Thomas Sanders, MD
Foot and Ankle Surgery · Falls Church, VANPI 1851525364
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (36.6%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 29 manufacturers reported payments, led by Paragon 28, Inc. at 37.2% of the total. Reporting peaked in 2019 at $22,452 and has fallen 93.6% since, to $1,445 in 2025. Among foot and ankle surgery clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 145 payments — averaging $282.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$15K
- Medline Industries LP$8K
- Arthrex$7K
- Supreme Orthopedic Systems, LLC$6K
- Metric Medical Devices, Inc.$1K
- Stryker$665
- plus $3K from 23 others
Across 1 payment — averaging $875.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Metric Medical Devices, Inc.$875
What the payments were for
- Consulting fees$6,61316%
- Grants$15,00037%
- Travel & lodging$8,32320%
- Food & beverage$4,93612%
- Education$6,12915%
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 |
|---|---|---|
| Paragon 28, Inc. | 4 | $15,239 |
| Medline Industries LP | 12 | $7,507 |
| Arthrex | 54 | $7,127 |
| Supreme Orthopedic Systems, LLC | 16 | $6,122 |
| Metric Medical Devices, Inc. | 1 | $1,250 |
| Stryker | 7 | $665 |
| Ossio Inc | 2 | $640 |
| KCI USA, Inc. | 1 | $400 |
| Smith+Nephew | 6 | $368 |
| Integra Lifesciences Corporation | 7 | $260 |
| DJO, LLC | 1 | $190 |
| Linvatec Corporation | 2 | $180 |
| Organogenesis Inc. | 4 | $168 |
| Convatec Inc. | 5 | $127 |
| Medtronic | 2 | $115 |
| Amgen(2 entities) | 4 | $98 |
| Zimmer Biomet | 1 | $97 |
| Theramicro, Inc. | 1 | $92 |
| Fidia Pharma USA Inc. | 3 | $63 |
| Acumed LLC | 1 | $48 |
| Pacira Pharmaceuticals Incorporated | 2 | $47 |
| Boston Scientific | 1 | $36 |
| Cashflow Solutions, LLC | 2 | $31 |
| Abbott | 1 | $27 |
| Heron Therapeutics, Inc. | 1 | $26 |
| Johnson & Johnson | 1 | $25 |
| Triad Life Sciences Inc. | 1 | $24 |
| Flower Orthopedics Coporation | 1 | $14 |
| Avanos Medical | 1 | $13 |
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.
- MEDLINE$13,125
- PENDING$6,563
- MEDLINE INDUSTRIES, INC.$6,563
- MEDLINE UNITE$6,563
- LINK$1,250
- INTEGRA$412
- PREVENA$400
- DONJOY$190
- PROCARE$190
- AIRCAST$190
- AUGMENT INJECTABLE$161
- ALLOMATRIX$152
- ARTHREX$146
- INTEGRA DERMAL REGENERATION TEMPLATE$137
- PRIMATRIX$137
- DISTAL EXTREMITIES IMPLANTS FOOT & ANKLE BUNION$125
- CITREFIX$120
- EVOS$115
- ALLOGRAFT TISSUE$110
- GAMMA$109
How this compares
$41,001 in reported general payments places this provider in the 90th percentile of 260 foot and 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 | 25 | $331 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Falls Church
- Steven NeufeldFalls Church$857K
- Daniel CutticaFalls Church$143K
- Trevor KlinknerFalls Church$17K
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- 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.