Vilayvanh Saysoukha, DPM
Foot & Ankle Surgery · McMinnville, TNNPI 1750763900
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (28.7%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 30 manufacturers reported payments, led by Smith+Nephew at 25.0% of the total. 2025 is the largest year on record at $19,787, more than ten times the $390 reported in 2019. Among foot & ankle surgery clinicians in TN 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 260 payments — averaging $126.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$8K
- Acera Surgical, Inc.$7K
- Mirus, LLC$5K
- Kerecis Limited$4K
- Stryker$2K
- Forma Medical$2K
- plus $5K from 24 others
What the payments were for
- Consulting fees$7,45023%
- Speaking & faculty fees$9,41629%
- Travel & lodging$7,30422%
- Food & beverage$7,38923%
- Education$1,2004%
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 | 73 | $8,201 |
| Acera Surgical, Inc. | 20 | $6,551 |
| Mirus, LLC | 5 | $5,000 |
| Kerecis Limited | 8 | $3,782 |
| Stryker | 53 | $2,206 |
| Forma Medical | 1 | $1,625 |
| Alpha Orthopedic Systems | 2 | $1,244 |
| Paragon 28, Inc. | 10 | $802 |
| Treace Medical Concepts, Inc. | 11 | $756 |
| International Life Sciences | 2 | $498 |
| Averitas Pharma Inc. | 16 | $419 |
| Paratek Pharmaceuticals, Inc. | 23 | $277 |
| Medline Industries LP | 3 | $208 |
| Aroa Biosurgery Incorporated | 2 | $179 |
| Biotissue Holdings Inc. | 1 | $152 |
| Polynovo North America LLC | 3 | $139 |
| Bioventus LLC | 4 | $101 |
| Sanara Medtech Inc. | 1 | $93 |
| Organogenesis Inc. | 5 | $89 |
| Tactile Systems Technology Inc | 4 | $79 |
| Orthofix Medical, Inc. | 2 | $63 |
| Johnson & Johnson | 1 | $58 |
| DJO, LLC | 2 | $47 |
| Advanced Oxygen Therapy Inc. | 2 | $39 |
| Vertex | 1 | $29 |
| Amgen | 1 | $29 |
| Anika Therapeutics, Inc. | 1 | $25 |
| Integra Lifesciences Corporation | 1 | $25 |
| KCI USA, Inc. | 1 | $23 |
| Solventum Corporation | 1 | $21 |
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.
- Kerecis Omega3 Marigen$14,393
- NA$11,000
- Restrata Wound Matrix$6,352
- Grafix$5,602
- GRAFIX PL$5,500
- Grafix XC$5,500
- ATLAS Plating System$5,000
- Kerecis Omega3 SurgiClose$3,598
- OptimalAkin$1,625
- Stravix$1,052
- Product Portfolio$552
- TMC NANOPLASTY SYSTEM$482
- INFINITY$345
- PROstep$252
- EASYFUSE$169
- AUGMENT INJECTABLE$169
- SALVATION$169
- LAPIPLASTY SYSTEM 1$134
- ORTHOLOC 3DI$133
- FLEXBAND$120
How this compares
$32,759 in reported general payments places this provider in the 90th percentile of 145 foot & ankle surgery providers in Tennessee.
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 |
|---|---|---|
| SantylCollagenase Clostridium Hist. | 16 | $10,458 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 34 | $361 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 30 | $338 |
| Clindamycin Hcl | 20 | $244 |
| Tramadol Hcl-AcetaminophenTramadol Hcl/Acetaminophen | 14 | $221 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 18 | $207 |
| Levofloxacin | 32 | $191 |
| Ketoconazole | 15 | $169 |
| Minocycline Hcl | 12 | $128 |
| Doxycycline Hyclate | 11 | $101 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $76 |
| Cephalexin | 11 | $45 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Smith+NephewSantyl | $8,201 | $10,45816 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 145 foot & ankle surgery providers in Tennessee.
Other foot & ankle surgery in McMinnville
- Sebastien DemoinyMorristown$210K
- Robert ThompsonMurfreesboro$205K
- Bhekumuzi KhumaloUnion City$201K
- Walter ButlerMemphis$191K
- Chad WebsterCordova$185K
- Christian SmithCordova$153K
- Frank OgnibeneMemphis$148K
- Garnett MurphyGermantown$130K
- Clayton BettinMemphis$89K
- David RichardsonGermantown$61K
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.