Total Payments
$9,890
2023 Payments
$68.74
Companies
36
Transactions
267
Medicare Patients
1,819
Medicare Billing
$148,038
Payment Breakdown by Category
Food & Beverage$6,603 (66.8%)
Travel$1,719 (17.4%)
Education$1,568 (15.9%)
Other$0.00 (0.0%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $6,603 | 261 | 66.8% |
| Travel and Lodging | $1,719 | 4 | 17.4% |
| Education | $1,568 | 2 | 15.9% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Stryker Corporation | $5,465 | 88 | $0 (2023) |
| Medinc of Texas | $854.00 | 1 | $0 (2020) |
| Arthrex, Inc. | $802.45 | 2 | $0 (2022) |
| Smith+Nephew, Inc. | $569.97 | 37 | $0 (2022) |
| Horizon Therapeutics plc | $363.10 | 28 | $0 (2022) |
| Sandoz Inc. | $359.58 | 20 | $0 (2020) |
| Organogenesis Inc. | $221.74 | 13 | $0 (2022) |
| Horizon Pharma plc | $108.97 | 11 | $0 (2018) |
| Paratek Pharmaceuticals, Inc. | $108.83 | 6 | $0 (2022) |
| KCI USA, Inc. | $101.47 | 4 | $0 (2020) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2023 | $68.74 | 2 | Stryker Corporation ($53.85) |
| 2022 | $1,335 | 58 | Stryker Corporation ($496.90) |
| 2021 | $1,055 | 53 | Stryker Corporation ($451.30) |
| 2020 | $2,159 | 25 | Medinc of Texas ($854.00) |
| 2019 | $1,572 | 64 | Stryker Corporation ($1,159) |
| 2018 | $707.51 | 33 | Organogenesis Inc. ($169.27) |
| 2017 | $2,992 | 32 | Stryker Corporation ($2,838) |
All Payment Transactions
267 individual payment records from CMS Open Payments — Page 1 of 11
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 05/01/2023 | Stryker Corporation | PROPHECY (Device) | Food and Beverage | In-kind items and services | $53.85 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 02/10/2023 | TREACE MEDICAL CONCEPTS, INC. | LAPIPLASTY SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $14.89 | General |
| Category: FOOT AND ANKLE | ||||||
| 12/09/2022 | Stryker Corporation | STAR (Device), AXSOS | Food and Beverage | In-kind items and services | $169.40 | General |
| Category: TRAUMA & EXTREMETIES | ||||||
| 11/22/2022 | Stryker Corporation | — | Food and Beverage | In-kind items and services | $19.50 | General |
| 11/10/2022 | Stryker Corporation | N/A (Device) | Food and Beverage | In-kind items and services | $41.04 | General |
| Category: NEURO SPINE ENT | ||||||
| 10/26/2022 | Ortho Dermatologics, a division of Bausch Health US, LLC | JUBLIA (Drug) | Food and Beverage | In-kind items and services | $19.00 | General |
| Category: Podiatry | ||||||
| 10/17/2022 | Smith+Nephew, Inc. | REGRANEX (Drug), COLLAGENASE SANTYL | Food and Beverage | In-kind items and services | $11.13 | General |
| Category: Pharma Products | ||||||
| 10/14/2022 | Smith+Nephew, Inc. | GRAFIX PL (Medical Supply) | Food and Beverage | In-kind items and services | $1.74 | General |
| Category: Other Advanced Wound Management | ||||||
| 10/13/2022 | Smith+Nephew, Inc. | GRAFIX PL (Medical Supply) | Food and Beverage | In-kind items and services | $20.64 | General |
| Category: Other Advanced Wound Management | ||||||
| 09/26/2022 | Acera Surgical, Inc. | Restrata Wound Matrix (Device) | Food and Beverage | In-kind items and services | $29.52 | General |
| Category: Wound Care | ||||||
| 09/23/2022 | GRT US Holding, Inc. | Qutenza (Drug) | Food and Beverage | In-kind items and services | $2.92 | General |
| Category: Pain Management | ||||||
| 09/20/2022 | Medtronic, Inc. | INTELLIS ADAPTIVESTIM (Device) | Food and Beverage | In-kind items and services | $13.57 | General |
| Category: Spinal Cord Neurostimulation | ||||||
| 09/13/2022 | TREACE MEDICAL CONCEPTS, INC. | LAPIPLASTY SYSTEM (Device) | Food and Beverage | Cash or cash equivalent | $11.77 | General |
