Joshua Barber, MD
Orthopaedic Surgery of the Spine · Cedar Rapids, IANPI 1245646736
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (38.3%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Alphatec Spine, Inc at 38.2% of the total.
Across 287 payments — averaging $389.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$43K
- Arteriocyte Medical Systems, Inc.$21K
- CTL Medical Corporation$15K
- Globus Medical$7K
- Stryker$6K
- Cerapedics Inc.$5K
- plus $16K from 17 others
What the payments were for
- Consulting fees$32,26829%
- Speaking & faculty fees$20,82119%
- Travel & lodging$42,72538%
- Food & beverage$15,61114%
- Education$1110%
- Entertainment$1350%
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 |
|---|---|---|
| Alphatec Spine, Inc | 86 | $42,636 |
| Arteriocyte Medical Systems, Inc. | 5 | $21,168 |
| CTL Medical Corporation | 8 | $14,660 |
| Globus Medical(2 entities) | 33 | $6,610 |
| Stryker | 51 | $6,259 |
| Cerapedics Inc. | 8 | $4,585 |
| Republic Spine | 21 | $3,756 |
| Medical Device Business Services, Inc. | 18 | $3,042 |
| Medtronic(2 entities) | 20 | $2,796 |
| Zimvie Inc. | 11 | $2,213 |
| Curiteva, Inc. | 3 | $1,423 |
| Synthes GmbH | 2 | $1,050 |
| Precision Spine, Inc. | 3 | $345 |
| Johnson & Johnson | 4 | $301 |
| Spinal Elements, Inc. | 4 | $277 |
| Kuros Biosciences USA, Inc | 3 | $186 |
| Centinel Spine, LLC | 1 | $102 |
| Zimmer Biomet | 1 | $80 |
| Kyocera Medical Technologies, Inc. | 1 | $71 |
| Nanohive Medical LLC | 1 | $67 |
| Solventum Corporation | 1 | $18 |
| Vertex | 1 | $14 |
| Pacira Pharmaceuticals Incorporated | 1 | $12 |
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.
- Other - Miscellaneous$14,444
- Spinal$12,783
- Battalion TLIF - PC$8,043
- IdentiTi$5,500
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$4,398
- CREO$3,283
- Mobi-C$1,984
- O-ARM-ST$1,468
- EXPEDIUM$1,081
- RISE-L$1,041
- Actishield$965
- 1788$965
- VIPER$964
- XLIF$853
- MULTIPLE$433
- ICONIX$408
- STEALTH AUTOGUIDE SYSTEM$310
- T2$277
- VARIAX$259
- LIF$253
How this compares
Too few orthopaedic surgery of the spine providers in Iowato place this figure against a meaningful peer group, so we don't.
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 | 341 | $3,119 |
| Methocarbamol | 191 | $1,739 |
| Pregabalin | 47 | $918 |
| Meloxicam | 259 | $607 |
| Tramadol Hcl | 227 | $586 |
| Ketorolac Tromethamine | 33 | $564 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 30 | $454 |
| Oxycodone Hcl | 29 | $334 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 32 | $299 |
| Tizanidine Hcl | 13 | $138 |
| Hydromorphone Hcl | 14 | $60 |
| Amoxicillin | 25 | $20 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Cedar Rapids
- Kevin EckCedar Rapids$130
- Andrew PugelyIowa City$208K
- Brian HandalWest Des Moines$92K
- Catherine OlingerIowa City$51K
- Mark PalitClarion$19K
- Zaki IbrahimClive$19K
- Evan LarsonIowa City$9K
- Mitchell HughesWest Des Moines$9K
- Michael ChapmanDubuque$9K
- Trevor SchmitzDes Moines$6K
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.