Silas Klaver
Foot & Ankle Surgery · Rio Rancho, NMNPI 1093194425
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (42.9%), travel and lodging and education — rather than concentrated in one kind of arrangement. 7 manufacturers reported payments, led by Stryker at 47.4% of the total. Reporting peaked in 2024 at $2,307 and has fallen 68.0% since, to $739 in 2025.
Across 72 payments — averaging $70.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$2K
- Paragon 28, Inc.$1K
- Gemini Mountain Medical, LLC$1K
- Avanos Medical$51
- Smith+Nephew$46
- Baxter Healthcare$14
- plus $14 from 1 others
What the payments were for
- Travel & lodging$1,69033%
- Food & beverage$2,16743%
- Education$1,20024%
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 | 57 | $2,397 |
| Paragon 28, Inc. | 8 | $1,335 |
| Gemini Mountain Medical, LLC | 1 | $1,200 |
| Avanos Medical | 2 | $51 |
| Smith+Nephew | 2 | $46 |
| Baxter Healthcare | 1 | $14 |
| Bioventus LLC | 1 | $14 |
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.
- APEX 3D$715
- PROstep$442
- INBONE$404
- Additive Orthopedics$389
- AUGMENT INJECTABLE$152
- BABY GORILLA$139
- ORTHOLOC 3DI$124
How this compares
$5,057 in reported general payments places this provider in the 75th percentile of 69 foot & ankle surgery providers in New Mexico.
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 |
|---|---|---|
| Naloxone Hcl | 17 | $1,125 |
| Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort | 11 | $924 |
| Gabapentin | 36 | $423 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 33 | $343 |
| Oxycodone Hcl | 17 | $131 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Rio Rancho
- George OchsRio Rancho$3K
- Joshua WolfeLas Cruces$55K
- Adam GoughSilver City$44K
- Ruben NunezLas Vegas$31K
- Alexander RamirezLas Vegas$22K
- Harsh AminLas Vegas$18K
- Stephanie GonzalezLas Cruces$15K
- Mark MargiottaAlbuquerque$12K
- Lindsy AllenLas Vegas$10K
- Jason DunnAlbuquerque$10K
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.