Payment overview · 2025
General Payments
$1,347.17
23 reported records · 12 companies
Healthcare provider profile · identity verified
Gerard Anthony Costella, DPM
Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery · SUFFOLK, VA · NPI 1437692530
Verified facts
What the public records show
CMS Open Payments records show Gerard Anthony Costella, DPM received $1,347.17 in general payments during 2025 across 23 reported records.
Stryker Corporation accounted for 35.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 28 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Stryker Corporation | Unresolved — no canonical attribution shown | $477.25 | 35.4% | 10 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$193.47 | 14.4% | 2 | 2025 |
| Urgo Medical North America, LLC | Unresolved — no canonical attribution shown | $127.56 | 9.5% | 1 | 2025 |
| Arthrosurface Incorporated | Unresolved — no canonical attribution shown | $113.48 | 8.4% | 1 | 2025 |
| Globus Medical, Inc. | Unresolved — no canonical attribution shown | $112.10 | 8.3% | 1 | 2025 |
| Bioventus LLC | Unresolved — no canonical attribution shown | $108.44 | 8.1% | 1 | 2025 |
| Smith+Nephew, Inc. | Unresolved — no canonical attribution shown | $70.73 | 5.2% | 2 | 2025 |
| Paragon 28, Inc. | Unresolved — no canonical attribution shown | $66.66 | 5.0% | 1 | 2025 |
| Linvatec Corporation | Unresolved — no canonical attribution shown | $28.97 | 2.1% | 1 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $26.87 | 2.0% | 1 | 2025 |
| Innovation Technologies Inc | Unresolved — no canonical attribution shown | $15.77 | 1.2% | 1 | 2025 |
| LifeNet Health | Unresolved — no canonical attribution shown | $5.87 | 0.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,347.17 | 23 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| CITREFIX Normalized: citrefix |
Device | Stryker Corporation | $206.66 | 4 | 2025 |
Source payment records
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| INTELLIS ADAPTIVESTIM Normalized: intellis adaptivestim |
Device | Medtronic, Inc. | $165.57 | 1 | 2025 |
Source payment records
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| URGOK2 Normalized: urgok2 |
Device | Urgo Medical North America, LLC | $127.56 | 1 | 2025 |
Source payment records
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| VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP Normalized: vashe wound solution 250 ml 8 5 fl oz flip top cap |
Device | Urgo Medical North America, LLC | $127.56 | 1 | 2025 |
Source payment records
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| ANCHORAGE Normalized: anchorage |
Device | Stryker Corporation | $121.64 | 2 | 2025 |
Source payment records
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| TOE MOTIONTM Normalized: toe motiontm |
Device | Arthrosurface Incorporated | $113.48 | 1 | 2025 |
Source payment records
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| Senza Normalized: senza |
Device | Globus Medical, Inc. | $112.10 | 1 | 2025 |
Source payment records
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| EXOGEN ULTRASOUND BONE HEALING SYSTEM Normalized: exogen ultrasound bone healing system |
Device | Bioventus LLC | $108.44 | 1 | 2025 |
Source payment records
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| VIAFLOW Normalized: viaflow |
Device | Stryker Corporation | $107.07 | 2 | 2025 |
Source payment records
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| EASYFUSE Normalized: easyfuse |
Device | Stryker Corporation | $106.75 | 2 | 2025 |
Source payment records
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| ORTHOLOC 3DI CROSSCHECK Normalized: ortholoc 3di crosscheck |
Device | Stryker Corporation | $97.71 | 1 | 2025 |
Source payment records
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| PANGEA Normalized: pangea |
Device | Stryker Corporation | $97.71 | 1 | 2025 |
Source payment records
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| BIOSKIN Normalized: bioskin |
Device | Stryker Corporation | $93.00 | 1 | 2025 |
Source payment records
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| AUGMENT INJECTABLE Normalized: augment injectable |
Device | Stryker Corporation | $92.08 | 3 | 2025 |
Source payment records
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| PROSTEP MICA Normalized: prostep mica |
Device | Stryker Corporation | $71.27 | 1 | 2025 |
Source payment records
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| STRAVIX Normalized: stravix |
Biological | Smith+Nephew, Inc. | $70.73 | 2 | 2025 |
Source payment records
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| Gorilla Normalized: gorilla |
Device | Paragon 28, Inc. | $66.66 | 1 | 2025 |
Source payment records
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| SALVATION Normalized: salvation |
Device | Stryker Corporation | $49.71 | 1 | 2025 |
Source payment records
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| VALOR Normalized: valor |
Device | Stryker Corporation | $34.97 | 1 | 2025 |
Source payment records
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| ALLOGRAFT TISSUE Normalized: allograft tissue |
Device | Linvatec Corporation | $28.97 | 1 | 2025 |
Source payment records
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| BIOBRACE 23MM Normalized: biobrace 23mm |
Device | Linvatec Corporation | $28.97 | 1 | 2025 |
Source payment records
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| COLINK VALLUX Normalized: colink vallux |
Device | Linvatec Corporation | $28.97 | 1 | 2025 |
Source payment records
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| HERCULES SUTURE ANCHOR SYSTEM Normalized: hercules suture anchor system |
Device | Linvatec Corporation | $28.97 | 1 | 2025 |
Source payment records
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| NEOSPAN Normalized: neospan |
Device | Linvatec Corporation | $28.97 | 1 | 2025 |
Source payment records
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| INCEPTIV Normalized: inceptiv |
Device | Medtronic, Inc. | $27.90 | 1 | 2025 |
Source payment records
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| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $26.87 | 1 | 2025 |
Source payment records
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| IRRISEPT Normalized: irrisept |
Device | Innovation Technologies Inc | $15.77 | 1 | 2025 |
Source payment records
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| TheraGenesis Wound Matrix Normalized: theragenesis wound matrix |
Device | LifeNet Health | $5.87 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Gabapentin | Gabapentin | 102 | 34 |
| Doxycycline Hyclate | Doxycycline Hyclate | 33 | 28 |
| Pregabalin | Pregabalin | 29 | 12 |
| Ammonium Lactate | Ammonium Lactate | 22 | 18 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 21 | 16 |
| Terbinafine Hcl | Terbinafine Hcl | 20 | suppressed |
| Ciclopirox | Ciclopirox | 19 | 13 |
| Cephalexin | Cephalexin | 18 | 18 |
| Methylprednisolone | Methylprednisolone | 14 | 12 |
| Meloxicam | Meloxicam | 13 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 12 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $1,347.17 · 23 records | Stryker Corporation | ALLOGRAFT TISSUE, ANCHORAGE, AUGMENT INJECTABLE, BIOBRACE 23MM, BIOSKIN, CITREFIX, COLINK VALLUX, EASYFUSE, EXOGEN ULTRASOUND BONE HEALING SYSTEM, Gorilla, HERCULES SUTURE ANCHOR SYSTEM, INCEPTIV, INTELLIS ADAPTIVESTIM, IRRISEPT, JOURNAVX, NEOSPAN, ORTHOLOC 3DI CROSSCHECK, PANGEA, PROSTEP MICA, SALVATION, STRAVIX, Senza, TOE MOTIONTM, TheraGenesis Wound Matrix, URGOK2, VALOR, VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP, VIAFLOW | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error