Zuhair Irfan
Foot & Ankle Surgery · Wyandotte, MINPI 1912467564
Payments from drug & device makers
Across 275 payments — averaging $105.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$7K
- Organogenesis Inc.$5K
- Pinnacle, Inc$2K
- Kerecis Limited$2K
- Paragon 28, Inc.$2K
- Vilex LLC$2K
- plus $9K from 28 others
What the payments were for
- Speaking & faculty fees$2,4008%
- Travel & lodging$10,00434%
- Food & beverage$14,20949%
- Education$2,4008%
- Gifts$220%
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 |
|---|---|---|
| Stryker | 59 | $6,939 |
| Organogenesis Inc. | 62 | $5,027 |
| Pinnacle, Inc | 4 | $2,418 |
| Kerecis Limited | 10 | $2,153 |
| Paragon 28, Inc. | 13 | $1,982 |
| Vilex LLC | 8 | $1,697 |
| Elite Orthopedics, LLC | 20 | $1,501 |
| Medline Industries LP | 7 | $1,373 |
| Acumed LLC | 8 | $1,297 |
| Smith+Nephew | 17 | $1,222 |
| Integra Lifesciences Corporation | 13 | $1,055 |
| Medical Device Business Services, Inc. | 7 | $343 |
| Solventum Corporation | 4 | $296 |
| Averitas Pharma Inc. | 6 | $278 |
| Nevro Corp. | 5 | $222 |
| Biowound Solutions, Inc. | 1 | $157 |
| Voom Medical Devices, Inc. | 1 | $130 |
| Bone Support Inc. | 1 | $116 |
| Linvatec Corporation | 1 | $113 |
| Amniox Medical, Inc. | 1 | $92 |
| Globus Medical | 4 | $88 |
| Johnson & Johnson(2 entities) | 3 | $78 |
| Misonix Inc | 1 | $78 |
| Flower Orthopedics Coporation | 1 | $75 |
| Access Pro Medical, LLC | 4 | $69 |
| Aroa Biosurgery Incorporated | 3 | $40 |
| Musculoskeletal Transplant Foundation Inc. | 2 | $34 |
| Mimedx Group, Inc. | 2 | $34 |
| Paratek Pharmaceuticals, Inc. | 2 | $27 |
| Acera Surgical, Inc. | 1 | $24 |
| Pacira Pharmaceuticals Incorporated | 1 | $22 |
| Lifenet Health | 1 | $20 |
| AbbVie | 1 | $20 |
| Zimmer Biomet | 1 | $14 |
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$5,754
- PURAPLY WOUND MATRIX$2,807
- ACUMED$2,077
- INTEGRA$2,049
- PROPHECY$1,959
- Kerecis SurgiClose$1,940
- Kerecis Omega3 SurgiClose$1,930
- HINTERMANN$1,566
- HOFFMANN$1,468
- PROstep$1,328
- ORTHOLOC 2 LAPIFUSE$884
- OsteoMed$857
- SALVATION$849
- INTEGRA DERMAL REGENERATION TEMPLATE$683
- PRIMATRIX$683
- MONKEY RINGS$673
- GRAFIX PL$640
- Hammertube Sterile Implant Kits$639
- Product Portfolio$538
- STRAVIX PL$507
How this compares
$29,035 in reported general payments places this provider in the 90th percentile of 384 foot & ankle surgery 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 |
|---|---|---|
| Lidocaine | 52 | $3,882 |
| Ammonium Lactate | 125 | $2,189 |
| Gentamicin Sulfate | 38 | $2,044 |
| Diclofenac Sodium | 51 | $1,664 |
| CiclopiroxCiclopirox Olamine | 23 | $1,085 |
| Ciclopirox | 17 | $1,041 |
| Pregabalin | 33 | $1,036 |
| Clobetasol Propionate | 15 | $903 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 22 | $622 |
| Clotrimazole | 34 | $371 |
| Terbinafine Hcl | 33 | $343 |
| Gabapentin | 53 | $308 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 28 | $136 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 17 | $80 |
| Celecoxib | 12 | $77 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Wyandotte
- Nsima UsenWyandotte$27K
- John AndersonGrand Rapids$1.3M
- Brian LoderClinton Township$893K
- Karl DunnClinton Twp$434K
- John MaskillGrand Rapids$424K
- Anthony LalamaMacomb$421K
- Christopher ZingasSaint Clair Shores$227K
- Michael SwordsLansing$202K
- Gregory SheremetaTroy$87K
- Jason WesloskyClinton Township$87K
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.