Sean Grambart, DPM
Foot & Ankle Surgery · Des Moines, IANPI 1134148307
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $500,767 of the $589,612 with a category attached, or 84.9%. Medical Device Business Services, Inc. accounts for 61.3% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2023 at $146,364 and has fallen 74.9% since, to $36,797 in 2025. Among foot & ankle surgery clinicians in IA 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 325 payments — averaging $1814.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$361K
- Johnson & Johnson$102K
- Ortho Solutions Inc$62K
- Synthes USA Products LLC$39K
- Stryker$9K
- Depuy Synthes Products, Inc.$6K
- plus $10K from 4 others
What the payments were for
- Royalty or licence$49,1448%
- Consulting fees$500,76785%
- Speaking & faculty fees$1,0000%
- Travel & lodging$29,2835%
- Food & beverage$5,1311%
- Education$4,2871%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 189 | $361,214 |
| Johnson & Johnson | 52 | $102,008 |
| Ortho Solutions Inc | 17 | $62,290 |
| Synthes USA Products LLC | 28 | $39,251 |
| Stryker | 10 | $9,260 |
| Depuy Synthes Products, Inc. | 1 | $5,980 |
| Synthes GmbH | 10 | $5,102 |
| Zimmer Biomet | 15 | $4,287 |
| Paragon 28, Inc. | 2 | $182 |
| Organogenesis Inc. | 1 | $37 |
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.
- LCP$439,509
- NA$438,853
- HAMMERLOCK$129,098
- VA-LCP$29,640
- VA-LCP PLATES & SCREWS$23,790
- CARTIVA$9,112
- Revision$1,903
- ROSA$1,323
- Lapidus Plate$214
- Arcos$184
- Juggerknot$173
How this compares
$589,612 in reported general payments places this provider in the 95th percentile of 112 foot & ankle surgery providers in Iowa.
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 |
|---|---|---|
| Methylprednisolone | 11 | $64 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Des Moines
- Michael LeeDes Moines$2.1M
- Kelsey MillonigDes Moines$330K
- Justin RaatzDes Moines$28K
- Mica MurdochDes Moines$25K
- Emily AnzmannDes Moines$15K
- Blake HaleDes Moines$14K
- Ashley McClainDes Moines$5K
- Monique RodriguezDes Moines$4K
- Erica ReedDes Moines$3K
- Phinit PhisitkulSioux City$1.4M
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.