Shruti Patel, DPM
Foot & Ankle Surgery · Vienna, VANPI 1992187082
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (34.6%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 42 manufacturers reported payments, led by Arthrex at 46.6% of the total. Reporting peaked in 2024 at $14,427 and has fallen 97.3% since, to $384 in 2025. Among foot & ankle surgery clinicians in VA 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 245 payments — averaging $192.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$22K
- Supreme Orthopedic Systems, LLC$6K
- Stryker$5K
- Medline Industries LP$5K
- Ossio Inc$3K
- Linvatec Corporation$3K
- plus $4K from 36 others
What the payments were for
- Consulting fees$2,5005%
- Speaking & faculty fees$11,00023%
- Travel & lodging$10,41822%
- Food & beverage$6,99215%
- Education$16,33735%
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.
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.
- MEDLINE$10,000
- PENDING$5,000
- MEDLINE UNITE$5,000
- MEDLINE INDUSTRIES, INC.$5,000
- BioBrace 23mm$2,500
- INFINITY$1,772
- ANCHORAGE$1,342
- VA-LCP PLATES & SCREWS$816
- VARIAX$730
- Diamondback Peripheral$185
- AXS INFINITY LS$171
- Kimyrsa$139
- ALLOWRAP$133
- SONICANCHOR$133
- AccuFill$133
- STAR$131
- DISTAL EXTREMITIES IMPLANTS FOOT & ANKLE DYNANITE STAPLES$131
- CERAMENTBONE VOID FILLER$129
- CERAMENT G$129
- DISTAL EXTREMITIES IMPLANTS FOOT & ANKLE MTP$125
How this compares
$47,246 in reported general payments places this provider in the 90th percentile of 260 foot & ankle surgery providers in Virginia.
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 |
|---|---|---|
| Ketoconazole | 68 | $1,237 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Vienna
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$857K
- Charles ZelenRoanoke$363K
- Ryan VazalesGlen Allen$337K
- Jugal DhariaFairfax$309K
- William SimonVirginia Beach$292K
- William GrantVirginia Beach$271K
- Bradley LevittVirginia Beach$243K
- Richard DernerLake Ridge$212K
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.