Thomas Sangiovanni, MD
Foot and Ankle Surgery · Coral Gables, FLNPI 1518932896
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (45.2%), ownership interests and consulting fees — rather than concentrated in one kind of arrangement. Paragon 28, Inc. accounts for 94.6% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2020 at $959,570 and has fallen 95.4% since, to $43,729 in 2025. Among foot and ankle surgery clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 329 payments — averaging $6443.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$2M
- Avitus Orthopaedics, Inc.$49K
- Zimmer Biomet$21K
- Stryker$20K
- Anika Therapeutics, Inc.$18K
- Southern Edge Orthopaedics, Inc.$4K
- plus $3K from 12 others
Across 3 payments — averaging $1415.00 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.
- Paragon 28, Inc.$4K
What the payments were for
- Royalty or licence$957,37045%
- Consulting fees$424,48220%
- Travel & lodging$55,2423%
- Food & beverage$8,2280%
- Education$21,9991%
- Ownership interest$648,96031%
- Other$3,6840%
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. | 243 | $2,005,900 |
| Avitus Orthopaedics, Inc. | 10 | $49,095 |
| Zimmer Biomet | 22 | $20,525 |
| Stryker(2 entities) | 7 | $19,658 |
| Anika Therapeutics, Inc. | 5 | $17,802 |
| Southern Edge Orthopaedics, Inc. | 5 | $3,562 |
| Arthrex | 17 | $1,538 |
| Citieffe, Inc. | 1 | $460 |
| Ossio Inc | 3 | $412 |
| Integra Lifesciences Corporation | 4 | $377 |
| UOC USA Inc | 1 | $188 |
| Think Surgical, Inc. | 1 | $148 |
| Smith+Nephew | 4 | $91 |
| Additive Orthopaedics, LLC | 1 | $70 |
| DJO, LLC | 2 | $51 |
| Bone Support Inc. | 1 | $50 |
| Fidia Pharma USA Inc. | 1 | $21 |
| 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.
- Product Portfolio$455,560
- Portfolio$264,633
- MAX LOCK$19,265
- AccuFill$9,970
- Grappler$8,993
- APEX 3D$6,913
- Phantom Fibula Nail$5,640
- Arcos$5,300
- Persona$2,507
- MONSTER$1,574
- DRAGONWING$1,237
- Avitus Bone Harvester$1,148
- AO$1,131
- TAR$1,005
- FASTRAC$731
- PARATROOPER$676
- FIBULAR NAIL$419
- INFINITY ADAPTIS$193
- U-Star, Conformity, U2$188
- TENOGLIDE$171
How this compares
$2,119,963 in reported general payments places this provider in the 95th percentile of 850 foot and ankle surgery providers in Florida.
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 and ankle surgery in Coral Gables
- Shayne JensenPanama City$1.3M
- Thomas RoukisOrlando$1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$861K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$785K
- Mario CalaHialeah$541K
- Christopher ReevesLake Mary$424K
- Ettore VulcanoMiami Beach$411K
- Rafael LappostMiami Lakes$319K
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.