Zef Markaj, DPM
Podiatrist · Warren, MINPI 1538720958
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (56.8%), travel and lodging and education — rather than concentrated in one kind of arrangement. 33 manufacturers reported payments, led by Pinnacle, Inc at 27.4% of the total. Reporting peaked in 2023 at $2,204 and has fallen 81.0% since, to $418 in 2025.
Across 90 payments — averaging $67.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pinnacle, Inc$2K
- Paragon 28, Inc.$1K
- Stryker$640
- Arthrex$478
- Osteomed LLC$318
- Tactile Systems Technology Inc$279
- plus $2K from 27 others
What the payments were for
- Travel & lodging$1,53825%
- Food & beverage$3,46157%
- Education$1,09118%
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 |
|---|---|---|
| Pinnacle, Inc | 18 | $1,670 |
| Paragon 28, Inc. | 8 | $1,093 |
| Stryker(2 entities) | 11 | $640 |
| Arthrex | 11 | $478 |
| Osteomed LLC | 3 | $318 |
| Tactile Systems Technology Inc | 4 | $279 |
| Bioventus LLC | 2 | $222 |
| Organogenesis Inc. | 2 | $174 |
| Amgen | 2 | $125 |
| Medical Device Business Services, Inc. | 3 | $113 |
| AbbVie | 1 | $100 |
| Truvic Medical, Inc. | 1 | $100 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $99 |
| KCI USA, Inc. | 1 | $88 |
| Terumo Medical Corporation | 1 | $79 |
| Axogen | 1 | $78 |
| Smith+Nephew | 2 | $53 |
| Misonix Inc | 1 | $50 |
| Heron Therapeutics, Inc. | 2 | $46 |
| Johnson & Johnson | 1 | $40 |
| Acera Surgical, Inc. | 2 | $36 |
| Integra Lifesciences Corporation | 1 | $27 |
| Treace Medical Concepts, Inc. | 1 | $24 |
| Acumed LLC | 1 | $24 |
| TEI Medical Inc. | 1 | $21 |
| Corcept Therapeutics | 1 | $18 |
| Lilly USA, LLC | 1 | $17 |
| Bard Peripheral Vascular, Inc. | 1 | $14 |
| DJO, LLC | 1 | $14 |
| Paratek Pharmaceuticals, Inc. | 1 | $14 |
| Averitas Pharma Inc. | 1 | $13 |
| Orthofix Medical, Inc. | 1 | $12 |
| Musculoskeletal Transplant Foundation 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.
- Portfolio$501
- Precision Guide Lapidus$450
- Flexitouch Plus$240
- Nimbl$240
- ORTHOLOC 2 LAPIFUSE$171
- HOFFMANN$171
- SALVATION$171
- SONICANCHOR$132
- MINIRAIL$132
- EXT-Extremilock Foot$117
- EXT-ExtremiLock Ankle$108
- Puraply Antimicrobial$107
- KRYSTEXXA$107
- DALVANCE$100
How this compares
$6,089 in reported general payments places this provider in the 85th percentile of 302 podiatrist providers in Michigan.
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 | 173 | $3,730 |
| Ammonium Lactate | 173 | $2,211 |
| Diclofenac Sodium | 64 | $1,183 |
| Ciclopirox | 18 | $296 |
| Cephalexin | 37 | $197 |
| Silver Sulfadiazine | 16 | $189 |
| Gabapentin | 14 | $133 |
| SsdSilver Sulfadiazine | 12 | $124 |
| Meloxicam | 30 | $65 |
Paid to pharmacies, not to this prescriber.
Other podiatrist in Warren
- Daniel AronovitzWarren$17K
- Gary MauroWarren$14K
- Gene CaiccoWarren$14K
- Fadi JaafarAlma$191K
- Jeffrey KleinLivonia$117K
- Gary RothenbergAnn Arbor$85K
- Randy SemmaCommerce Twp$31K
- Alton JohnsonAnn Arbor$21K
- Krista KotzevaSouthfield$20K
- Darryl MartinsJackson$19K
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.