Megan Walters, MD
Foot and Ankle Surgery · Saint Louis, MONPI 1710326467
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (39.8%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Trimed, Inc. at 24.6% of the total. Reporting peaked in 2023 at $3,129 and has fallen 78.7% since, to $667 in 2025.
Across 70 payments — averaging $180.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$3K
- Elite Orthopedics, LLC$2K
- Arthrex$2K
- Goode Surgical Inc$1K
- Paragon 28, Inc.$1K
- Stryker$1K
- plus $966 from 13 others
What the payments were for
- Travel & lodging$2,97724%
- Food & beverage$4,62937%
- Education$5,03840%
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 |
|---|---|---|
| Trimed, Inc. | 4 | $3,106 |
| Elite Orthopedics, LLC | 7 | $2,412 |
| Arthrex | 16 | $2,135 |
| Goode Surgical Inc | 4 | $1,401 |
| Paragon 28, Inc. | 5 | $1,385 |
| Stryker(2 entities) | 14 | $1,240 |
| Johnson & Johnson | 4 | $196 |
| Integra Lifesciences Corporation | 1 | $140 |
| Axogen | 1 | $125 |
| Medline Industries LP | 1 | $99 |
| Pylant Medical | 2 | $90 |
| Zimmer Biomet | 1 | $59 |
| Ossio Inc | 1 | $50 |
| Treace Medical Concepts, Inc. | 2 | $44 |
| Orthofix Medical, Inc. | 3 | $44 |
| Smith+Nephew | 1 | $35 |
| Acera Surgical, Inc. | 1 | $29 |
| Pacira Pharmaceuticals Incorporated | 1 | $28 |
| Mimedx Group, Inc. | 1 | $27 |
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$680
- TRAUMA$516
- PANGEA$278
- Foot and Ankle$236
- DART-FIRE$162
- CARTIVA$146
- INFINITY$144
- MAKO$140
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$140
- CADENCE ANKLE REPLACEMENT SYSTEM$140
- HALLU-LOCK$140
- PANTA NAIL$140
- TOTAL FOOT SYSTEM$140
- AVANCE NERVE GRAFT$125
- AxoGuard Nerve Connector$125
- AxoGuard Nerve Protector$125
- BME NITINOL CONTINUOUS COMPRESSION IMPLANTS$102
How this compares
$12,645 in reported general payments places this provider in the 65th percentile of 163 foot and ankle surgery providers in Missouri.
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 |
|---|---|---|
| Meloxicam | 56 | $145 |
| Oxycodone Hcl | 20 | $89 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Saint Louis
- Jeremy McCormickSaint Louis$1.5M
- Jeffrey JohnsonSaint Louis$944K
- Raymond AbdoSaint Louis$251K
- Vincent SollecitoSaint Louis$221K
- John HoltzmanSaint Louis$129K
- Jesse WolfeSaint Louis$89K
- Seth AndersonSaint Louis$45K
- Kelly HynesSaint Louis$34K
- Lindsay BarthSaint Louis$30K
- Andrew ThomeSaint Louis$24K
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.