Michael Rayno, DPM
Foot & Ankle Surgery · Virginia Beach, VANPI 1801841879
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 31 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by Stryker at 53.6% of the total. Reporting peaked in 2023 at $266 and has fallen 91.2% since, to $24 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in VA, where the typical reported total is $3,404.
Across 31 payments — averaging $37.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$627
- Kerecis Limited$127
- In2bones USA, LLC$117
- Organogenesis Inc.$92
- Polynovo North America LLC$37
- Bioventus LLC$33
- plus $136 from 7 others
What the payments were for
- Food & beverage$1,170100%
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 | 13 | $627 |
| Kerecis Limited | 2 | $127 |
| In2bones USA, LLC | 3 | $117 |
| Organogenesis Inc. | 4 | $92 |
| Polynovo North America LLC | 1 | $37 |
| Bioventus LLC | 1 | $33 |
| AbbVie | 1 | $27 |
| Lifenet Health | 1 | $24 |
| Convatec Inc. | 1 | $23 |
| Solventum Corporation | 1 | $19 |
| Johnson & Johnson | 1 | $15 |
| Boston Scientific | 1 | $14 |
| Amgen | 1 | $13 |
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.
- ANCHORAGE$106
- SONICFUSION$106
- VARIAX$106
How this compares
$1,170 in reported general payments places this provider in the 25th 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 |
|---|---|---|
| Gabapentin | 36 | $398 |
| CiclopiroxCiclopirox Olamine | 25 | $230 |
| Ciclopirox | 13 | $100 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 15 | $30 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Virginia Beach
- William SimonVirginia Beach$292K
- William GrantVirginia Beach$271K
- Bradley LevittVirginia Beach$243K
- Patrick AgnewVirginia Beach$22K
- Adam BillsVirginia Beach$19K
- Bryan BarbatoVirginia Beach$11K
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$857K
- Charles ZelenRoanoke$363K
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.