Sara Shirazi, DPM
Foot & Ankle Surgery · Pasadena, CANPI 1659892578
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (44.8%), food and beverage and education — rather than concentrated in one kind of arrangement. It is spread thinly across 29 manufacturers, the largest accounting for just 20.1%. Reporting peaked in 2019 at $6,347 and has fallen 90.4% since, to $607 in 2025. Among foot & ankle surgery clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 162 payments — averaging $101.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$3K
- Stryker$2K
- Treace Medical Concepts, Inc.$2K
- Medline Industries LP$2K
- Medartis Inc.$1K
- Organogenesis Inc.$1K
- plus $4K from 23 others
What the payments were for
- Speaking & faculty fees$1191%
- Travel & lodging$7,38045%
- Food & beverage$6,56140%
- Education$2,40015%
- Gifts$220%
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 |
|---|---|---|
| Arthrex | 14 | $3,305 |
| Stryker | 17 | $2,477 |
| Treace Medical Concepts, Inc. | 13 | $2,063 |
| Medline Industries LP | 6 | $1,540 |
| Medartis Inc. | 7 | $1,420 |
| Organogenesis Inc. | 7 | $1,288 |
| Amgen(2 entities) | 26 | $959 |
| Smith+Nephew | 21 | $876 |
| Paragon 28, Inc. | 6 | $547 |
| Micromed Inc | 2 | $267 |
| Globus Medical | 5 | $201 |
| International Life Sciences | 1 | $180 |
| Celularity Inc. | 2 | $175 |
| Integra Lifesciences Corporation | 3 | $169 |
| Saxum Surgical, Inc. | 3 | $148 |
| Derma Sciences, Inc. | 6 | $141 |
| Biotissue Holdings Inc. | 2 | $112 |
| Ossio Inc | 1 | $91 |
| Johnson & Johnson | 4 | $79 |
| Musculoskeletal Transplant Foundation Inc. | 2 | $78 |
| Bioventus LLC | 2 | $72 |
| Trice Medical, Inc. | 2 | $62 |
| Axogen | 2 | $54 |
| Paratek Pharmaceuticals, Inc. | 2 | $46 |
| Ossur Americas, Inc. | 2 | $40 |
| Vertex | 1 | $35 |
| Si-bone, Inc. | 1 | $23 |
| Extremity Medical | 1 | $18 |
| KCI USA, Inc. | 1 | $17 |
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.
- HOFFMANN$1,852
- ANCHORAGE$1,747
- STAR$1,747
- Lapiplasty System$1,685
- Apligraf$1,120
- Dermagraft$1,120
- Puraply/Affinity/NuTech$1,120
- APTUS$1,073
- KRYSTEXXA$522
- GRAFIX PL$271
- FLEXBAND$180
- TenoTac$153
- ANCHOR C$142
- Product Portfolio$140
- Stravix$139
- Portfolio$132
- Interfyl$117
How this compares
$16,482 in reported general payments places this provider in the 90th percentile of 1,126 foot & ankle surgery providers in California.
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 |
|---|---|---|
| Clotrimazole | 22 | $794 |
| Terbinafine Hcl | 11 | $287 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 21 | $61 |
| Meloxicam | 15 | $15 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Pasadena
- Thomas HarrisPasadena$3M
- Eric GizaSacramento$3.6M
- Thomas ChangSanta Rosa$2M
- Michael CoughlinSan Francisco$1.6M
- Vladimir ZeetserEncino$677K
- Jason NowakRedding$526K
- Candice BradyCamarillo$462K
- Andrew HsuOrange$456K
- Eric TanLos Angeles$447K
- Joseph ParkBurbank$387K
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.