Raymond Murano
Foot & Ankle Surgery · Medford, MANPI 1902809411
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 121 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 21 manufacturers reported payments, led by Smith+Nephew at 39.1% of the total. Reporting peaked in 2019 at $887 and has fallen 73.7% since, to $234 in 2025.
Across 121 payments — averaging $22.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$1K
- Paratek Pharmaceuticals, Inc.$577
- Merck$199
- Organogenesis Inc.$165
- Musculoskeletal Transplant Foundation Inc.$108
- Extremity Medical$100
- plus $512 from 15 others
What the payments were for
- Food & beverage$2,728100%
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 |
|---|---|---|
| Smith+Nephew | 64 | $1,067 |
| Paratek Pharmaceuticals, Inc. | 26 | $577 |
| Merck | 5 | $199 |
| Organogenesis Inc. | 2 | $165 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $108 |
| Extremity Medical | 1 | $100 |
| Amgen | 2 | $99 |
| Convatec Inc. | 4 | $83 |
| Bioventus LLC | 2 | $45 |
| Kerecis Limited | 2 | $39 |
| Lilly USA, LLC | 2 | $35 |
| Johnson & Johnson | 1 | $32 |
| GRT US Holding, Inc. | 1 | $26 |
| Sanara Medtech Inc. | 1 | $24 |
| Trilliant Surgical LLC. | 1 | $23 |
| Nevro Corp. | 1 | $19 |
| Melinta Therapeutics, LLC | 1 | $19 |
| Polynovo North America LLC | 1 | $19 |
| Misonix Inc | 1 | $18 |
| Dynasplint Systems Inc. | 1 | $18 |
| Pfizer | 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.
- Stravix$263
- NUZYRA$242
- PURAPLY WOUND MATRIX$146
- Grafix PL PRIME$139
- SIVEXTRO$125
How this compares
$2,728 in reported general payments places this provider in the 60th percentile of 122 foot & ankle surgery providers in Massachusetts.
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.
Other foot & ankle surgery in Medford
- Harry SchneiderCambridge$174K
- Craig LareauSpringfield$115K
- David SipalaBrighton$94K
- Philip BasileCambridge$90K
- Michael SgangaNatick$90K
- Joseph FleckNorth Chelmsford$35K
- Michael SkoniecznyPlymouth$33K
- Richard BakerHyannis$16K
- Mark SlovenkaiWaltham$14K
- Jaeyoung KimBoston$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.