RxDoctor Payments Data

William Adams Ii, DPM

Foot & Ankle Surgery · Paducah, KYNPI 1245260108

Payments from drug & device makers

What this record shows

This record is dominated by ownership interests: $412,500 of the $484,509 with a category attached, or 85.1%. Paragon 28, Inc. accounts for 85.2% of it on its own, with 18 other manufacturers making up the rest. Reporting peaked in 2020 at $421,188 and has fallen 97.2% since, to $11,907 in 2025. Among foot & ankle surgery clinicians in KY 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.

$484,509in general payments, 2019–2025

Across 162 payments — averaging $2990.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Paragon 28, Inc.$413K
  • Treace Medical Concepts, Inc.$30K
  • Orthofix Medical, Inc.$16K
  • Medshape, Inc.$15K
  • Fusion Orthopedics USA, LLC$3K
  • Stryker$2K
  • plus $5K from 13 others

What the payments were for

  • Consulting fees$49,18710%
  • Travel & lodging$12,8753%
  • Food & beverage$9,3372%
  • Education$1570%
  • Gifts$4520%
  • Ownership interest$412,50085%

General payments by program year

19
20
21
22
23
24
25

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.

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.

How this compares

$484,509 in reported general payments places this provider in the 95th percentile of 141 foot & ankle surgery providers in Kentucky.

See all foot & ankle surgery providers in Kentucky

Medicare billing

Part B allowed, 2024
$151,858
Medicare patients
462
Services billed
2,164

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

DrugClaimsCost to plans & patients
Enoxaparin Sodium66$10,289
Naloxone Hcl29$1,534
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen186$1,018
Gabapentin53$969
Ondansetron Hcl116$645
Celecoxib17$234
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen47$223
Meloxicam95$146
Hydromorphone Hcl11$30
Tramadol Hcl15$13

Paid to pharmacies, not to this prescriber.

Other foot & ankle surgery in Paducah

See the full list for Kentucky

Where these figures come from

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