Vikram Bala, DPM
Foot & Ankle Surgery · Jacksonville, FLNPI 1518490069
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (46.0%), travel and lodging and education — rather than concentrated in one kind of arrangement. Voom Medical Devices, Inc. accounts for 68.2% of it on its own, with 26 other manufacturers making up the rest. 2025 is the largest year on record at $50,848, more than ten times the $110 reported in 2019. Among foot & 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 205 payments — averaging $347.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Voom Medical Devices, Inc.$49K
- Stryker$7K
- Team 1, LLC$5K
- Episurf Medical, Inc.$4K
- Rock Medical Orthopedics, Inc.$2K
- Arthrex$2K
- plus $2K from 21 others
Across 1 payment — averaging $1000.00 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.
- Intelivation Technologies, LLC$1K
What the payments were for
- Consulting fees$32,74446%
- Travel & lodging$23,11632%
- Food & beverage$7,14210%
- Education$8,13411%
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 |
|---|---|---|
| Voom Medical Devices, Inc. | 65 | $48,531 |
| Stryker | 64 | $6,910 |
| Team 1, LLC | 13 | $5,324 |
| Episurf Medical, Inc. | 4 | $4,252 |
| Rock Medical Orthopedics, Inc. | 3 | $2,141 |
| Arthrex | 12 | $1,948 |
| Paragon 28, Inc. | 4 | $461 |
| Amgen | 14 | $285 |
| Smith+Nephew | 3 | $206 |
| Integra Lifesciences Corporation | 3 | $149 |
| Acera Surgical, Inc. | 1 | $131 |
| Johnson & Johnson | 1 | $125 |
| Biocomposites Inc | 3 | $114 |
| Maxx Health Inc | 1 | $103 |
| MVP Orthopedics Inc | 1 | $103 |
| Sanara Medtech Inc. | 1 | $102 |
| Access Pro Medical, LLC | 2 | $57 |
| Medline Industries LP | 1 | $35 |
| Anika Therapeutics, Inc. | 1 | $27 |
| Aroa Biosurgery Incorporated | 1 | $24 |
| Progenacare Global, LLC | 1 | $19 |
| Bioventus LLC | 1 | $17 |
| Medtronic | 1 | $16 |
| Triad Life Sciences Inc. | 1 | $16 |
| Paratek Pharmaceuticals, Inc. | 1 | $15 |
| Innovation Technologies Inc | 1 | $14 |
| Advanced Oxygen Therapy Inc. | 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.
- REVCON INSTRUMENT KIT, STERILE$26,134
- VOOM MEDICAL REVCONTM SCREW SYSTEM$19,340
- REVCON$2,244
- PROstep$1,614
- INFINITY$1,018
- PROPHECY$974
- ORTHOLOC 2 LAPIFUSE$750
- INBONE$696
- PRIME SERIES$662
- GRAVITY$585
- GRAVITY SYNCHFIX$585
- HOFFMANN$295
- STAR$197
- VARIAX$166
- ORTHOLOC 3DI$165
- AUGMENT INJECTABLE$159
- MTP$149
- Restrata Wound Matrix$131
- HAMMERLOCK$125
- INTEGRA MESHED BILAYER WOUND MATRIX$124
How this compares
$71,137 in reported general payments places this provider in the 95th percentile of 850 foot & 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Gabapentin | 42 | $265 |
| Meloxicam | 47 | $208 |
| Diclofenac Sodium | 28 | $199 |
| Cephalexin | 42 | $191 |
| Cyclobenzaprine Hcl | 15 | $175 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $111 |
| Clindamycin Hcl | 13 | $96 |
| Methylprednisolone | 18 | $94 |
| Ciprofloxacin Hcl | 16 | $73 |
| Tramadol Hcl | 31 | $68 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 20 | $58 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Jacksonville
- Mark GouldJacksonville$158K
- James VossellerJacksonville$43K
- Thomas SangiovanniCoral Gables$2.1M
- 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
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.