Ryan Kitterman, DPM
Foot & Ankle Surgery · Scottsboro, ALNPI 1174811442
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,923 of the $2,922 with a category attached, or 65.8%. 27 manufacturers reported payments, led by Paragon 28, Inc. at 55.8% of the total. Reporting peaked in 2019 at $1,444 and has fallen 94.6% since, to $78 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in AL, where the typical reported total is $4,589.
Across 75 payments — averaging $38.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$2K
- Smith+Nephew$337
- Melinta Therapeutics, LLC$116
- Stryker$110
- KCI USA, Inc.$101
- Medtronic$87
- plus $541 from 21 others
What the payments were for
- Travel & lodging$99934%
- Food & beverage$1,92366%
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. | 7 | $1,630 |
| Smith+Nephew | 19 | $337 |
| Melinta Therapeutics, LLC | 6 | $116 |
| Stryker(2 entities) | 4 | $110 |
| KCI USA, Inc. | 4 | $101 |
| Medtronic | 1 | $87 |
| Organogenesis Inc. | 5 | $87 |
| Paratek Pharmaceuticals, Inc. | 4 | $65 |
| Treace Medical Concepts, Inc. | 4 | $60 |
| Mimedx Group, Inc. | 2 | $35 |
| Polynovo North America LLC | 3 | $33 |
| Nevro Corp. | 1 | $25 |
| Aroa Biosurgery Incorporated | 1 | $24 |
| Abbott | 1 | $22 |
| Idorsia Pharmaceuticals US Inc | 1 | $20 |
| Vanda Pharmaceuticals Inc. | 1 | $19 |
| Kerecis Limited | 1 | $18 |
| Convatec Inc. | 1 | $17 |
| Lilly USA, LLC | 1 | $17 |
| Osiris Therapeutics Inc. | 1 | $16 |
| Arthrosurface Incorporated | 1 | $13 |
| Acell, Inc. | 1 | $13 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $12 |
| AbbVie | 1 | $12 |
| Integra Lifesciences Corporation | 1 | $11 |
| Merck | 1 | $11 |
| 3M Company | 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.
How this compares
$2,922 in reported general payments places this provider in the 40th percentile of 40 foot & ankle surgery providers in Alabama.
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 | 13 | $130 |
| Methylprednisolone | 13 | $114 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Scottsboro
- Norman WaldropBirmingham$3.6M
- Justin DaigreDecatur$372K
- John KirchnerHoover$84K
- Jefferson SabatiniHuntsville$56K
- Matthew DeorioHuntsville$49K
- Patricia AnteroTuscaloosa$35K
- Ashish ShahBirmingham$28K
- Alfred RicciMontgomery$25K
- Swapnil SinghBirmingham$14K
- Derek KlavasMobile$12K
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.