Joseph Osorio
Neurological Surgery · San Diego, CANPI 1437416591
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (42.1%), consulting fees and royalties or licence payments — rather than concentrated in one kind of arrangement. Medtronic accounts for 68.5% of it on its own, with 21 other manufacturers making up the rest. Among neurological surgery clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 981 payments — averaging $1367.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$918K
- Alphatec Spine, Inc$227K
- Carlsmed, Inc.$128K
- Medical Device Business Services, Inc.$45K
- Carbofix Spine Inc$7K
- Depuy Synthes Products, Inc.$7K
- plus $9K from 16 others
Across 8 payments — averaging $13,307 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$106K
What the payments were for
- Royalty or licence$117,1819%
- Consulting fees$520,92739%
- Speaking & faculty fees$564,33542%
- Travel & lodging$104,9978%
- Food & beverage$26,2632%
- Education$7,3741%
- Entertainment$570%
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 |
|---|---|---|
| Medtronic(2 entities) | 810 | $918,374 |
| Alphatec Spine, Inc | 52 | $227,183 |
| Carlsmed, Inc. | 43 | $128,031 |
| Medical Device Business Services, Inc. | 17 | $44,654 |
| Carbofix Spine Inc | 1 | $7,175 |
| Depuy Synthes Products, Inc. | 11 | $6,776 |
| Kuros Biosciences USA, Inc | 3 | $6,230 |
| Johnson & Johnson | 13 | $450 |
| Stryker | 4 | $385 |
| Globus Medical(2 entities) | 8 | $322 |
| Acuity Surgical Devices, LLC | 1 | $223 |
| Centinel Spine, LLC | 3 | $213 |
| Zimmer Biomet | 1 | $199 |
| Boston Scientific | 2 | $190 |
| Icotec Medical Inc. | 1 | $150 |
| Axis Spine Technologies Inc. | 1 | $119 |
| Nalu Medical, Inc. | 1 | $107 |
| Orthofix Medical, Inc. | 1 | $101 |
| Medicrea USA, Corp. | 2 | $76 |
| DJO, LLC | 2 | $74 |
| Biocomposites Inc | 2 | $57 |
| Si-bone, Inc. | 2 | $45 |
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.
- MAZOR X SYSTEM$158,188
- Other - Miscellaneous$143,587
- CD HORIZON SPINAL SYSTEM$139,053
- UNID_PASS$130,030
- aprevo$127,515
- CD HORIZON$76,081
- INVICTUS OPEN$69,042
- SYMPHONY$49,831
- UNiD$46,312
- Mazor X Stealth Edition$38,859
- INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM$27,274
- STEALTHSTATION S8 PLATFORM$17,702
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$10,545
- O-ARM$9,655
- Carbofix Pedical Screw System$7,175
- Battalion TLIF - PC$5,365
- Invictus MIS$5,192
- Battalion PLIF - PS$4,800
- StealthStation$4,550
- T2 STRATOSPHERE$4,388
How this compares
$1,341,134 in reported general payments places this provider in the 95th percentile of 773 neurological surgery providers in California.
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.
Other neurological surgery in San Diego
- Samy AbdouSan Diego$2.4M
- William TaylorSan Diego$2.1M
- Vikram UdaniSan Diego$1.1M
- Arash Khalessi-HosseiniSan Diego$897K
- Alois ZaunerSan Diego$558K
- Scott LearySan Diego$352K
- Christopher AmesSan Francisco$7.1M
- Larry KhooLos Angeles$2.8M
- Bret AbshireMurrieta$2.3M
- Tooraj GravoriEncino$2M
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.