Jacob Joseph, MD
Neurological Surgery · Ann Arbor, MINPI 1841551090
Payments from drug & device makers
What this record shows
This record is dominated by grants: $75,000 of the $88,573 with a category attached, or 84.7%. Globus Medical accounts for 98.4% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2019 at $76,276 and has fallen 98.0% since, to $1,562 in 2025. Among neurological surgery clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 54 payments — averaging $1640.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$87K
- Stryker$535
- Medtronic$483
- Titan Spine, LLC$134
- Si-bone, Inc.$86
- Cerapedics Inc.$81
- plus $69 from 2 others
What the payments were for
- Consulting fees$6,8508%
- Grants$75,00085%
- Travel & lodging$4,8876%
- Food & beverage$1,8362%
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 |
|---|---|---|
| Globus Medical(2 entities) | 40 | $87,186 |
| Stryker | 1 | $535 |
| Medtronic(2 entities) | 8 | $483 |
| Titan Spine, LLC | 1 | $134 |
| Si-bone, Inc. | 1 | $86 |
| Cerapedics Inc. | 1 | $81 |
| Integra Lifesciences Corporation | 1 | $53 |
| Boehringer Ingelheim | 1 | $16 |
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.
- XLIF$5,609
- MARS 3V/3VL$1,002
- Excelsius - GPS$981
- NextGen Headless Screws$900
- RISE$855
- Excelsius Robotics System$763
- RISE-L$458
- Midline TLIF Retractor$450
- ELSA, ELSA AL/ATP$279
- ExcelsiusGPS Robotic Navigation System$155
- CLYDESDALE PTC SPINAL SYSTEM$145
- nanoLOCK$134
- MAZOR X SYSTEM$131
- Excelsius Deformity$105
How this compares
$88,573 in reported general payments places this provider in the 90th percentile of 256 neurological 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 |
|---|---|---|
| Methocarbamol | 12 | $84 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Ann Arbor
- Frank LamarcaAnn Arbor$4.8M
- Daniel OrringerAnn Arbor$500K
- Noojan KazemiAnn Arbor$406K
- Michael CloneyAnn Arbor$81K
- Timothy YeeAnn Arbor$80K
- Joseph SternAnn Arbor$54K
- Justin SingerGrand Rapids$944K
- Jayant JagannathanTroy$685K
- Timothy SpencerBattle Creek$543K
- Daniel FahimRoyal Oak$525K
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.