Ryan Holmbeck
Foot & Ankle Surgery · Kenosha, WINPI 1629324538
Payments from drug & device makers
Across 32 payments — averaging $37.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$692
- Abbott$89
- Stryker$77
- Johnson & Johnson$51
- Medshape, Inc.$46
- Medline Industries LP$32
- plus $205 from 11 others
What the payments were for
- Travel & lodging$31426%
- Food & beverage$87874%
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 | 11 | $692 |
| Abbott | 1 | $89 |
| Stryker | 3 | $77 |
| Johnson & Johnson | 3 | $51 |
| Medshape, Inc. | 1 | $46 |
| Medline Industries LP | 2 | $32 |
| ANI Pharmaceuticals, Inc. | 1 | $30 |
| In2bones USA, LLC | 1 | $25 |
| Anika Therapeutics, Inc. | 1 | $21 |
| IBSA Pharma Inc. | 1 | $20 |
| Polynovo North America LLC | 1 | $19 |
| Fusion Orthopedics USA, LLC | 1 | $18 |
| Nevro Corp. | 1 | $16 |
| Zimvie Inc. | 1 | $15 |
| Averitas Pharma Inc. | 1 | $14 |
| KCI USA, Inc. | 1 | $13 |
| Orthofix Medical, Inc. | 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.
- Grafix$472
- Oasis$472
- PICO$472
- RENASYS TOUCH$472
- Versajet$472
How this compares
$1,192 in reported general payments places this provider in the 35th percentile of 105 foot & ankle surgery providers in Wisconsin.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 153 | $1,383 |
| Pregabalin | 32 | $1,051 |
| Gabapentin | 70 | $827 |
| Ketoconazole | 35 | $748 |
| Diclofenac Sodium | 12 | $680 |
| Ammonium Lactate | 13 | $458 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 29 | $330 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 23 | $244 |
| Ciclopirox | 11 | $213 |
| Methylprednisolone | 26 | $182 |
| Doxycycline Hyclate | 18 | $176 |
| Meloxicam | 20 | $160 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 23 | $160 |
| Oxycodone Hcl | 13 | $19 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Kenosha
- Robert BurdiKenosha$18K
- William YoderKenosha$4K
- John BostancheKenosha$3K
- Michael EngelKenosha$3K
- Mitch HulbertSheboygan$96K
- James WhelanBeloit$51K
- Nikita GramaStevens Point$31K
- Keith AndersonHayward$31K
- Jay ChristensenAppleton$26K
- Jason BurkleMadison$26K
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.