Michael Engel, DPM
Foot & Ankle Surgery · Kenosha, WINPI 1023112588
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (48.3%), food and beverage and gifts — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Treace Medical Concepts, Inc. at 28.5% of the total. 2025 is the largest year on record at $1,685, 5.0 times the $337 reported in 2019. That places this record below the midpoint for foot & ankle surgery clinicians in WI, where the typical reported total is $2,427.
Across 74 payments — averaging $35.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Treace Medical Concepts, Inc.$740
- Arthrex$656
- Enduromed, LLC$392
- Amgen$268
- Stryker$180
- Arteriocyte Medical Systems, Inc.$122
- plus $236 from 11 others
What the payments were for
- Travel & lodging$1,25348%
- Food & beverage$1,24848%
- Gifts$944%
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 |
|---|---|---|
| Treace Medical Concepts, Inc. | 9 | $740 |
| Arthrex | 7 | $656 |
| Enduromed, LLC | 3 | $392 |
| Amgen | 37 | $268 |
| Stryker(2 entities) | 5 | $180 |
| Arteriocyte Medical Systems, Inc. | 1 | $122 |
| Johnson & Johnson | 2 | $34 |
| Smith+Nephew | 1 | $31 |
| Integra Lifesciences Corporation | 1 | $25 |
| Nevro Corp. | 1 | $25 |
| Kerecis Limited | 1 | $22 |
| Orthofix Medical, Inc. | 1 | $21 |
| Organogenesis Inc. | 1 | $21 |
| Heron Therapeutics, Inc. | 1 | $17 |
| Medtronic | 1 | $16 |
| Electronic Waveform Lab, Inc. | 1 | $13 |
| Merck | 1 | $12 |
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.
How this compares
$2,595 in reported general payments places this provider in the 50th percentile of 105 foot & ankle surgery providers in Wisconsin.
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 |
|---|---|---|
| Ciclopirox | 13 | $419 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 34 | $298 |
| Cephalexin | 16 | $254 |
| Oxycodone Hcl | 19 | $125 |
| Naproxen | 21 | $85 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Kenosha
- Robert BurdiKenosha$18K
- William YoderKenosha$4K
- John BostancheKenosha$3K
- Mitch HulbertSheboygan$96K
- James WhelanBeloit$51K
- Nikita GramaStevens Point$31K
- Keith AndersonHayward$31K
- Jay ChristensenAppleton$26K
- Jason BurkleMadison$26K
- Hui ZhangOak Creek$25K
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.