Joshua Osbun, MD
Neurological Surgery · Saint Louis, MONPI 1316139793
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (55.9%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Medtronic at 37.2% of the total. Reporting peaked in 2021 at $28,850 and has fallen 98.7% since, to $375 in 2025. Among neurological surgery clinicians in MO 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 157 payments — averaging $623.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$36K
- Stryker$33K
- Microvention, Inc.$12K
- Terumo Medical Corporation$9K
- Penumbra, Inc.$7K
- Route 92 Medical, Inc.$352
- plus $141 from 4 others
Across 59 payments — averaging $5445.87 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.
- Microvention, Inc.$159K
- Medtronic$62K
- Medical Device Business Services, Inc.$54K
- Route 92 Medical, Inc.$24K
- Stryker$22K
What the payments were for
- Consulting fees$54,71056%
- Speaking & faculty fees$23,65024%
- Grants$4690%
- Travel & lodging$14,64415%
- Food & beverage$4,4335%
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) | 74 | $36,377 |
| Stryker | 35 | $32,661 |
| Microvention, Inc. | 20 | $12,264 |
| Terumo Medical Corporation | 8 | $8,900 |
| Penumbra, Inc. | 14 | $7,212 |
| Route 92 Medical, Inc. | 1 | $352 |
| Philips North America LLC | 1 | $63 |
| Integra Lifesciences Corporation | 2 | $60 |
| Medical Device Business Services, Inc. | 1 | $11 |
| Qapel Medical Inc | 1 | $7 |
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.
- SURPASS EVOLVE$23,331
- Rist-5F$18,363
- Pipeline$7,446
- Penumbra System$6,885
- WEB$6,695
- TR Band$5,000
- AXS INFINITY LS$4,125
- Rist-7F$4,113
- GLIDESHEATH SLENDER$4,000
- AZUR$2,000
- Navicross$2,000
- Glidesheath$2,000
- GlideWire$2,000
- CORE$1,841
- 1488, IDEAL EYES$1,187
- UNIVERSAL NEURO 3$1,032
- FRED$473
- LVIS$473
- PHIL$473
- HyperSoft 3D Coil$473
How this compares
$97,906 in reported general payments places this provider in the 90th percentile of 172 neurological surgery providers in Missouri.
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 |
|---|---|---|
| BrilintaTicagrelor | 14 | $6,365 |
| Levetiracetam | 38 | $1,083 |
| ClopidogrelClopidogrel Bisulfate | 71 | $421 |
| Gabapentin | 28 | $347 |
| Carbamazepine | 13 | $244 |
| Mupirocin | 18 | $137 |
| Oxycodone Hcl | 24 | $128 |
| Rosuvastatin Calcium | 16 | $120 |
| Atorvastatin Calcium | 19 | $105 |
| Famotidine | 13 | $20 |
| Diazepam | 13 | $14 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Saint Louis
- Neill WrightSaint Louis$1.1M
- Wilson RaySaint Louis$586K
- Camilo MolinaSaint Louis$412K
- Paul SantiagoSaint Louis$368K
- Daniel ScodarySaint Louis$278K
- Daniel HafezSaint Louis$273K
- John OgunladeSaint Louis$220K
- Adewale BakareSaint Louis$81K
- Eric LeuthardtSaint Louis$78K
- Nitin AgarwalSaint Louis$68K
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.