Joshua Herzog, MD
Orthopaedic Surgery · North Chesterfield, VANPI 1821063439
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $682,135 of the $1,010,706 with a category attached, or 67.5%. It is spread thinly across 42 manufacturers, the largest accounting for just 20.7%. Among orthopaedic surgery clinicians in VA 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 964 payments — averaging $1048.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stability Biologics, LLC$210K
- Orthofix Medical, Inc.$195K
- Stryker$149K
- Globus Medical$146K
- 4web, Inc.$60K
- Medtronic$45K
- plus $205K from 36 others
Across 39 payments — averaging $10,338 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.
- Medical Device Business Services, Inc.$238K
- Si-bone, Inc.$84K
- Bioventus LLC$58K
- Globus Medical$23K
Across 5 payments — averaging $12,800 each. An ownership or investment interest held by the physician or an immediate family member.
- Happe Spine$64K
What the payments were for
- Royalty or licence$49,8885%
- Consulting fees$682,13567%
- Speaking & faculty fees$78,0148%
- Travel & lodging$107,22511%
- Food & beverage$93,4279%
- Entertainment$190%
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.
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.
- SPINE TRUSS SYSTEM$60,005
- Mariner$54,352
- MagnetOs$33,822
- CORBEL$31,094
- Spinal-Stim$30,880
- VIPER$30,818
- Regatta Lateral System$28,620
- ALEUTIAN INTERBODY SYSTEMS$26,450
- COUGAR$24,219
- CREO$23,743
- CONDUIT$23,175
- CASCADIA$22,890
- RAVINE LATERAL ACCESS SYSTEM$21,150
- Spinal$19,000
- NAPA ACCESS SYSTEM$16,930
- NAPA$16,221
- WaveForm C$14,870
- PIVOX Oblique Lateral Spinal System$14,474
- ELSA$13,650
- BRAINLAB$12,713
How this compares
$1,010,706 in reported general payments places this provider in the 95th percentile of 473 orthopaedic surgery providers in Virginia.
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 |
|---|---|---|
| Lidocaine | 13 | $1,033 |
| Gabapentin | 142 | $1,028 |
| Cyclobenzaprine Hcl | 74 | $353 |
| Diclofenac Sodium | 28 | $288 |
| Duloxetine Hcl | 23 | $249 |
| Meloxicam | 143 | $229 |
| Methylprednisolone | 37 | $205 |
| Oxycodone Hcl | 36 | $175 |
| Celecoxib | 13 | $152 |
| Tizanidine Hcl | 18 | $110 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 16 | $86 |
| Tramadol Hcl | 33 | $81 |
| Methocarbamol | 17 | $70 |
| Diazepam | 25 | $17 |
| Famotidine | 23 | $16 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in North Chesterfield
- Dale YoungNorth Chesterfield$10.9M
- Mark de BloisNorth Chesterfield$4M
- David MillerNorth Chesterfield$1.7M
- Miles BirminghamNorth Chesterfield$89K
- James DowdVirginia Beach$6.1M
- Cato LaurencinCharlottesville$3.5M
- Randall PeytonSterling$2.9M
- William MihalkoCharlottesville$2M
- Keith LawhornFairfax$1.6M
- Joseph GonduskyVirginia Beach$1.2M
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.