Mariam Botros, DPM
Foot & Ankle Surgery · Arcadia, CANPI 1619328457
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (40.7%), education and travel and lodging — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Arthrex at 32.6% of the total. Reporting peaked in 2019 at $3,089 and has fallen 99.2% since, to $26 in 2025.
Across 57 payments — averaging $124.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$2K
- Micromed Inc$1K
- Paragon 28, Inc.$1K
- Stryker$1K
- Treace Medical Concepts, Inc.$555
- Biotissue Holdings Inc.$250
- plus $649 from 8 others
What the payments were for
- Travel & lodging$1,95328%
- Food & beverage$2,88041%
- Education$2,25132%
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 |
|---|---|---|
| Arthrex | 15 | $2,311 |
| Micromed Inc | 2 | $1,204 |
| Paragon 28, Inc. | 2 | $1,067 |
| Stryker(2 entities) | 12 | $1,048 |
| Treace Medical Concepts, Inc. | 7 | $555 |
| Biotissue Holdings Inc. | 2 | $250 |
| Organogenesis Inc. | 5 | $197 |
| Smith+Nephew | 3 | $139 |
| Johnson & Johnson | 1 | $109 |
| Integra Lifesciences Corporation | 4 | $84 |
| Amniox Medical, Inc. | 1 | $55 |
| Fusion Orthopedics USA, LLC | 1 | $26 |
| Molnlycke Health Care US, LLC | 1 | $19 |
| AbbVie | 1 | $19 |
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.
- Product Portfolio$1,067
- ALLOWRAP$435
- Lapiplasty System$418
- NEOX$250
- CLARIX$250
- HYDROSET$125
- ANCHORAGE$123
- AUGMENT INJECTABLE$120
- BME NITINOL CONTINUOUS COMPRESSION IMPLANTS$109
- PuraPly$101
- Stravix$100
- GRAFIX PL$100
How this compares
$7,084 in reported general payments places this provider in the 80th percentile of 1,126 foot & ankle surgery providers in California.
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 |
|---|---|---|
| Ciclopirox | 380 | $5,568 |
| Ketoconazole | 127 | $4,256 |
| Ammonium Lactate | 375 | $3,913 |
| CiclopiroxCiclopirox Olamine | 314 | $2,933 |
| Lidocaine | 66 | $2,185 |
| Diclofenac Sodium | 153 | $1,829 |
| Terbinafine Hcl | 77 | $785 |
| Pregabalin | 37 | $456 |
| Mupirocin | 81 | $335 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 58 | $319 |
| Hydrocortisone | 15 | $284 |
| Gabapentin | 75 | $269 |
| Methylprednisolone | 38 | $237 |
| Ibuprofen | 32 | $199 |
| Nitroglycerin PatchNitroglycerin | 11 | $153 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Arcadia
- Wenjay SungArcadia$28K
- Eric GizaSacramento$3.6M
- Thomas HarrisPasadena$3M
- Thomas ChangSanta Rosa$2M
- Michael CoughlinSan Francisco$1.6M
- Vladimir ZeetserEncino$677K
- Jason NowakRedding$526K
- Candice BradyCamarillo$462K
- Andrew HsuOrange$456K
- Eric TanLos Angeles$447K
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.