Mario Porciello-Donnarumma, DPM
Foot & Ankle Surgery · Ladera Ranch, CANPI 1790309672
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (48.9%), travel and lodging and education — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Paragon 28, Inc. at 26.5% of the total. 2025 is the largest year on record at $2,870, 2.2 times the $1,276 reported in 2022.
Across 86 payments — averaging $63.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$1K
- Seapearl East, Inc$1K
- Surgenex LLC$950
- Stryker$802
- Treace Medical Concepts, Inc.$624
- KCI USA, Inc.$102
- plus $329 from 5 others
What the payments were for
- Speaking & faculty fees$120%
- Travel & lodging$1,59129%
- Food & beverage$2,67849%
- Education$1,20022%
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. | 6 | $1,450 |
| Seapearl East, Inc | 2 | $1,223 |
| Surgenex LLC | 42 | $950 |
| Stryker | 21 | $802 |
| Treace Medical Concepts, Inc. | 7 | $624 |
| KCI USA, Inc. | 1 | $102 |
| Saxum Surgical, Inc. | 3 | $101 |
| Integra Lifesciences Corporation | 1 | $85 |
| Fusion Orthopedics USA, LLC | 1 | $79 |
| Smith+Nephew | 1 | $42 |
| Reprise Biomedical, Inc. | 1 | $22 |
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$714
- Bun-Yo-Matic$516
- Lapiplasty System$502
- PROSTEP MICA$154
- Precision MIS Bunion$147
- PREVENA$102
- SurGraft$102
- SurMatrix$102
- ArdeoGraft$102
- PelloGraft$102
- RenoGraft$102
How this compares
$5,481 in reported general payments places this provider in the 70th 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.
Other foot & ankle surgery in Ladera Ranch
- 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
- Joseph ParkBurbank$387K
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.