Mark Mikhael, MD
Foot and Ankle Surgery · Burbank, CANPI 1346446101
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (41.3%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Advanced Orthopaedic Solutions, Inc. at 48.5% of the total. Reporting peaked in 2024 at $18,110 and has fallen 80.4% since, to $3,545 in 2025. Among foot and ankle surgery clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 110 payments — averaging $621.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Advanced Orthopaedic Solutions, Inc.$33K
- Fusion Orthopedics USA, LLC$21K
- Arthrex$8K
- Vilex LLC$2K
- Stryker$2K
- Kyocera Medical Technologies, Inc.$629
- plus $2K from 9 others
What the payments were for
- Royalty or licence$4,9197%
- Consulting fees$28,19241%
- Speaking & faculty fees$21,40031%
- Travel & lodging$6,2329%
- Food & beverage$6,3909%
- Education$1,2002%
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 |
|---|---|---|
| Advanced Orthopaedic Solutions, Inc. | 22 | $33,153 |
| Fusion Orthopedics USA, LLC | 13 | $21,050 |
| Arthrex | 20 | $8,215 |
| Vilex LLC | 11 | $2,085 |
| Stryker | 16 | $1,699 |
| Kyocera Medical Technologies, Inc. | 1 | $629 |
| Amgen | 9 | $490 |
| Saxum Surgical, Inc. | 7 | $373 |
| Trimed, Inc. | 4 | $254 |
| Encore Medical, LP | 1 | $162 |
| Globus Medical | 1 | $92 |
| Boston Scientific | 1 | $58 |
| Abbott | 2 | $32 |
| Medtronic | 1 | $25 |
| Endo Pharmaceuticals Inc. | 1 | $18 |
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.
- AOS PRODUCTS$25,527
- Trochanteric Nail$6,600
- HINTERMANN$1,729
- MINIMALLY INVASIVE CALCANEAL PLATE, RIGHT,SMALL$956
- MINIMALLY INVASIVE CALCANEAL PLATE, LEFT, SMALL$956
- FIBONACCI CALCANEAL PLATING SYSTEM$776
- AXSOS$677
- GAMMA$468
- VARIAX$304
- Prolia$228
- CLAVICLE SYSTEM$192
- AUGMENT INJECTABLE$155
- HOFFMANN$155
- SPS$135
- EVENITY$121
- DISTAL EXTREMITIES IMPLANTS TRAUMA ANKLE FRACTURE$114
How this compares
$68,333 in reported general payments places this provider in the 95th percentile of 1,126 foot and 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 |
|---|---|---|
| Methylprednisolone | 23 | $125 |
| Celecoxib | 13 | $101 |
| Alendronate Sodium | 13 | $28 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Burbank
- Joseph ParkBurbank$387K
- Martina RandallBurbank$138K
- Armen HagopjanianBurbank$62K
- 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
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.