Paul Resignato, DPM
Foot Surgery · El Paso, TXNPI 1093799249
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,838 of the $7,095 with a category attached, or 68.2%. It is spread thinly across 21 manufacturers, the largest accounting for just 18.6%. Reporting peaked in 2019 at $2,156 and has fallen 70.3% since, to $639 in 2025.
Across 121 payments — averaging $58.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$1K
- Treace Medical Concepts, Inc.$1K
- Organogenesis Inc.$843
- Integra Lifesciences Corporation$755
- Smith+Nephew$698
- Kerecis Limited$676
- plus $2K from 15 others
What the payments were for
- Speaking & faculty fees$1252%
- Travel & lodging$1,70624%
- Food & beverage$4,83868%
- Education$1001%
- Other$3265%
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 |
|---|---|---|
| Paragon 28, Inc. | 6 | $1,320 |
| Treace Medical Concepts, Inc. | 8 | $1,193 |
| Organogenesis Inc. | 24 | $843 |
| Integra Lifesciences Corporation | 11 | $755 |
| Smith+Nephew | 42 | $698 |
| Kerecis Limited | 4 | $676 |
| AbbVie(2 entities) | 4 | $274 |
| Progenacare Global, LLC | 4 | $220 |
| Solventum Corporation | 3 | $175 |
| Medtronic | 2 | $132 |
| Osiris Therapeutics Inc. | 1 | $120 |
| Vaporox, Inc. | 1 | $120 |
| Boston Scientific | 1 | $109 |
| Acera Surgical, Inc. | 1 | $107 |
| Tactile Systems Technology Inc | 1 | $100 |
| KCI USA, Inc. | 1 | $100 |
| Stryker | 1 | $62 |
| Mimedx Group, Inc. | 2 | $30 |
| Bioventus LLC | 2 | $27 |
| Hartmann USA, Inc. | 1 | $23 |
| Misonix Inc | 1 | $12 |
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.
- Lapiplasty System$1,098
- Kerecis Omega3 Wound$549
- Kerecis Omega3 Marigen$508
- INTEGRA$326
- Kerecis Omega3 SurgiClose$254
- INTEGRA MESHED BILAYER WOUND MATRIX$253
- INTEGRA WOUND MATRIX (IWM)$253
- PRIMATRIX$253
- INTEGRA DERMAL REGENERATION TEMPLATE$253
- INTEGRA FLOWABLE WOUND MATRIX$253
- Kerecis Omega3 Surgibind$126
- Kerecis Omega3 GraftGuide$126
- AVYCAZ$125
- Apligraf$125
- Dermagraft$125
- Puraply/Affinity/NuTech$125
- DALVANCE$123
- Stravix$120
- Grafix$120
- GrafixPL$120
How this compares
$7,095 in reported general payments places this provider in the 75th percentile of 71 foot surgery providers in Texas.
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 |
|---|---|---|
| Ciclopirox | 40 | $1,552 |
| Ammonium Lactate | 28 | $644 |
Paid to pharmacies, not to this prescriber.
Other foot surgery in El Paso
- George AlvaradoEl Paso$7K
- Gerald McCoolEl Paso$1K
- Caesar ZunigaEl Paso$1K
- Marque AllenSan Antonio$204K
- James JacobsKaty$81K
- Lawrence LaverySan Antonio$59K
- Robert GraserBoerne$54K
- Richard KehSan Antonio$17K
- Chad ClauseWebster$17K
- Seth AshrafSan Antonio$17K
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.