Nikki Miracle
Foot Surgery · Beaver Falls, PANPI 1205050754
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.4% of the total across 77 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 23 manufacturers, the largest accounting for just 15.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $657 and has fallen 87.6% since, to $81 in 2025. Among foot surgery clinicians in PA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 77 payments — averaging $36.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Organogenesis Inc.$442
- Amgen$405
- Smith+Nephew$277
- Kerecis Limited$265
- Abbott$211
- Axogen$166
- plus $1K from 17 others
What the payments were for
- Speaking & faculty fees$161%
- Food & beverage$2,75999%
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 |
|---|---|---|
| Organogenesis Inc. | 10 | $442 |
| Amgen(2 entities) | 12 | $405 |
| Smith+Nephew | 8 | $277 |
| Kerecis Limited | 2 | $265 |
| Abbott | 6 | $211 |
| Axogen | 2 | $166 |
| Paratek Pharmaceuticals, Inc. | 9 | $153 |
| Cumberland Pharmaceuticals, Inc. | 3 | $153 |
| Nevro Corp. | 4 | $139 |
| Triad Life Sciences Inc. | 3 | $100 |
| Lifenet Health | 1 | $82 |
| Stryker | 2 | $70 |
| Solventum Corporation | 2 | $66 |
| Misonix Inc | 1 | $61 |
| Tactile Systems Technology Inc | 2 | $32 |
| Merck | 2 | $29 |
| Zimvie Inc. | 1 | $26 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $22 |
| Zimmer Biomet | 1 | $20 |
| Nabriva Therapeutics, PLC | 1 | $16 |
| Paragon 28, Inc. | 1 | $16 |
| Advanced Oxygen Therapy Inc. | 1 | $13 |
| Arthrosurface Incorporated | 1 | $11 |
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.
- RAYOS$370
- Kerecis Omega3 Marigen$342
- Kerecis Omega3 Wound$151
- KRYSTEXXA$125
- Vibativ$123
- Affinity$122
- Puraply Antimicrobial$115
- Kerecis Omega3 SurgiClose$114
- Kerecis Omega3 GraftGuide$114
- Axium INS DRG IPG$102
How this compares
$2,775 in reported general payments places this provider in the 90th percentile of 67 foot surgery providers in Pennsylvania.
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 | 51 | $1,983 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 67 | $707 |
| Ciclopirox | 16 | $509 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 27 | $185 |
| CiclopiroxCiclopirox Olamine | 11 | $163 |
| Gabapentin | 23 | $100 |
| Methylprednisolone | 14 | $84 |
| Terbinafine Hcl | 14 | $56 |
Paid to pharmacies, not to this prescriber.
Other foot surgery in Beaver Falls
- Joshua ScollBensalem$18K
- Derrico QuattroneJefferson Hills$6K
- Dawn SteinGrove City$5K
- Robert NortonPhiladelphia$4K
- Alyssa FitchLancaster$4K
- Peter LarnedKing Of Prussia$3K
- Raymond FritzAllentown$2K
- Pamela GekasBryn Mawr$2K
- David BernsteinWayne$2K
- Ronald SmallPhiladelphia$2K
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.