShield$213
- Kerecis Omega3 GraftGuide$142
- Kerecis Omega3 Marigen$142
- Zynrelef$121
- Lapiplasty System$115
- TRUELOK EVO$107
- Checkpoint Stimulators$102
How this compares
$9,786 in reported general payments places this provider in the 80th percentile of 40 foot & ankle surgery providers in Kansas.
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 |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 33 | $421 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 42 | $282 |
| Meloxicam | 131 | $263 |
| Clindamycin Hcl | 23 | $239 |
| Naproxen | 39 | $226 |
| Cephalexin | 27 | $188 |
| Ciprofloxacin Hcl | 20 | $164 |
| Prednisone | 37 | $134 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $34 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Salina
- Greg HortonKansas City$1.1M
- Melissa JournotLeawood$26K
- Zhipeng YangKansas City$25K
- Patrick McGregorLawrence$24K
- Andrea DrielingHutchinson$16K
- John GalliganLawrence$12K
- Sarah RussellLeawood$9K
- Scott GordonPratt$8K
- Steven OstiguyLawrence$7K
- Joshua BooneGreat Bend$7K
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.