| Category: FOOT AND ANKLE | ||||||
| 09/08/2022 | Smith+Nephew, Inc. | GRAFIX PL (Medical Supply) | Food and Beverage | In-kind items and services | $8.90 | General |
| Category: Other Advanced Wound Management | ||||||
| 09/06/2022 | ABBVIE INC. | DALVANCE (Drug) | Food and Beverage | In-kind items and services | $20.05 | General |
| Category: ANTI-INFECTIVE | ||||||
| 09/06/2022 | GRT US Holding, Inc. | Qutenza (Drug) | Food and Beverage | In-kind items and services | $19.68 | General |
| Category: Pain Management | ||||||
| 08/30/2022 | Horizon Therapeutics plc | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $19.56 | General |
| Category: KRYSTEXXA | ||||||
| 08/23/2022 | TRIAD LIFE SCIENCES INC. | INNOVAMATRIX AC (Device) | Food and Beverage | In-kind items and services | $20.84 | General |
| Category: ADVANCED WOUND CARE | ||||||
| 08/19/2022 | Smith+Nephew, Inc. | STRAVIX (Medical Supply) | Food and Beverage | In-kind items and services | $13.90 | General |
| Category: Extremities & Limb Restoration | ||||||
| 08/19/2022 | Horizon Therapeutics plc | RAYOS (Drug), RAYOS, RAYOS | Food and Beverage | In-kind items and services | $7.12 | General |
| Category: RAYOS | ||||||
| 08/17/2022 | GRT US Holding, Inc. | Qutenza (Drug) | Food and Beverage | In-kind items and services | $12.76 | General |
| Category: Pain Management | ||||||
| 08/17/2022 | GRT US Holding, Inc. | Qutenza (Drug) | Food and Beverage | In-kind items and services | $0.66 | General |
| Category: Pain Management | ||||||
| 08/15/2022 | MEDLINE INDUSTRIES LP | MEDLINE INDUSTRIES, INC. (Device) | Food and Beverage | In-kind items and services | $15.85 | General |
| Category: DERMATOLOGYWOUND CARE | ||||||
| 08/09/2022 | Bioventus LLC | Exogen Ultrasound Bone Healing System (Device) | Food and Beverage | In-kind items and services | $15.89 | General |
| Category: Not Applicable | ||||||
| 08/08/2022 | Horizon Therapeutics plc | RAYOS (Drug), RAYOS, RAYOS | Food and Beverage | In-kind items and services | $6.06 | General |
| Category: RAYOS | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2022 | 12 | 622 | 934 | $95,566 | $47,559 |
| 2021 | 14 | 711 | 1,143 | $118,669 | $61,776 |
| 2020 | 11 | 486 | 824 | $83,191 | $38,702 |
Total Patients
1,819
Total Services
2,901
Medicare Billing
$148,038
Procedure Codes
37
All Medicare Procedures & Services
37 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 175 | 358 | $39,022 | $22,025 | 56.4% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 165 | 165 | $26,070 | $11,945 | 45.8% |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | Office | 2022 | 18 | 40 | $7,120 | $3,785 | 53.2% |
| 11721 | Removal of fingernails or toenails, 6 or more nails | Office | 2022 | 72 | 124 | $8,308 | $3,520 | 42.4% |
| 11750 | Permanent removal fingernail or toenail | Office | 2022 | 17 | 20 | $5,352 | $2,220 | 41.5% |
| 73630 | X-ray of foot, minimum of 3 views | Office | 2022 | 38 | 52 | $2,480 | $1,210 | 48.8% |
| 20550 | Injection into tendon or ligament | Office | 2022 | 21 | 28 | $2,184 | $941.21 | 43.1% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 11 | 12 | $1,908 | $769.07 | 40.3% |
| 76942 | Ultrasonic guidance for needle placement | Office | 2022 | 14 | 15 | $1,260 | $588.96 | 46.7% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2022 | 12 | 13 | $792.30 | $505.09 | 63.7% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2022 | 39 | 53 | $530.00 | $43.53 | 8.2% |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | Office | 2022 | 40 | 54 | $540.00 | $4.60 | 0.9% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 106 | 176 | $27,561 | $16,963 | 61.5% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 130 | 204 | $22,236 | $12,155 | 54.7% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 79 | 79 | $18,705 | $8,771 | 46.9% |
