Brian Neuman, MD
Orthopaedic Surgery of the Spine · Saint Louis, MONPI 1255537791
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $69,145 of the $105,684 with a category attached, or 65.4%. Smaio SA accounts for 71.4% of it on its own, with 18 other manufacturers making up the rest. 2025 is the largest year on record at $80,537, more than ten times the $4,076 reported in 2019.
Across 224 payments — averaging $471.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smaio SA$75K
- Medtronic$14K
- Globus Medical$7K
- Baxter Healthcare$3K
- Smaio USA Corporation$3K
- Alphatec Spine, Inc$2K
- plus $1K from 13 others
Across 9 payments — averaging $2215.33 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Medtronic$20K
What the payments were for
- Consulting fees$69,14565%
- Speaking & faculty fees$7,4507%
- Travel & lodging$17,19516%
- Food & beverage$11,89511%
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 |
|---|---|---|
| Smaio SA | 50 | $75,465 |
| Medtronic(2 entities) | 90 | $14,386 |
| Globus Medical(2 entities) | 37 | $6,840 |
| Baxter Healthcare | 5 | $2,977 |
| Smaio USA Corporation | 8 | $2,727 |
| Alphatec Spine, Inc | 12 | $1,793 |
| Johnson & Johnson(2 entities) | 6 | $520 |
| Cerapedics Inc. | 2 | $281 |
| Stryker | 2 | $239 |
| Highridge Medical LLC | 1 | $102 |
| Procept Biorobotics Corporation | 1 | $100 |
| Si-bone, Inc. | 1 | $64 |
| Kuros Biosciences USA, Inc | 1 | $58 |
| AbbVie | 2 | $42 |
| Acerus Pharmaceuticals Corporation | 2 | $31 |
| Astellas Pharma US Inc | 1 | $18 |
| Foundation Medicine, Inc. | 1 | $17 |
| Palette Life Sciences, Inc. | 1 | $14 |
| Convatec 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.
- CD HORIZON$3,756
- No Related Product$2,565
- UNID_PASS$1,855
- MAGEC Spinal Bracing and Distraction System$1,604
- Other - Miscellaneous$1,376
- RELINE$1,198
- MAZOR X SYSTEM$938
- AQUAMANTYS$828
- EVEREST SPINAL SYSTEM$478
- Pulse$463
- CD HORIZON SPINAL SYSTEM$436
- CAPRI CORPECTOMY CAGE SYSTEM$351
- Excelsius - GPS$317
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$281
- FORTIFY$261
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$154
- TLIF$154
- XLIF$154
- PerClot$142
- FLOSEAL$141
How this compares
$105,684 in reported general payments places this provider in the 85th percentile of 53 orthopaedic surgery of the spine providers in Missouri.
See all orthopaedic surgery of the spine providers in Missouri →
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 |
|---|---|---|
| Gabapentin | 113 | $1,585 |
| Oxycodone Hcl | 91 | $639 |
| Cyclobenzaprine Hcl | 36 | $409 |
| Mupirocin | 62 | $387 |
| Tizanidine Hcl | 15 | $140 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $138 |
| Baclofen | 11 | $120 |
| Methylprednisolone | 18 | $97 |
| Hydromorphone Hcl | 12 | $64 |
| Tramadol Hcl | 16 | $35 |
| Amoxicillin | 23 | $29 |
| Diazepam | 13 | $21 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Saint Louis
- Munish GuptaSaint Louis$1M
- Jacob BuchowskiSaint Louis$658K
- R Adams CowleySaint Louis$53K
- Michael ReiterSaint Louis$37K
- Mark LambrechtsSaint Louis$37K
- Nicholas PallottaSaint Louis$21K
- Matthew GoodwinSaint Louis$20K
- John ClohisySaint Louis$19K
- Diana DoulehSaint Louis$18K
- Bryan RynearsonSaint Louis$17K
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.