Ronald Adelman
Foot & Ankle Surgery · Plymouth, MINPI 1245376987
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (43.2%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. 25 manufacturers reported payments, led by Acumed LLC at 38.5% of the total. Reporting peaked in 2019 at $13,562 and has fallen 83.8% since, to $2,195 in 2025. Among foot & ankle surgery clinicians in MI with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 211 payments — averaging $222.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$18K
- Osteomed LLC$16K
- Stryker$5K
- Integra Lifesciences Corporation$2K
- Kerecis Limited$2K
- Pinnacle, Inc$949
- plus $3K from 19 others
What the payments were for
- Consulting fees$8,11317%
- Speaking & faculty fees$20,29743%
- Travel & lodging$3,2627%
- Food & beverage$14,39431%
- Education$8802%
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 |
|---|---|---|
| Acumed LLC | 31 | $18,071 |
| Osteomed LLC | 43 | $16,203 |
| Stryker(2 entities) | 48 | $4,706 |
| Integra Lifesciences Corporation | 26 | $2,152 |
| Kerecis Limited | 8 | $1,558 |
| Pinnacle, Inc | 11 | $949 |
| Treace Medical Concepts, Inc. | 6 | $919 |
| Paragon 28, Inc. | 7 | $459 |
| Johnson & Johnson | 5 | $333 |
| Smith+Nephew | 5 | $276 |
| Arthrex | 3 | $246 |
| Axogen | 1 | $164 |
| Trilliant Surgical LLC. | 1 | $150 |
| Bone Support Inc. | 1 | $148 |
| Organogenesis Inc. | 1 | $121 |
| Bioventus LLC | 3 | $110 |
| Cardiovascular Systems Inc. | 1 | $93 |
| Zimmer Biomet | 1 | $85 |
| Medshape, Inc. | 1 | $75 |
| Amgen(2 entities) | 3 | $45 |
| Solventum Corporation | 1 | $28 |
| ERMI LLC | 1 | $18 |
| Merck | 1 | $12 |
| Arthrosurface Incorporated | 1 | $12 |
| Orthofix Medical, Inc. | 1 | $11 |
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.
- ACUMED$32,654
- OsteoMed$18,053
- EXT-Other$8,254
- Kerecis Omega3 Marigen$3,763
- INTEGRA$3,456
- Forefoot/Midfoot Plating System$3,213
- EXT-ExtremiLock Ankle$3,000
- EXT-Extremilock Foot$2,431
- Kerecis SurgiClose$1,859
- Acutrak Headless Compression Screw System$1,563
- EXT-Staple$1,500
- BIO-Osteovation (EXT)$1,500
- PROPHECY$1,364
- INTEGRA DERMAL REGENERATION TEMPLATE$1,152
- Kerecis Omega3 SurgiClose$1,031
- PRIMATRIX$1,006
- Lapiplasty System$473
- ORTHOLOC 3DI$470
- Kerecis GraftGuide$465
- INFINITY$369
How this compares
$46,945 in reported general payments places this provider in the 95th percentile of 384 foot & ankle surgery providers in Michigan.
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 |
|---|---|---|
| Econazole Nitrate | 15 | $375 |
| Ciclopirox | 13 | $312 |
| Ketoconazole | 16 | $297 |
| Methylprednisolone | 18 | $128 |
| Doxycycline Hyclate | 21 | $118 |
| Meloxicam | 26 | $57 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Plymouth
- John AndersonGrand Rapids$1.3M
- Brian LoderClinton Township$854K
- Karl DunnClinton Twp$434K
- Anthony LalamaMacomb$421K
- Christopher ZingasSaint Clair Shores$227K
- John MaskillGrand Rapids$202K
- Michael SwordsLansing$189K
- Gregory SheremetaTroy$87K
- Jason WesloskyClinton Township$87K
- Hatim BurhaniGrosse Pointe Woods$77K
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.