Nicole Brouyette
Foot & Ankle Surgery · Dearborn, MINPI 1386907186
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $44,509 of the $71,288 with a category attached, or 62.4%. Paragon 28, Inc. accounts for 81.9% of it on its own, with 18 other manufacturers making up the rest. Reporting peaked in 2023 at $33,276 and has fallen 82.9% since, to $5,697 in 2025. Among foot & ankle surgery clinicians in MI 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 146 payments — averaging $488.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$58K
- Synthes GmbH$6K
- Pinnacle, Inc$2K
- Stryker$2K
- Arthrex$468
- Nevro Corp.$314
- plus $1K from 13 others
What the payments were for
- Consulting fees$44,50962%
- Speaking & faculty fees$2,0003%
- Travel & lodging$16,38423%
- Food & beverage$7,68111%
- Education$7131%
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 |
|---|---|---|
| Paragon 28, Inc. | 60 | $58,374 |
| Synthes GmbH | 14 | $6,355 |
| Pinnacle, Inc | 13 | $2,210 |
| Stryker | 35 | $2,082 |
| Arthrex | 6 | $468 |
| Nevro Corp. | 3 | $314 |
| Integra Lifesciences Corporation | 1 | $166 |
| Trice Medical, Inc. | 1 | $148 |
| Axogen | 1 | $148 |
| Fusion Orthopedics USA, LLC | 2 | $146 |
| Boston Scientific | 1 | $126 |
| AbbVie | 1 | $125 |
| Kerecis Limited | 1 | $124 |
| Polarityte, Inc. | 1 | $122 |
| Amgen | 1 | $121 |
| Heron Therapeutics, Inc. | 1 | $105 |
| Amniox Medical, Inc. | 1 | $92 |
| Zimmer Biomet | 2 | $43 |
| Anika Therapeutics, Inc. | 1 | $19 |
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.
- Portfolio$34,016
- Product Portfolio$19,969
- Bun-Yo-Matic$1,237
- PARATROOPER$1,102
- INTEGRA$499
- Kerecis SurgiClose$496
- PROSTEP MICA$411
- AUGMENT INJECTABLE$371
- INFINITY ADAPTIS$253
- Omnia$216
- ORTHOLOC 3DI$174
- INTEGRA DERMAL REGENERATION TEMPLATE$166
- PRIMATRIX$166
- N/A$153
- PHANTOM Hindfoot$150
- CITREFIX$148
- AVANCE NERVE GRAFT$148
- Phantom Fibula Nail$139
- INFINITY$126
- ELUVIA$126
How this compares
$71,288 in reported general payments places this provider in the 95th percentile of 384 foot & ankle surgery providers in Michigan.
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 |
|---|---|---|
| Ammonium Lactate | 22 | $434 |
| Ketoconazole | 31 | $402 |
| Ciclopirox | 22 | $377 |
| Clotrimazole | 18 | $154 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $99 |
| Ibuprofen | 23 | $78 |
| Methylprednisolone | 15 | $73 |
| Meloxicam | 11 | $20 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Dearborn
- Benjamin GetzDearborn$24K
- Alex DandashlyDearborn$20K
- Alaa MansourDearborn$16K
- George KardoussDearborn$12K
- John AndersonGrand Rapids$1.3M
- Brian LoderClinton Township$854K
- Karl DunnClinton Twp$434K
- Anthony LalamaMacomb$421K
- Christopher ZingasSaint Clair Shores$227K
- John MaskillGrand Rapids$202K
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.