Ryan Prusa, DPM
Foot & Ankle Surgery · Brookings, SDNPI 1902464027
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (37.0%), travel and lodging and education — rather than concentrated in one kind of arrangement. 8 manufacturers reported payments, led by Stryker at 59.2% of the total. Reporting peaked in 2022 at $3,835 and has fallen 97.9% since, to $82 in 2025.
Across 44 payments — averaging $100.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3K
- Medwest Associates$1K
- Johnson & Johnson$214
- Ossio Inc$137
- Vilex LLC$106
- Zimmer Biomet$61
- plus $54 from 2 others
What the payments were for
- Travel & lodging$1,59336%
- Food & beverage$1,63937%
- Education$1,20027%
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 |
|---|---|---|
| Stryker | 30 | $2,626 |
| Medwest Associates | 3 | $1,235 |
| Johnson & Johnson | 6 | $214 |
| Ossio Inc | 1 | $137 |
| Vilex LLC | 1 | $106 |
| Zimmer Biomet | 1 | $61 |
| Paragon 28, Inc. | 1 | $35 |
| Conetic Solutions, Inc. | 1 | $18 |
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.
- PROstep$1,562
- ORTHOLOC 3DI$257
- ORTHOLOC 2 LAPIFUSE$112
- ALPHALOK$106
How this compares
$4,432 in reported general payments places this provider in the 65th percentile of 23 foot & ankle surgery providers in South Dakota.
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 |
|---|---|---|
| Doxycycline Monohydrate | 11 | $96 |
| Methylprednisolone | 16 | $91 |
| Cephalexin | 13 | $53 |
| Meloxicam | 16 | $32 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Brookings
- Tyler HarrellBrookings$9K
- Nephi JonesBrookings$2K
- Garret WobstAberdeen$79K
- Ruth MoenSioux Falls$14K
- James JohnstonAberdeen$10K
- Kayla YazhariYankton$6K
- Scott TornessWatertown$5K
- Gabriel RodriguezSioux Falls$5K
- Eric WoolleyWatertown$4K
- Jonathan YazhariYankton$4K
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.