Victoria Sain
Foot & Ankle Surgery · Lexington, KYNPI 1629498233
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.7% of the total across 234 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 37 manufacturers, the largest accounting for just 23.6% — the pattern of someone who eats at a lot of different presentations.
Across 234 payments — averaging $27.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$1K
- Stryker$1K
- Medartis Inc.$488
- Next Science LLC$363
- Organogenesis Inc.$307
- Melinta Therapeutics, LLC$213
- plus $2K from 31 others
What the payments were for
- Consulting fees$1432%
- Food & beverage$6,18698%
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 |
|---|---|---|
| Smith+Nephew | 72 | $1,495 |
| Stryker(2 entities) | 34 | $1,140 |
| Medartis Inc. | 3 | $488 |
| Next Science LLC | 3 | $363 |
| Organogenesis Inc. | 15 | $307 |
| Melinta Therapeutics, LLC | 14 | $213 |
| Integra Lifesciences Corporation | 12 | $204 |
| Inari Medical, Inc. | 1 | $185 |
| ERMI LLC | 1 | $185 |
| Osiris Therapeutics Inc. | 5 | $182 |
| Amgen(2 entities) | 9 | $164 |
| Polynovo North America LLC | 9 | $141 |
| Paratek Pharmaceuticals, Inc. | 7 | $136 |
| Convatec Inc. | 7 | $128 |
| DJO, LLC | 2 | $114 |
| Biotissue Holdings Inc. | 5 | $112 |
| Paragon 28, Inc. | 1 | $111 |
| Kerecis Limited | 3 | $103 |
| Royal Biologics, Inc. | 2 | $96 |
| Bioventus LLC | 4 | $69 |
| KCI USA, Inc. | 3 | $51 |
| IBSA Pharma Inc. | 3 | $46 |
| Dynasplint Systems Inc. | 2 | $36 |
| Treace Medical Concepts, Inc. | 2 | $35 |
| Pacira Pharmaceuticals Incorporated | 2 | $28 |
| Zyla Life Sciences, Inc. | 2 | $27 |
| Innovation Technologies Inc | 1 | $22 |
| Vertex | 1 | $21 |
| Sanara Medtech Inc. | 1 | $18 |
| Molnlycke Health Care US, LLC | 1 | $18 |
| Medtronic | 1 | $15 |
| Avanos Medical | 1 | $15 |
| Assertio Therapeutics, Inc. | 1 | $13 |
| Johnson & Johnson | 1 | $13 |
| Polarityte, Inc. | 1 | $13 |
| Hikma Pharmaceuticals USA | 1 | $12 |
| Orthofix Medical, Inc. | 1 | $11 |
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.
- APTUS$488
- Stravix$382
- Xperience$293
- BlastX$293
- Grafix$249
- GrafixPL$249
- FLOWTRIEVER CATHETER, S$185
- CT THROMBECTOMY SYSTEM KIT$185
- BIOskin$152
- SurgX$143
- GRAFIX PL$137
- Grafix PL PRIME$134
How this compares
$6,329 in reported general payments places this provider in the 70th percentile of 141 foot & ankle surgery providers in Kentucky.
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 |
|---|---|---|
| Ketoconazole | 42 | $967 |
| Fluorouracil | 12 | $911 |
| Ammonium Lactate | 38 | $776 |
| Diclofenac Sodium | 52 | $657 |
| Fluconazole | 34 | $532 |
| Ciclopirox | 15 | $487 |
| Clotrimazole | 39 | $478 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 15 | $434 |
| Gabapentin | 68 | $385 |
| Prednisone | 22 | $261 |
| Doxycycline Monohydrate | 24 | $230 |
| Ondansetron OdtOndansetron | 16 | $185 |
| Meloxicam | 30 | $166 |
| Triamcinolone Acetonide | 11 | $119 |
| Pregabalin | 11 | $81 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Lexington
- Bradford FineLexington$82K
- Jeremy KalmaLexington$23K
- Michelle HurlessLexington$14K
- Benjamin SchneiderLexington$9K
- Ali AhmedLexington$4K
- William Adams IiPaducah$485K
- Sofie PinneyCynthiana$130K
- Carl KihmLouisville$89K
- Nicholas LacoLouisville$60K
- Jay LechnerLouisville$29K
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.