Tyler Belnap, DPM
Foot & Ankle Surgery · Vancouver, WANPI 1467806984
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (33.4%), education and food and beverage — rather than concentrated in one kind of arrangement. 27 manufacturers reported payments, led by Stryker at 30.2% of the total. Reporting peaked in 2021 at $6,311 and has fallen 82.5% since, to $1,107 in 2025. Among foot & ankle surgery clinicians in WA 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 170 payments — averaging $113.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$6K
- Steelhead Surgical Inc$5K
- Arthrex$3K
- Treace Medical Concepts, Inc.$2K
- Medical Device Business Services, Inc.$936
- Paragon 28, Inc.$658
- plus $2K from 21 others
What the payments were for
- Speaking & faculty fees$870%
- Travel & lodging$6,46233%
- Food & beverage$6,32333%
- Education$6,33133%
- Other$1471%
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(2 entities) | 46 | $5,838 |
| Steelhead Surgical Inc | 7 | $5,060 |
| Arthrex | 11 | $2,737 |
| Treace Medical Concepts, Inc. | 18 | $2,209 |
| Medical Device Business Services, Inc. | 6 | $936 |
| Paragon 28, Inc. | 8 | $658 |
| Organogenesis Inc. | 38 | $459 |
| Johnson & Johnson | 2 | $177 |
| Surgenex LLC | 1 | $167 |
| Integra Lifesciences Corporation | 1 | $147 |
| Royal Biologics, Inc. | 1 | $126 |
| Smith+Nephew | 4 | $100 |
| DJO, LLC | 5 | $93 |
| Osteomed LLC | 1 | $84 |
| Averitas Pharma Inc. | 3 | $71 |
| Zimmer Biomet | 1 | $69 |
| Mimedx Group, Inc. | 4 | $68 |
| Medshape, Inc. | 1 | $58 |
| Trilliant Surgical LLC. | 1 | $55 |
| Alafair Biosciences, Inc. | 1 | $48 |
| GRT US Holding, Inc. | 3 | $43 |
| Next Science LLC | 1 | $42 |
| Medline Industries LP | 2 | $42 |
| Kuros Biosciences USA, Inc | 1 | $25 |
| Amgen | 1 | $17 |
| Solventum Corporation | 1 | $15 |
| Orthofix Medical, Inc. | 1 | $6 |
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.
- Lapiplasty System$1,718
- INFINITY$1,315
- PRIME SERIES$880
- PROstep$541
- CARTIVA$450
- AUGMENT$387
- Product Portfolio$299
- SONICANCHOR$193
- ADAPT$193
- AXSOS$170
- SurGraft$167
- SurMatrix$167
- ArdeoGraft$167
- PelloGraft$167
- RenoGraft$167
- ORTHOLOC$165
- Precision MIS Bunion$150
- MICROMATRIX$147
- SERRATO$145
- MOTOBAND$144
How this compares
$19,350 in reported general payments places this provider in the 90th percentile of 203 foot & ankle surgery providers in Washington.
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 |
|---|---|---|
| Gabapentin | 19 | $329 |
| Cephalexin | 15 | $167 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 13 | $93 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $80 |
| Oxycodone Hcl | 16 | $71 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Vancouver
- Christopher LotufoVancouver$28K
- Brian HoungVancouver$7K
- Jeffery LinscheidVancouver$6K
- Jeffrey ChristensenEverett$828K
- David DalstromSeattle$491K
- Richard LamourOlympia$87K
- Adam AlbabaSeattle$46K
- Stephen BenirschkeSeattle$45K
- Craig CliffordFederal Way$44K
- Shawn KhademiRenton$43K
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.