Raquel Litherland
Foot & Ankle Surgery · Wheat Ridge, CONPI 1780949826
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,555 of the $10,755 with a category attached, or 70.2%. Musculoskeletal Transplant Foundation Inc. accounts for 67.6% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2020 at $5,851 and has fallen 99.6% since, to $22 in 2025.
Across 39 payments — averaging $275.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Musculoskeletal Transplant Foundation Inc.$7K
- Pylant Medical$2K
- Treace Medical Concepts, Inc.$1K
- Sanara Medtech Inc.$248
- Zimmer Biomet$179
- Integra Lifesciences Corporation$137
- plus $282 from 8 others
Across 5 payments — averaging $300.84 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Polarityte, Inc.$2K
What the payments were for
- Travel & lodging$1,68716%
- Food & beverage$7,55570%
- Education$1,51314%
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 |
|---|---|---|
| Musculoskeletal Transplant Foundation Inc. | 13 | $7,268 |
| Pylant Medical | 1 | $1,513 |
| Treace Medical Concepts, Inc. | 7 | $1,128 |
| Sanara Medtech Inc. | 1 | $248 |
| Zimmer Biomet | 2 | $179 |
| Integra Lifesciences Corporation | 1 | $137 |
| Smith+Nephew | 5 | $122 |
| KCI USA, Inc. | 1 | $50 |
| Bioventus LLC | 2 | $41 |
| Organogenesis Inc. | 2 | $20 |
| Kerecis Limited | 1 | $16 |
| Celularity Inc. | 1 | $13 |
| Lilly USA, LLC | 1 | $13 |
| Orthofix Medical, Inc. | 1 | $7 |
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.
How this compares
$10,755 in reported general payments places this provider in the 75th percentile of 181 foot & ankle surgery providers in Colorado.
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 |
|---|---|---|
| Ketoconazole | 37 | $576 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 25 | $352 |
| Gabapentin | 40 | $262 |
| Cephalexin | 39 | $259 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 31 | $178 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $150 |
| Doxycycline Hyclate | 17 | $146 |
| Meloxicam | 46 | $99 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Wheat Ridge
- Brett SachsWheat Ridge$806K
- Dustin KruseWheat Ridge$217K
- Michael HoughtonFort Collins$2M
- Joshua MetzlEnglewood$1.8M
- Brad DresherColorado Springs$1.3M
- Thomas ClantonVail$1.1M
- Jeffrey LehrmanFort Collins$628K
- Kevin NagamaniDenver$288K
- Keith JacobsonDenver$241K
- William MontrossColorado Springs$238K
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.