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Robert Pica, DPM

Foot & Ankle Surgery · North Chesterfield, VANPI 1497001747

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $59,700 of the $75,704 with a category attached, or 78.9%. Treace Medical Concepts, Inc. accounts for 95.3% of it on its own, with 26 other manufacturers making up the rest. 2025 is the largest year on record at $54,357, more than ten times the $31 reported in 2019. Among foot & ankle surgery clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$75,704in general payments, 2019–2025

Across 140 payments — averaging $540.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Treace Medical Concepts, Inc.$72K
  • Stryker$1K
  • Fortis Surgical, LLC$951
  • Organogenesis Inc.$321
  • Smith+Nephew$231
  • Vertex$90
  • plus $820 from 21 others
$62,507in ownership & investment interests, 2019–2025

Across 1 payment — averaging $62,507 each. An ownership or investment interest held by the physician or an immediate family member.

  • Restor3d, Inc.$63K

What the payments were for

  • Consulting fees$59,70079%
  • Travel & lodging$11,49115%
  • Food & beverage$3,6745%
  • Education$8391%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Treace Medical Concepts, Inc.65$72,147
Stryker10$1,144
Fortis Surgical, LLC4$951
Organogenesis Inc.17$321
Smith+Nephew10$231
Vertex4$90
Globus Medical2$86
Biocomposites Inc2$86
Anika Therapeutics, Inc.1$72
ANI Pharmaceuticals, Inc.2$57
Bioventus LLC2$53
Boston Scientific2$53
Convatec Inc.2$48
Abbott2$45
AbbVie2$45
Davol Inc.1$45
IBSA Pharma Inc.2$44
Lifenet Health1$32
Medtronic1$24
Next Science LLC1$23
Sanara Medtech Inc.1$20
Averitas Pharma Inc.1$19
Kerecis Limited1$19
Sebela Pharmaceuticals Inc.1$16
Tactile Systems Technology Inc1$15
Mimedx Group, Inc.1$13
Heron Therapeutics, Inc.1$6

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

$75,704 in reported general payments places this provider in the 90th percentile of 260 foot & ankle surgery providers in Virginia.

See all foot & ankle surgery providers in Virginia →

Medicare billing

Part B allowed, 2024
$1,677,159
Medicare patients
659
Services billed
6,541

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

DrugClaimsCost to plans & patients
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip98$2,404
Diclofenac Sodium13$773
Doxycycline Monohydrate44$570
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen21$187
Methylprednisolone19$106

Paid to pharmacies, not to this prescriber.

Other foot & ankle surgery in North Chesterfield

See the full list for Virginia →

Where these figures come from

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