Rachel Hoyal, DPM
Foot & Ankle Surgery · Santa Rosa, CANPI 1598991366
Payments from drug & device makers
Across 65 payments — averaging $55.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$453
- Osiris Therapeutics Inc.$327
- Ossio Inc$322
- Smith+Nephew$290
- Abbott$284
- Zimmer Biomet$251
- plus $2K from 17 others
What the payments were for
- Travel & lodging$1625%
- Food & beverage$3,41695%
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 |
|---|---|---|
| Nevro Corp. | 8 | $453 |
| Osiris Therapeutics Inc. | 4 | $327 |
| Ossio Inc | 2 | $322 |
| Smith+Nephew | 9 | $290 |
| Abbott | 2 | $284 |
| Zimmer Biomet | 3 | $251 |
| Evolution Surgical, Inc | 4 | $231 |
| Treace Medical Concepts, Inc. | 3 | $190 |
| Organogenesis Inc. | 7 | $166 |
| Bioventus LLC | 3 | $164 |
| Sanara Medtech Inc. | 2 | $151 |
| Bone Support Inc. | 1 | $146 |
| Mimedx Group, Inc. | 2 | $145 |
| Orthofix Medical, Inc. | 4 | $113 |
| Innovation Technologies Inc | 1 | $106 |
| Stryker | 3 | $64 |
| Dynasplint Systems Inc. | 1 | $56 |
| Urgo Medical North America, LLC | 1 | $38 |
| Merck | 1 | $18 |
| Avanos Medical | 1 | $18 |
| Tactile Systems Technology Inc | 1 | $17 |
| Convatec Inc. | 1 | $14 |
| Hartmann USA, Inc. | 1 | $13 |
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.
- PROCLAIM$284
- Stravix$239
- Grafix$239
- GrafixPL$239
- Lapidus Plate$162
- COLLAGENASE SANTYL$150
- CERAMENTBONE VOID FILLER$146
- CERAMENT G$146
- Exogen Ultrasound Bone Healing System$135
- Lapiplasty System$125
- Senza$109
- Irrisept$106
- CellerateRx$105
How this compares
$3,578 in reported general payments places this provider in the 60th percentile of 1,126 foot & ankle surgery providers in California.
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 |
|---|---|---|
| JubliaEfinaconazole | 16 | $11,560 |
| Gentamicin Sulfate | 24 | $2,151 |
| Linezolid | 16 | $2,068 |
| Ciclopirox | 46 | $1,492 |
| Mupirocin | 75 | $1,190 |
| Ketoconazole | 39 | $1,176 |
| Fluconazole | 22 | $827 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 43 | $580 |
| Doxycycline Monohydrate | 31 | $571 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 16 | $550 |
| Clotrimazole | 27 | $544 |
| Ciprofloxacin Hcl | 24 | $214 |
| SsdSilver Sulfadiazine | 14 | $203 |
| Cephalexin | 11 | $192 |
| Levofloxacin | 12 | $138 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Santa Rosa
- Thomas ChangSanta Rosa$2.1M
- Walter D CostaSanta Rosa$37K
- John ZimmermanBakersfield$4.6M
- Eric GizaSacramento$3.7M
- Thomas HarrisPasadena$3M
- Felix SigalLos Angeles$2.2M
- Michael CoughlinSan Francisco$1.6M
- Vladimir ZeetserEncino$677K
- Jason NowakRedding$526K
- Candice BradyCamarillo$462K
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.