Spencer Keane, DPM
Foot & Ankle Surgery · Atlanta, GANPI 1811575467
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,352 of the $8,275 with a category attached, or 64.7%. 21 manufacturers reported payments, led by Stryker at 49.5% of the total. 2025 is the largest year on record at $3,915, more than ten times the $206 reported in 2022.
Across 79 payments — averaging $104.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Kerecis Limited$746
- Paragon 28, Inc.$700
- Treace Medical Concepts, Inc.$334
- Fusion Orthopedics USA, LLC$279
- Medline Industries LP$265
- plus $2K from 15 others
What the payments were for
- Travel & lodging$2,92335%
- Food & beverage$5,35265%
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 | 27 | $4,100 |
| Kerecis Limited | 5 | $746 |
| Paragon 28, Inc. | 8 | $700 |
| Treace Medical Concepts, Inc. | 2 | $334 |
| Fusion Orthopedics USA, LLC | 4 | $279 |
| Medline Industries LP | 2 | $265 |
| Integra Lifesciences Corporation | 3 | $251 |
| Anika Therapeutics, Inc. | 2 | $243 |
| Johnson & Johnson | 9 | $223 |
| Surgenex LLC | 1 | $173 |
| Smith+Nephew | 2 | $164 |
| Linvatec Corporation | 2 | $155 |
| Sanara Medtech Inc. | 1 | $114 |
| Melinta Therapeutics, LLC | 1 | $111 |
| Organogenesis Inc. | 1 | $103 |
| Bone Support Inc. | 1 | $98 |
| Globus Medical | 1 | $90 |
| Orthofix Medical, Inc. | 3 | $43 |
| Flower Orthopedics Coporation | 1 | $42 |
| Paratek Pharmaceuticals, Inc. | 2 | $32 |
| Osteoremedies, LLC | 1 | $9 |
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.
- Kerecis SurgiClose$1,894
- INBONE$1,344
- SALVATION$1,276
- Kerecis Omega3 Marigen$814
- Portfolio$498
- INTEGRA$490
- Kerecis GraftGuide$474
- TMC NANOPLASTY SYSTEM$334
- AUGMENT INJECTABLE$289
- Kerecis Omega3 SurgiClose$204
- SurGraft$173
- SurMatrix$173
- ArdeoGraft$173
- PelloGraft$173
- RenoGraft$173
- VARIAX$173
- ACTISHIELD CF$169
- Actishield$169
- GRAFTJACKET$169
- BIOskin$169
How this compares
$8,275 in reported general payments places this provider in the 80th percentile of 239 foot & ankle surgery providers in Georgia.
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.
Other foot & ankle surgery in Atlanta
- Jason BariteauAtlanta$199K
- Rishin KadakiaAtlanta$53K
- Bhavin MehtaAtlanta$43K
- Gabriel SantamarinaAtlanta$14K
- Kurtis BertramAtlanta$14K
- Paul SpieglAtlanta$11K
- Grahm BahnsonAtlanta$10K
- Robert WeinsteinFayetteville$394K
- Scott RomanPeachtree City$118K
- Jeffrey FlashForest Park$114K
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.