Robert Leaming
Foot & Ankle Surgery · Rancho Santa Margarita, CANPI 1215374699
Payments from drug & device makers
Across 26 payments — averaging $57.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$876
- Stryker$288
- Cardiovascular Systems Inc.$69
- Tactile Systems Technology Inc$52
- Mimedx Group, Inc.$37
- Medtronic$37
- plus $141 from 6 others
What the payments were for
- Travel & lodging$48532%
- Food & beverage$1,01368%
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 |
|---|---|---|
| Paragon 28, Inc. | 4 | $876 |
| Stryker | 9 | $288 |
| Cardiovascular Systems Inc. | 1 | $69 |
| Tactile Systems Technology Inc | 2 | $52 |
| Mimedx Group, Inc. | 2 | $37 |
| Medtronic | 1 | $37 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $36 |
| Bioventus LLC | 1 | $32 |
| Treace Medical Concepts, Inc. | 1 | $25 |
| DJO, LLC | 1 | $22 |
| Arthrosurface Incorporated | 1 | $15 |
| Zimmer Biomet | 1 | $12 |
How this compares
$1,498 in reported general payments places this provider in the 40th 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 |
|---|---|---|
| Ciclopirox | 35 | $721 |
| Methylprednisolone | 16 | $132 |
| Cephalexin | 16 | $100 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Rancho Santa Margarita
- John ZimmermanBakersfield$4.6M
- Eric GizaSacramento$3.7M
- Thomas HarrisPasadena$3M
- Felix SigalLos Angeles$2.2M
- Thomas ChangSanta Rosa$2.1M
- Michael CoughlinSan Francisco$1.6M
- Vladimir ZeetserEncino$677K
- Jason NowakRedding$526K
- Candice BradyCamarillo$462K
- Andrew HsuOrange$456K
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.