Josh Sebag
Foot & Ankle Surgery · Port St Lucie, FLNPI 1881127348
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $250,542 of the $290,844 with a category attached, or 86.1%. Medartis Inc. accounts for 62.8% of it on its own, with 28 other manufacturers making up the rest. Reporting peaked in 2023 at $96,551 and has fallen 65.8% since, to $33,049 in 2025. Among foot & ankle surgery clinicians in FL 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 314 payments — averaging $926.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medartis Inc.$183K
- Fusion Orthopedics USA, LLC$39K
- Nuvasive Specialized Orthopedics, Inc.$18K
- Vilex LLC$17K
- Globus Medical$7K
- Stryker$6K
- plus $21K from 23 others
Across 7 payments — averaging $8744.29 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.
- Medartis Inc.$61K
What the payments were for
- Royalty or licence$7200%
- Consulting fees$250,54286%
- Speaking & faculty fees$5,7232%
- Travel & lodging$17,1996%
- Food & beverage$12,9884%
- Education$3,6731%
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 |
|---|---|---|
| Medartis Inc. | 88 | $182,648 |
| Fusion Orthopedics USA, LLC | 22 | $38,948 |
| Nuvasive Specialized Orthopedics, Inc. | 10 | $18,040 |
| Vilex LLC | 23 | $16,848 |
| Globus Medical | 16 | $7,165 |
| Stryker | 54 | $6,115 |
| Fuse Medical, Inc. | 1 | $3,750 |
| Arthrex | 17 | $3,517 |
| Crossroads Extremity Systems, LLC | 11 | $2,281 |
| Treace Medical Concepts, Inc. | 13 | $1,819 |
| Paragon 28, Inc. | 9 | $1,713 |
| Johnson & Johnson | 3 | $1,518 |
| Synthes USA Products LLC | 1 | $1,225 |
| Carbofix Orthopedics Inc | 1 | $1,094 |
| Medical Device Business Services, Inc. | 6 | $946 |
| Orthofix Medical, Inc. | 12 | $894 |
| Smith+Nephew | 8 | $525 |
| Voom Medical Devices, Inc. | 2 | $353 |
| Linvatec Corporation | 2 | $201 |
| Southern Edge Orthopaedics, Inc. | 2 | $196 |
| Flower Orthopedics Coporation | 1 | $185 |
| CPM Medical Consultants, LLC | 1 | $178 |
| Ossio Inc | 3 | $164 |
| Bone Support Inc. | 1 | $120 |
| Triad Life Sciences Inc. | 1 | $110 |
| Integra Lifesciences Corporation | 3 | $106 |
| In2bones USA, LLC | 1 | $69 |
| Extremity Medical | 1 | $67 |
| Organogenesis Inc. | 1 | $49 |
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.
- APTUS$181,672
- PRECICE Intramedullary Limb Lengthening System$20,943
- RD Soft Tissue$13,250
- Anthem$3,746
- Staple F&A Fixation$2,221
- Lapiplasty System$1,718
- PROPHECY$1,647
- MOTOBAND$1,518
- INFINITY$1,514
- Product Portfolio$1,203
- CarboFix Tibia Plate$1,094
- DYNEX$1,000
- Physio-Stim$916
- INBONE$750
- BoloButton$720
- PolyLock$720
- Medical Implant$530
- INFINITY ADAPTIS$469
- PROstep$289
- VARIAX$280
How this compares
$290,844 in reported general payments places this provider in the 95th percentile of 850 foot & ankle surgery providers in Florida.
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 |
|---|---|---|
| EliquisApixaban | 89 | $36,658 |
| Ondansetron Hcl | 86 | $1,647 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 127 | $1,633 |
| Cyclobenzaprine Hcl | 108 | $906 |
| Doxycycline Hyclate | 51 | $444 |
| Ondansetron OdtOndansetron | 18 | $424 |
| Meloxicam | 116 | $375 |
| Methylprednisolone | 48 | $301 |
| Diclofenac Sodium | 12 | $216 |
| Gabapentin | 11 | $134 |
| Ibuprofen | 13 | $121 |
| Tramadol Hcl | 13 | $47 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Port St Lucie
- Michael DossPort St Lucie$41K
- Thomas SangiovanniCoral Gables$2.1M
- Shayne JensenPanama City$1.3M
- Thomas RoukisOrlando$1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$861K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$785K
- Mario CalaHialeah$541K
- Christopher ReevesLake Mary$424K
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.