| 11721 | Removal of tissue from 6 or more finger or toe nails | Office | 2021 | 104 | 269 | $17,812 | $8,426 | 47.3% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 60 | 60 | $9,480 | $4,616 | 48.7% |
| 11750 | Removal of nail | Office | 2021 | 19 | 22 | $5,664 | $2,555 | 45.1% |
| 11042 | Removal of skin and tissue first 20 sq cm or less | Office | 2021 | 11 | 23 | $4,094 | $2,178 | 53.2% |
| 73630 | X-ray of foot, minimum of 3 views | Office | 2021 | 37 | 61 | $2,745 | $1,573 | 57.3% |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | Office | 2021 | 20 | 33 | $2,772 | $1,400 | 50.5% |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | Office | 2021 | 23 | 32 | $2,443 | $1,341 | 54.9% |
| 64450 | Injection of anesthetic agent and/or steroid into other peripheral nerve or branch | Office | 2021 | 15 | 21 | $2,373 | $1,103 | 46.5% |
| 11056 | Removal of 2 to 4 thickened skin growths | Office | 2021 | 11 | 14 | $1,330 | $612.33 | 46.0% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2021 | 48 | 74 | $723.76 | $74.00 | 10.2% |
About Dr. Ruben Mechell, DPM
Dr. Ruben Mechell, DPM is a Foot & Ankle Surgery healthcare provider based in Tacoma, Washington. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 06/08/2010. The National Provider Identifier (NPI) number assigned to this provider is 1467772863.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Ruben Mechell, DPM has received a total of $9,890 in payments from pharmaceutical and medical device companies, with $68.74 received in 2023. These payments were reported across 267 transactions from 36 companies. The most common payment nature is "Food and Beverage" ($6,603).
As a Medicare-enrolled provider, Mechell has provided services to 1,819 Medicare beneficiaries, totaling 2,901 services with total Medicare billing of $148,038. Data is available for 3 years (2020–2022), covering 37 distinct procedure/service records.
Ad
Practice Information
- Specialty Foot & Ankle Surgery
- Location Tacoma, WA
- Active Since 06/08/2010
- Last Updated 10/31/2025
- Taxonomy Code 213ES0103X
- Entity Type Individual
- NPI Number 1467772863
Products in Payments
- Asnis (Device) $1,081
- HOFFMANN (Device) $713.97
- star (Device) $409.67
- Hoffmann (Device) $346.61
- KERYDIN (Drug) $322.21
- VARIAX (Device) $299.80
- ALLOWRAP (Device) $237.58
- RAYOS (Drug) $216.82
- KRYSTEXXA (Biological) $208.12
- EASY CLIP (Device) $200.83
- ALLOGRAFT (Device) $176.31
- STAR (Device) $169.40
- Apligraf (Biological) $169.27
- Anchorage (Device) $166.51
- Variax (Device) $163.49
- COLLAGENASE SANTYL (Drug) $146.37
- SMART TOE (Device) $142.89
- GRAFIX PL (Medical Supply) $138.02
- ANCHORAGE (Device) $118.29
- NUZYRA (Drug) $108.83
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
Foot & Ankle Surgery Doctors in Tacoma
Eric Leonheart, Dpm, DPM
Foot & Ankle Surgery — Payments: $23,143
Foot & Ankle Surgery $23,143
Todd Chappell, Dpm, DPM
Foot & Ankle Surgery — Payments: $11,830
Foot & Ankle Surgery $11,830
Dr. Timothy Chan, Dpm, DPM
Foot & Ankle Surgery — Payments: $5,042
Foot & Ankle Surgery $5,042
Mario Ponticello, Dpm, DPM
Foot & Ankle Surgery — Payments: $3,652
Foot & Ankle Surgery $3,652
Dr. Heather Hento, Dpm, DPM
Foot & Ankle Surgery — Payments: $3,502
Foot & Ankle Surgery $3,502
Dr. Nicole Byerley, D.p.m, D.P.M
Foot & Ankle Surgery — Payments: $2,889
Foot & Ankle Surgery $2,889