Melissa Gulosh, DPM
Foot & Ankle Surgery · Fredericksburg, VANPI 1104266220
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (49.8%), travel and lodging and education — rather than concentrated in one kind of arrangement. It is spread thinly across 38 manufacturers, the largest accounting for just 23.4%. Reporting peaked in 2022 at $4,484 and has fallen 85.5% since, to $648 in 2025.
Across 235 payments — averaging $44.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$2K
- Arthrex$2K
- Arteriocyte Medical Systems, Inc.$2K
- Organogenesis Inc.$642
- Smith+Nephew$536
- Fortis Surgical, LLC$451
- plus $2K from 32 others
What the payments were for
- Travel & lodging$4,04039%
- Food & beverage$5,18950%
- Education$1,20012%
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(2 entities) | 35 | $2,437 |
| Arthrex | 13 | $2,025 |
| Arteriocyte Medical Systems, Inc. | 5 | $2,016 |
| Organogenesis Inc. | 30 | $642 |
| Smith+Nephew | 39 | $536 |
| Fortis Surgical, LLC | 2 | $451 |
| Paratek Pharmaceuticals, Inc. | 26 | $354 |
| Integra Lifesciences Corporation | 8 | $184 |
| Melinta Therapeutics, LLC | 9 | $168 |
| Linvatec Corporation | 2 | $165 |
| Averitas Pharma Inc. | 8 | $162 |
| Hydrofera LLC | 6 | $139 |
| Checkpoint Surgical, Inc | 4 | $133 |
| Convatec Inc. | 4 | $103 |
| Bioventus LLC | 6 | $100 |
| Osteomed LLC | 1 | $96 |
| Pacira Pharmaceuticals Incorporated | 4 | $77 |
| Axogen | 2 | $63 |
| Amgen | 3 | $62 |
| Trice Medical, Inc. | 2 | $46 |
| Kerecis Limited | 2 | $42 |
| Triad Life Sciences Inc. | 2 | $41 |
| Sebela Pharmaceuticals Inc. | 2 | $38 |
| Advanced Oxygen Therapy Inc. | 2 | $38 |
| Abbott | 2 | $35 |
| KCI USA, Inc. | 2 | $32 |
| Medtronic | 2 | $29 |
| Dynasplint Systems Inc. | 2 | $28 |
| Heron Therapeutics, Inc. | 1 | $28 |
| Vertex | 1 | $26 |
| ANI Pharmaceuticals, Inc. | 1 | $26 |
| Nabriva Therapeutics, PLC | 1 | $20 |
| GRT US Holding, Inc. | 1 | $19 |
| Baudax Bio Inc. | 1 | $17 |
| Access Pro Medical, LLC | 1 | $16 |
| Aroa Biosurgery Incorporated | 1 | $13 |
| Misonix Inc | 1 | $11 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $10 |
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.
- Magellan$1,126
- PROstep$796
- PROPHECY$209
- BioBrace 23mm$114
- COLINK 2$114
- IBS$114
- QUANTUM$114
- HERCULES SUTURE ANCHOR SYSTEM$114
- ANCHORAGE$113
How this compares
$10,429 in reported general payments places this provider in the 75th percentile of 260 foot & ankle surgery providers in Virginia.
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 |
|---|---|---|
| Mupirocin | 41 | $258 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 13 | $138 |
| Levofloxacin | 11 | $112 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 17 | $74 |
| Silver Sulfadiazine | 18 | $56 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Fredericksburg
- Shrunjay PatelFredericksburg$35K
- Michael BowenFredericksburg$18K
- Ross GirvanFredericksburg$11K
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$857K
- Charles ZelenRoanoke$363K
- Ryan VazalesGlen Allen$337K
- Jugal DhariaFairfax$309K
- William SimonVirginia Beach$292K
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.