Michelle Butterworth
Foot & Ankle Surgery · Kingstree, SCNPI 1235229444
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (48.1%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 27 manufacturers reported payments, led by Geistlich Pharma, North America, Inc. at 54.5% of the total. Reporting peaked in 2022 at $18,485 and has fallen 96.6% since, to $622 in 2025.
Across 120 payments — averaging $450.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Geistlich Pharma, North America, Inc.$29K
- Paragon 28, Inc.$11K
- Zimmer Biomet$3K
- In2bones USA, LLC$3K
- Heron Therapeutics, Inc.$2K
- Extremity Medical$1K
- plus $5K from 21 others
What the payments were for
- Consulting fees$25,99848%
- Speaking & faculty fees$7,50014%
- Travel & lodging$10,44119%
- Food & beverage$7,01313%
- Education$3,1106%
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 |
|---|---|---|
| Geistlich Pharma, North America, Inc. | 31 | $29,470 |
| Paragon 28, Inc. | 11 | $11,319 |
| Zimmer Biomet | 15 | $3,110 |
| In2bones USA, LLC | 2 | $2,757 |
| Heron Therapeutics, Inc. | 2 | $1,521 |
| Extremity Medical | 6 | $1,327 |
| Treace Medical Concepts, Inc. | 8 | $1,000 |
| Stryker(2 entities) | 9 | $643 |
| Trilliant Surgical LLC. | 5 | $534 |
| Kerecis Limited | 3 | $443 |
| Organogenesis Inc. | 5 | $431 |
| Biotissue Holdings Inc. | 2 | $404 |
| GRT US Holding, Inc. | 3 | $167 |
| Medline Industries LP | 1 | $164 |
| Amniox Medical, Inc. | 1 | $158 |
| Bioventus LLC | 3 | $118 |
| Fusion Orthopedics USA, LLC | 1 | $114 |
| Medtronic | 1 | $106 |
| Bone Support Inc. | 1 | $101 |
| Medartis Inc. | 1 | $44 |
| Smith+Nephew | 2 | $35 |
| Mimedx Group, Inc. | 2 | $31 |
| GSK | 1 | $17 |
| Osiris Therapeutics Inc. | 1 | $14 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $13 |
| Amgen | 1 | $12 |
| Aroa Biosurgery Incorporated | 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.
- Derma Gide$20,361
- Product Portfolio$10,768
- GEISTLICH DERMA-GIDE$6,622
- OS2 VP$2,000
- ROSA$1,524
- Zynrelef$1,521
- Kerecis Omega3 Marigen$1,108
- Bio-Materials$1,076
- Lapiplasty System$595
- NEOX$473
- CLARIX$473
- DermaGide$380
- Kerecis Omega3 SurgiClose$369
- Kerecis Omega3 GraftGuide$369
- Lapidus Plate$317
- Arcos$273
- Arsenal$272
- Juggerknot$257
- HOFFMANN$171
- CITREFIX$171
How this compares
$54,061 in reported general payments places this provider in the 85th percentile of 87 foot & ankle surgery providers in South Carolina.
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 |
|---|---|---|
| Ketoconazole | 101 | $2,508 |
| Ibuprofen | 108 | $1,194 |
| Clindamycin Hcl | 58 | $643 |
| Naproxen | 52 | $594 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 42 | $523 |
| SsdSilver Sulfadiazine | 26 | $349 |
| Prednisone | 66 | $297 |
| Cephalexin | 37 | $289 |
| Ciprofloxacin Hcl | 17 | $228 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 31 | $221 |
| Diclofenac Sodium | 15 | $183 |
| Silver Sulfadiazine | 18 | $181 |
| Levofloxacin | 21 | $162 |
| Terbinafine Hcl | 14 | $117 |
| Meloxicam | 39 | $105 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Kingstree
- Benjamin OverleyHilton Head Island$643K
- Tyler GonzalezColumbia$525K
- Alison GartenRock Hill$419K
- Christopher GrossCharleston$394K
- Robert KleinGreenville$358K
- William JamesColumbia$222K
- William HarrisLancaster$203K
- Alexander PappasMyrtle Beach$104K
- John WomackGreenville$96K
- Rahn RavenellCharleston$51K
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.