Ryan Reinking
Foot & Ankle Surgery · Duluth, MNNPI 1043522295
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (43.8%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Trilliant Surgical LLC. at 53.3% of the total. Reporting peaked in 2020 at $22,402 and has fallen 76.6% since, to $5,249 in 2025. Among foot & ankle surgery clinicians in MN 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 259 payments — averaging $186.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trilliant Surgical LLC.$26K
- Stryker$15K
- In2bones USA, LLC$4K
- Gemini Medical LLC$1K
- Foundation Medical, LLC$839
- Arthrex$705
- plus $892 from 12 others
What the payments were for
- Royalty or licence$21,19544%
- Consulting fees$4,2009%
- Speaking & faculty fees$2,0004%
- Travel & lodging$10,70222%
- Food & beverage$9,67420%
- Education$6131%
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 |
|---|---|---|
| Trilliant Surgical LLC. | 18 | $25,785 |
| Stryker(2 entities) | 174 | $14,585 |
| In2bones USA, LLC | 5 | $4,270 |
| Gemini Medical LLC | 14 | $1,308 |
| Foundation Medical, LLC | 10 | $839 |
| Arthrex | 12 | $705 |
| Treace Medical Concepts, Inc. | 5 | $281 |
| Integra Lifesciences Corporation | 6 | $238 |
| Orthofix Medical, Inc. | 5 | $93 |
| Solventum Corporation | 2 | $53 |
| Smith+Nephew | 1 | $43 |
| Linvatec Corporation | 1 | $40 |
| Johnson & Johnson | 1 | $32 |
| Paragon 28, Inc. | 1 | $25 |
| Avanos Medical | 1 | $24 |
| Zimmer Biomet | 1 | $23 |
| Boston Scientific | 1 | $22 |
| Auxano Medical LLC | 1 | $19 |
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.
- Arsenal$23,021
- Quantum Total Ankle$4,200
- INBONE$2,660
- MIB$2,430
- INFINITY ADAPTIS$2,013
- PROstep$1,145
- PROPHECY$1,100
- INFINITY$771
- INVISION$737
- FLEXBAND$571
- HOFFMANN$472
- MAKO$461
- AUGMENT INJECTABLE$433
- ANCHORAGE$156
- PROSTEP MICA$146
- STAR$136
- Lapiplasty System$126
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$125
- CADENCE ANKLE REPLACEMENT SYSTEM$125
- HALLU-LOCK$125
How this compares
$48,385 in reported general payments places this provider in the 95th percentile of 102 foot & ankle surgery providers in Minnesota.
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 |
|---|---|---|
| Oxycodone Hcl | 57 | $149 |
| Ibuprofen | 27 | $55 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Duluth
- Katherine SchnellDuluth$11K
- Johannes CoetzeeEdina$4.7M
- Troy BoffeliSaint Paul$1.7M
- Jeffrey SeyboldEdina$270K
- Kyle AbbenSt Louis Park$130K
- Collin MesserlySaint Paul$50K
- Kevin MahoneyMarshall$39K
- Bethany StaehnkeCrookston$27K
- Amber WibbelsRoseau$24K
- Ruixian YueWoodbury$22K
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.