Siraj Panchbhaiya
Foot & Ankle Surgery · Warren, MINPI 1962841544
Payments from drug & device makers
What this record shows
This record is dominated by education: $10,518 of the $12,228 with a category attached, or 86.0%. Pinnacle, Inc accounts for 87.0% of it on its own, with 23 other manufacturers making up the rest. Reporting peaked in 2021 at $9,995 and has fallen 98.7% since, to $128 in 2025.
Across 92 payments — averaging $132.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pinnacle, Inc$11K
- Stryker$381
- Smith+Nephew$298
- Integra Lifesciences Corporation$153
- Zimmer Biomet$139
- Organogenesis Inc.$95
- plus $530 from 18 others
What the payments were for
- Food & beverage$1,71014%
- Education$10,51886%
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 |
|---|---|---|
| Pinnacle, Inc | 16 | $10,633 |
| Stryker | 12 | $381 |
| Smith+Nephew | 18 | $298 |
| Integra Lifesciences Corporation | 7 | $153 |
| Zimmer Biomet | 6 | $139 |
| Organogenesis Inc. | 5 | $95 |
| Paragon 28, Inc. | 3 | $63 |
| KCI USA, Inc. | 2 | $60 |
| Axogen | 1 | $52 |
| Solventum Corporation | 3 | $44 |
| Convatec Inc. | 2 | $44 |
| Bioventus LLC | 2 | $34 |
| Paratek Pharmaceuticals, Inc. | 2 | $31 |
| Nevro Corp. | 1 | $30 |
| AbbVie | 1 | $29 |
| Orthofix Medical, Inc. | 2 | $22 |
| Davol Inc. | 1 | $21 |
| Osteomed LLC | 1 | $19 |
| Tactile Systems Technology Inc | 1 | $17 |
| Cashflow Solutions, LLC | 2 | $15 |
| TEI Medical Inc. | 1 | $15 |
| Heron Therapeutics, Inc. | 1 | $14 |
| Osiris Therapeutics Inc. | 1 | $12 |
| Medela LLC | 1 | $10 |
How this compares
$12,228 in reported general payments places this provider in the 85th percentile of 384 foot & ankle surgery providers in Michigan.
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-BetamethasoneClotrimazole/Betamethasone Dip | 26 | $415 |
| Ibuprofen | 31 | $225 |
| Cephalexin | 14 | $221 |
| Terbinafine Hcl | 16 | $209 |
| Ammonium Lactate | 13 | $194 |
| Gabapentin | 19 | $110 |
| Methylprednisolone | 17 | $80 |
| Tramadol Hcl | 17 | $26 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Warren
- Ross BartleyWarren$16K
- Firras GaradaWarren$14K
- John AndersonGrand Rapids$1.3M
- Brian LoderClinton Township$854K
- Karl DunnClinton Twp$434K
- Anthony LalamaMacomb$421K
- Christopher ZingasSaint Clair Shores$227K
- John MaskillGrand Rapids$202K
- Michael SwordsLansing$189K
- Gregory SheremetaTroy$87K
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.