Michael Lee, DPM
Foot & Ankle Surgery · Des Moines, IANPI 1366407827
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,637,820 of the $2,121,171 with a category attached, or 77.2%. 20 manufacturers reported payments, led by Trilliant Surgical LLC. at 48.5% of the total. Reporting peaked in 2021 at $1,054,207 and has fallen 88.2% since, to $123,873 in 2025. Among foot & ankle surgery clinicians in IA 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 606 payments — averaging $3500.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trilliant Surgical LLC.$1M
- Medshape, Inc.$414K
- Zimmer Biomet$274K
- Medartis Inc.$208K
- Nextremity Solutions Inc.$104K
- Stryker$70K
- plus $22K from 14 others
Across 2 payments — averaging $643.52 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Zimmer Biomet$1K
What the payments were for
- Royalty or licence$1,637,82077%
- Consulting fees$413,52519%
- Travel & lodging$44,7562%
- Food & beverage$7,7710%
- Education$17,2931%
- Gifts$60%
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 |
|---|---|---|
| Trilliant Surgical LLC. | 18 | $1,029,705 |
| Medshape, Inc. | 67 | $414,161 |
| Zimmer Biomet | 352 | $274,038 |
| Medartis Inc. | 19 | $207,537 |
| Nextremity Solutions Inc. | 24 | $103,630 |
| Stryker | 95 | $70,145 |
| Anika Therapeutics, Inc. | 3 | $7,605 |
| Synthes USA Products LLC | 2 | $5,909 |
| Novastep Inc. | 3 | $5,745 |
| Medical Device Business Services, Inc. | 5 | $781 |
| Acumed LLC | 2 | $762 |
| Linvatec Corporation | 4 | $568 |
| Encore Medical, LP | 3 | $281 |
| Smith+Nephew | 2 | $141 |
| DJO, LLC | 2 | $39 |
| Responsive Arthroscopy Inc | 1 | $38 |
| Johnson & Johnson | 1 | $24 |
| Vericel Corporation | 1 | $24 |
| Arthrex | 1 | $21 |
| Heron Therapeutics, 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.
- Lapidus Correction Jig, Right$378,959
- APTUS$207,439
- Lapidus Plate$103,654
- Nextremity Nextra Hammertoe$49,002
- Juggerknot$45,027
- AccuFill$33,326
- Arsenal Ankle$28,388
- Amnio Repair$23,673
- HOFFMANN$22,374
- Alps Plates and Instruments$17,080
- Arsenal Sinus Support Plate$16,199
- Phoenix TTC Instruments and Nail$16,104
- PROstep$13,751
- VARIAX$13,249
- AXSOS$11,999
- Dermaspan$11,750
- GAMMA$11,499
- Nextremity MSP$11,207
- INSPACE$9,699
- Hammertoe$8,250
How this compares
$2,121,171 in reported general payments places this provider in the 95th percentile of 112 foot & ankle surgery providers in Iowa.
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 |
|---|---|---|
| Diclofenac Sodium | 116 | $879 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 67 | $731 |
| Methylprednisolone | 21 | $122 |
| Cephalexin | 20 | $108 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Des Moines
- Sean GrambartDes Moines$590K
- Kelsey MillonigDes Moines$330K
- Justin RaatzDes Moines$28K
- Mica MurdochDes Moines$25K
- Emily AnzmannDes Moines$15K
- Blake HaleDes Moines$14K
- Ashley McClainDes Moines$5K
- Monique RodriguezDes Moines$4K
- Erica ReedDes Moines$3K
- Phinit PhisitkulSioux City$1.4M
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.