Paul Ryan, MD
Foot and Ankle Surgery · Carson City, NVNPI 1770555393
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (34.1%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 28 manufacturers reported payments, led by Arthrex at 38.1% of the total. Reporting peaked in 2022 at $9,282 and has fallen 67.1% since, to $3,050 in 2025.
Across 97 payments — averaging $145.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$5K
- Bone Support Inc.$2K
- Evolution Surgical, Inc$2K
- Sequoia Surgical, Inc.$1K
- Cornerstone Medical Associates, Inc.$1K
- Medical Device Business Services, Inc.$649
- plus $2K from 22 others
What the payments were for
- Consulting fees$2,00014%
- Travel & lodging$3,69526%
- Food & beverage$3,58325%
- Education$4,80034%
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 | 31 | $5,360 |
| Bone Support Inc. | 1 | $2,000 |
| Evolution Surgical, Inc | 6 | $1,659 |
| Sequoia Surgical, Inc. | 1 | $1,200 |
| Cornerstone Medical Associates, Inc. | 1 | $1,023 |
| Medical Device Business Services, Inc. | 4 | $649 |
| Johnson & Johnson | 14 | $596 |
| Goode Surgical Inc | 4 | $233 |
| Exactech, Inc. | 2 | $198 |
| Vertex | 6 | $182 |
| Paragon 28, Inc. | 2 | $174 |
| Musculoskeletal Transplant Foundation Inc. | 2 | $167 |
| Smith+Nephew | 4 | $144 |
| Vericel Corporation | 1 | $72 |
| Bioventus LLC | 2 | $48 |
| Organogenesis Inc. | 2 | $47 |
| Linvatec Corporation | 1 | $46 |
| Pacira Pharmaceuticals Incorporated | 2 | $43 |
| Medshape, Inc. | 1 | $40 |
| Biotissue Holdings Inc. | 1 | $39 |
| Solventum Corporation | 1 | $33 |
| Treace Medical Concepts, Inc. | 2 | $30 |
| Mimedx Group, Inc. | 1 | $25 |
| Ossio Inc | 1 | $20 |
| Urgo Medical North America, LLC | 1 | $16 |
| Merck | 1 | $16 |
| KCI USA, Inc. | 1 | $12 |
| Stryker | 1 | $6 |
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.
- CERAMENTBONE VOID FILLER$2,000
- CERAMENT G$2,000
- VANTAGE$144
- Additive Orthopedics$127
- MONOVISC$124
How this compares
$14,079 in reported general payments places this provider in the 80th percentile of 84 foot and ankle surgery providers in Nevada.
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 |
|---|---|---|
| Gabapentin | 87 | $465 |
| Diclofenac Sodium | 11 | $172 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 14 | $167 |
| Oxycodone Hcl | 36 | $148 |
| Ondansetron Hcl | 12 | $51 |
| Methocarbamol | 13 | $51 |
| Ondansetron OdtOndansetron | 14 | $28 |
| Meloxicam | 12 | $16 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Carson City
- Tavin MorganCarson City$5K
- Victoria MelhuishCarson City$1K
- Troy WatsonLas Vegas$1.2M
- Roman SibelHenderson$309K
- Gregory LundeenReno$301K
- Ira WeinerLas Vegas$135K
- Abdolreza RaissiLas Vegas$110K
- Holman ChanHenderson$75K
- Michael AraminiReno$60K
- Jeremy TiltonHenderson$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.