Nikita Grama
Foot & Ankle Surgery · Stevens Point, WINPI 1316567365
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (31.9%), food and beverage and education — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Arthrex at 36.1% of the total. Reporting peaked in 2023 at $14,300 and has fallen 53.0% since, to $6,724 in 2025. Among foot & ankle surgery clinicians in WI 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 138 payments — averaging $227.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$11K
- Medline Industries LP$6K
- Medwest Associates$5K
- Stryker$3K
- Linvatec Corporation$1K
- Paragon 28, Inc.$969
- plus $4K from 14 others
What the payments were for
- Consulting fees$4,00013%
- Grants$10,00032%
- Travel & lodging$4,58915%
- Food & beverage$7,93925%
- Education$4,80015%
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 |
|---|---|---|
| Arthrex | 20 | $11,313 |
| Medline Industries LP | 18 | $5,985 |
| Medwest Associates | 9 | $5,045 |
| Stryker | 44 | $3,081 |
| Linvatec Corporation | 5 | $1,119 |
| Paragon 28, Inc. | 5 | $969 |
| Extremity Medical | 1 | $889 |
| Fusion Orthopedics USA, LLC | 13 | $868 |
| Integra Lifesciences Corporation | 2 | $305 |
| Johnson & Johnson | 4 | $285 |
| Bone Support Inc. | 4 | $250 |
| Oak Med, Inc. | 2 | $250 |
| Kerecis Limited | 2 | $223 |
| Acera Surgical, Inc. | 3 | $213 |
| Surgenex LLC | 1 | $143 |
| Orthofix Medical, Inc. | 1 | $115 |
| Lightbody Medical Technologies Inc | 1 | $104 |
| Organogenesis Inc. | 1 | $98 |
| True North Surgical Inc | 1 | $52 |
| Treace Medical Concepts, Inc. | 1 | $21 |
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.
- MEDLINE INDUSTRIES, INC.$20,000
- BioBrace 23mm$994
- INTEGRA$916
- Portfolio$697
- AUGMENT INJECTABLE$611
- PROstep$531
- INTEGRA DERMAL REGENERATION TEMPLATE$305
- PRIMATRIX$305
- INFINITY$235
- Physio-Stim$229
- CERAMENTBONE VOID FILLER$210
- CERAMENT G$210
- ORTHOLOC 2 LAPIFUSE$170
- Viaflow$170
- Kerecis Omega3 Wound$169
- Kerecis Omega3 Surgibind$169
- Kerecis Omega3 GraftGuide$169
- Kerecis Omega3 SurgiClose$169
- VARIAX$161
- SurGraft$143
How this compares
$31,328 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 41 | $218 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Stevens Point
- Mitch HulbertSheboygan$96K
- James WhelanBeloit$51K
- Keith AndersonHayward$31K
- Jay ChristensenAppleton$26K
- Jason BurkleMadison$26K
- Hui ZhangOak Creek$25K
- James TorhorstWaupaca$25K
- Todd DerksenAppleton$23K
- Spencer HammackPlatteville$20K
- Dustin RiddleAppleton$20K
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.