Matthew Nalamlieng, DPM
Foot & Ankle Surgery · Decatur, ALNPI 1417401944
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,298 of the $6,690 with a category attached, or 64.2%. Stryker accounts for 77.9% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2024 at $3,116 and has fallen 64.3% since, to $1,114 in 2025.
Across 140 payments — averaging $47.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$5K
- Treace Medical Concepts, Inc.$500
- Zimmer Biomet$280
- Integra Lifesciences Corporation$275
- Smith+Nephew$151
- Paragon 28, Inc.$62
- plus $214 from 7 others
What the payments were for
- Travel & lodging$2,00230%
- Food & beverage$4,29864%
- Education$3916%
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 |
|---|---|---|
| Stryker | 109 | $5,209 |
| Treace Medical Concepts, Inc. | 5 | $500 |
| Zimmer Biomet | 9 | $280 |
| Integra Lifesciences Corporation | 3 | $275 |
| Smith+Nephew | 3 | $151 |
| Paragon 28, Inc. | 4 | $62 |
| Orthofix Medical, Inc. | 1 | $45 |
| Medshape, Inc. | 1 | $36 |
| Linvatec Corporation | 1 | $36 |
| Johnson & Johnson | 1 | $29 |
| Pacira Pharmaceuticals Incorporated | 1 | $27 |
| Acell, Inc. | 1 | $23 |
| Urgo Medical North America, LLC | 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.
- PROstep$1,045
- PROSTEP MICA$558
- N/A$399
- Lapiplasty System$288
- ORTHOLOC 3DI$175
- NA$167
- BILAYER WOUND MATRIX (BWM)$135
- INTEGRA WOUND MATRIX (IWM)$135
- PRIMATRIX$135
- IDRT$135
- FLOWABLE$135
- 7 X 23MM CITRELOCK IMPLANT$119
- ORTHOLOC 3DI CROSSCHECK$118
- Stravix$116
- Grafix$116
- GrafixPL$116
- Lapidus Plate$109
How this compares
$6,690 in reported general payments places this provider in the 60th percentile of 40 foot & ankle surgery providers in Alabama.
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 |
|---|---|---|
| Clotrimazole | 337 | $6,716 |
| Diclofenac Sodium | 27 | $619 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 72 | $531 |
| Cephalexin | 41 | $237 |
| Celecoxib | 11 | $178 |
| Clindamycin Hcl | 20 | $178 |
| Ammonium Lactate | 13 | $175 |
| Ciclopirox | 11 | $175 |
| Mupirocin | 24 | $164 |
| Methylprednisolone | 17 | $141 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 19 | $136 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 19 | $90 |
| Meloxicam | 20 | $79 |
| Triamcinolone Acetonide | 12 | $73 |
| Gabapentin | 19 | $72 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Decatur
- Justin DaigreDecatur$372K
- Norman WaldropBirmingham$3.6M
- John KirchnerHoover$84K
- Jefferson SabatiniHuntsville$56K
- Matthew DeorioHuntsville$49K
- Patricia AnteroTuscaloosa$35K
- Ashish ShahBirmingham$28K
- Alfred RicciMontgomery$25K
- Swapnil SinghBirmingham$14K
- Derek KlavasMobile$12K
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.