Rachel Balloch, DPM
Foot & Ankle Surgery · Avon, CTNPI 1386808202
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,896 of the $5,688 with a category attached, or 68.5%. 22 manufacturers reported payments, led by Stryker at 44.3% of the total. Reporting peaked in 2019 at $2,314 and has fallen 61.6% since, to $889 in 2025.
Across 90 payments — averaging $63.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3K
- Trimed, Inc.$824
- Treace Medical Concepts, Inc.$607
- Kerecis Limited$478
- Smith+Nephew$286
- Davol Inc.$191
- plus $781 from 16 others
What the payments were for
- Travel & lodging$1,79232%
- Food & beverage$3,89668%
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 |
|---|---|---|
| Stryker | 40 | $2,521 |
| Trimed, Inc. | 1 | $824 |
| Treace Medical Concepts, Inc. | 3 | $607 |
| Kerecis Limited | 3 | $478 |
| Smith+Nephew | 16 | $286 |
| Davol Inc. | 2 | $191 |
| Osiris Therapeutics Inc. | 1 | $122 |
| Amgen | 6 | $91 |
| Extremity Medical | 1 | $79 |
| Voom Medical Devices, Inc. | 1 | $62 |
| Teleflex LLC | 1 | $55 |
| Zimmer Biomet | 2 | $53 |
| Medtronic | 2 | $52 |
| Kairos Surgical Inc | 1 | $49 |
| Bioventus LLC | 3 | $48 |
| Integra Lifesciences Corporation | 1 | $41 |
| Axonics, Inc. | 1 | $27 |
| Paragon 28, Inc. | 1 | $25 |
| Osteomed LLC | 1 | $24 |
| Baxter Healthcare | 1 | $21 |
| Linvatec Corporation | 1 | $18 |
| In2bones USA, LLC | 1 | $15 |
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.
- HOFFMANN$1,448
- Kerecis Omega3 SurgiClose$1,092
- Tools - AFS$824
- Lapiplasty System$607
- Kerecis Omega3 GraftGuide$471
- Kerecis Omega3 Marigen$311
- Kerecis Omega3 Wound$160
- Kerecis Omega3 Surgibind$160
- Stravix$122
- Grafix$122
- GrafixPL$122
- EASY CLIP$114
- ANCHORAGE$114
How this compares
$5,688 in reported general payments places this provider in the 75th percentile of 89 foot & ankle surgery providers in Connecticut.
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 |
|---|---|---|
| Diclofenac Potassium | 68 | $1,108 |
| Methylprednisolone | 153 | $946 |
| Diclofenac Sodium | 60 | $588 |
| Gabapentin | 42 | $558 |
| Doxycycline Hyclate | 29 | $303 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 39 | $131 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 15 | $87 |
| Cyclobenzaprine Hcl | 16 | $57 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Avon
- Thomas McDonaldEnfield$241K
- Jossie AbrahamNorwalk$152K
- Gabriel GambardellaBloomfield$99K
- David CaminearHamden$47K
- James DejesusNaugatuck$40K
- William ProbascoFairfield$26K
- Adebola AdelekeMiddletown$24K
- Rachel AlbrightDarien$14K
- Paulina PiekarskaNorwalk$13K
- Allen FerrucciHamden$13K
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.