Randal Wraalstad
Foot & Ankle Surgery · Twin Falls, IDNPI 1255334066
Payments from drug & device makers
What this record shows
19 manufacturers reported payments, led by Treace Medical Concepts, Inc. at 35.1% of the total. That places this record below the midpoint for foot & ankle surgery clinicians in ID, where the typical reported total is $3,361.
Across 40 payments — averaging $77.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Treace Medical Concepts, Inc.$1K
- Stryker$647
- Sawtooth Surgical Solutions Inc$467
- Integra Lifesciences Corporation$127
- Vertex$124
- Smith+Nephew$107
- plus $530 from 13 others
What the payments were for
- Travel & lodging$1,42246%
- Food & beverage$1,66054%
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 |
|---|---|---|
| Treace Medical Concepts, Inc. | 4 | $1,081 |
| Stryker(2 entities) | 11 | $647 |
| Sawtooth Surgical Solutions Inc | 1 | $467 |
| Integra Lifesciences Corporation | 2 | $127 |
| Vertex | 1 | $124 |
| Smith+Nephew | 5 | $107 |
| Organogenesis Inc. | 1 | $90 |
| Medtronic | 2 | $77 |
| Axogen | 1 | $55 |
| Nevro Corp. | 2 | $55 |
| Davol Inc. | 1 | $45 |
| Amgen | 1 | $42 |
| Mimedx Group, Inc. | 1 | $33 |
| Merck | 2 | $30 |
| Bioventus LLC | 1 | $24 |
| Heron Therapeutics, Inc. | 1 | $22 |
| Innovation Technologies Inc | 1 | $22 |
| Paragon 28, Inc. | 1 | $19 |
| Johnson & Johnson | 1 | $14 |
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$1,075
- ORTHOLOC$165
- JOURNAVX$124
- ANCHORAGE$108
How this compares
$3,082 in reported general payments places this provider in the 40th percentile of 49 foot & ankle surgery providers in Idaho.
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 Sodium | 11 | $380 |
| Cephalexin | 32 | $312 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 28 | $256 |
| Terbinafine Hcl | 31 | $228 |
| Amitriptyline Hcl | 26 | $194 |
| Doxycycline Monohydrate | 12 | $155 |
| Meloxicam | 68 | $154 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 13 | $118 |
| Oxybutynin Chloride ErOxybutynin Chloride | 12 | $72 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Twin Falls
- Jason DevriesTwin Falls$12K
- Daniel WettsteinTwin Falls$3K
- Caleb RobertsTwin Falls$226
- Kaitlin NearyBoise$867K
- Dan RobinsonBlackfoot$170K
- Kurt KinghornMeridian$150K
- Steven RoserBoise$102K
- Bryan VandykeIdaho Falls$47K
- Jonathon WolfMeridian$22K
- Christopher ArenaCoeur D Alene$14K
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.