Stephanie Avner, DPM
Foot & Ankle Surgery · Manassas, VANPI 1275162521
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (40.8%), education and travel and lodging — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Reel Surgical, Inc. at 38.5% of the total. Reporting peaked in 2022 at $7,756 and has fallen 93.0% since, to $543 in 2025.
Across 111 payments — averaging $160.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Reel Surgical, Inc.$7K
- Stryker$4K
- Integra Lifesciences Corporation$2K
- Paragon 28, Inc.$2K
- Medline Industries LP$1K
- Medical Device Business Services, Inc.$283
- plus $1K from 12 others
What the payments were for
- Travel & lodging$3,48020%
- Food & beverage$7,27341%
- Education$7,06140%
- Gifts$220%
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 |
|---|---|---|
| Reel Surgical, Inc. | 11 | $6,871 |
| Stryker | 37 | $3,508 |
| Integra Lifesciences Corporation | 25 | $2,171 |
| Paragon 28, Inc. | 10 | $2,104 |
| Medline Industries LP | 7 | $1,450 |
| Medical Device Business Services, Inc. | 2 | $283 |
| Smith+Nephew | 5 | $260 |
| Kerecis Limited | 1 | $224 |
| Orthofix Medical, Inc. | 3 | $177 |
| Supreme Orthopedic Systems, LLC | 1 | $166 |
| Bioventus LLC | 2 | $144 |
| Pacira Pharmaceuticals Incorporated | 1 | $125 |
| Treace Medical Concepts, Inc. | 1 | $90 |
| Biocomposites Inc | 1 | $89 |
| Arthrex | 1 | $85 |
| Sanara Medtech Inc. | 1 | $34 |
| Zimmer Biomet | 1 | $29 |
| Amgen | 1 | $26 |
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.
- INTEGRA$2,967
- Portfolio$1,705
- PROstep$1,513
- PRIMATRIX$1,039
- INTEGRA DERMAL REGENERATION TEMPLATE$1,039
- Kerecis Omega3 Marigen$895
- SONICANCHOR$287
- INTEGRA MESHED BILAYER WOUND MATRIX$265
- INTEGRA WOUND MATRIX (IWM)$265
- INTEGRA FLOWABLE WOUND MATRIX$265
- Kerecis Omega3 SurgiClose$224
- Actishield$175
- CITREFIX$175
- PHANTOM Hindfoot$150
- PROPHECY$130
- Iovera$125
- AXSOS$123
- Ankle Fracture$122
- EASY CLIP$115
- VARIAX$115
How this compares
$17,835 in reported general payments places this provider in the 85th 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 |
|---|---|---|
| Diclofenac Sodium | 15 | $247 |
| Meloxicam | 84 | $195 |
| Methylprednisolone | 25 | $189 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Manassas
- Vineela AyyagariManassas$13K
- Christopher HighfillManassas$11K
- 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
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.