Vittorio Lagana, DPM
Foot & Ankle Surgery · Salinas, CANPI 1366460453
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 28 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 16 manufacturers, the largest accounting for just 20.3% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for foot & ankle surgery clinicians in CA, where the typical reported total is $2,067.
Across 28 payments — averaging $21.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Heron Therapeutics, Inc.$125
- Amgen$86
- AbbVie$60
- Zimmer Biomet$59
- Novo Nordisk$45
- Convatec Inc.$43
- plus $197 from 10 others
What the payments were for
- Food & beverage$614100%
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 |
|---|---|---|
| Heron Therapeutics, Inc. | 1 | $125 |
| Amgen(2 entities) | 6 | $86 |
| AbbVie | 4 | $60 |
| Zimmer Biomet | 1 | $59 |
| Novo Nordisk | 3 | $45 |
| Convatec Inc. | 2 | $43 |
| Radius Health, Inc. | 1 | $30 |
| Lilly USA, LLC | 2 | $25 |
| Shire North American Group Inc | 1 | $24 |
| Sanofi-aventis U.S. LLC | 1 | $24 |
| Dexcom, Inc. | 1 | $20 |
| Philips North America LLC | 1 | $18 |
| Merck | 1 | $16 |
| Pfizer | 1 | $15 |
| Hologic Sales And Service, LLC | 1 | $13 |
| Johnson & Johnson | 1 | $12 |
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.
- Zynrelef$125
How this compares
$614 in reported general payments places this provider in the 30th percentile of 1,126 foot & ankle surgery providers in California.
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 |
|---|---|---|
| Ciclopirox | 148 | $3,585 |
| Terbinafine Hcl | 130 | $1,074 |
| Diclofenac Sodium | 70 | $1,025 |
| Econazole Nitrate | 12 | $327 |
| Ibuprofen | 38 | $264 |
| Cephalexin | 36 | $171 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $128 |
| Mupirocin | 16 | $126 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Salinas
- Eric GizaSacramento$3.6M
- Thomas HarrisPasadena$3M
- Thomas ChangSanta Rosa$2M
- Michael CoughlinSan Francisco$1.6M
- Vladimir ZeetserEncino$677K
- Jason NowakRedding$526K
- Candice BradyCamarillo$462K
- Andrew HsuOrange$456K
- Eric TanLos Angeles$447K
- Joseph ParkBurbank$387K
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.