Shyaun Rafii, DPM
Foot & Ankle Surgery · Lorton, VANPI 1316443278
Payments from drug & device makers
Across 20 payments — averaging $37.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$224
- Axogen$138
- Amgen$108
- Integra Lifesciences Corporation$57
- Checkpoint Surgical, Inc$45
- Biocomposites Inc$37
- plus $138 from 7 others
What the payments were for
- Food & beverage$747100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 2 | $224 |
| Axogen | 2 | $138 |
| Amgen(2 entities) | 5 | $108 |
| Integra Lifesciences Corporation | 2 | $57 |
| Checkpoint Surgical, Inc | 1 | $45 |
| Biocomposites Inc | 1 | $37 |
| Zimmer Biomet | 1 | $32 |
| Triad Life Sciences Inc. | 1 | $25 |
| Next Science LLC | 1 | $22 |
| Paratek Pharmaceuticals, Inc. | 1 | $19 |
| Acumed LLC | 1 | $15 |
| Kerecis Limited | 1 | $13 |
| Bsn Medical Inc | 1 | $12 |
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.
- BIOLOX$149
- AVANCE NERVE GRAFT$122
How this compares
$747 in reported general payments places this provider in the 20th 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 |
|---|---|---|
| Imiquimod | 28 | $1,567 |
| Ciclopirox | 28 | $847 |
| Diclofenac Sodium | 20 | $615 |
| Gabapentin | 32 | $568 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 49 | $422 |
| Doxycycline Hyclate | 22 | $187 |
| Cephalexin | 22 | $79 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Lorton
- Charles ZelenRoanoke$6.2M
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$1.2M
- Matthew DairmanSuffolk$376K
- Ryan VazalesGlen Allen$337K
- Jugal DhariaFairfax$309K
- William SimonVirginia Beach$292K
- Bradley LevittVirginia Beach$284K
- William GrantVirginia Beach$271K
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.