Joshua Trbovich, PA
Physician Assistant · Washington, PANPI 1861761504
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (59.3%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Si-bone, Inc. accounts for 89.2% of it on its own, with 12 other manufacturers making up the rest. Among physician assistant clinicians in PA 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 922 payments — averaging $156.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Si-bone, Inc.$129K
- Abbott$12K
- Surgalign Spine Technologies, Inc.$2K
- Smith+Nephew$434
- Cerapedics Inc.$385
- Stryker$240
- plus $555 from 7 others
What the payments were for
- Consulting fees$85,57359%
- Travel & lodging$35,13324%
- Food & beverage$23,43516%
- Education$630%
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 |
|---|---|---|
| Si-bone, Inc. | 661 | $128,574 |
| Abbott | 214 | $11,889 |
| Surgalign Spine Technologies, Inc. | 7 | $2,125 |
| Smith+Nephew | 4 | $434 |
| Cerapedics Inc. | 15 | $385 |
| Stryker | 7 | $240 |
| Medtronic | 1 | $160 |
| VB Spine LLC | 5 | $124 |
| Boston Scientific | 2 | $84 |
| Baxter Healthcare | 3 | $71 |
| Zimvie Inc. | 1 | $63 |
| BD | 1 | $42 |
| Foundation Fusion Solutions, LLC | 1 | $11 |
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.
- IFUSE IMPLANT SYSTEM$74,426
- iFuse Implant$38,047
- PROCLAIM$3,603
- COFLEX INTERLAMINAR TECHNOLOGY, 10MM$1,963
- ETERNA$1,616
- Proclaim IPG$934
- PENTA$667
- Penta SCS Leads$326
- Axium$278
- PICO 7$275
- Proclaim DRG IPG$169
- Axium INS DRG IPG$165
- CD HORIZON SPINAL SYSTEM$160
- PICO$137
- OCTRODE$106
How this compares
$144,204 in reported general payments places this provider in the 95th percentile of 6,643 physician assistant providers in Pennsylvania.
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 |
|---|---|---|
| Methocarbamol | 53 | $582 |
| Etodolac | 17 | $419 |
| Diclofenac Sodium | 42 | $379 |
| Gabapentin | 22 | $268 |
| Oxycodone Hcl | 48 | $258 |
| Methylprednisolone | 14 | $126 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 16 | $94 |
| Meloxicam | 27 | $83 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Washington
- Jeffrey CameronWashington$89K
- Jil SwansonWashington$44K
- Maria QuerrieraWashington$22K
- Amanda WebbWashington$19K
- Erin CrownState College$1.2M
- Tricia BootsCranberry Twp$313K
- Melissa FerrariPhiladelphia$223K
- Jason OberdickWexford$206K
- Justine RobertsMurrysville$173K
- Allison BoydErie$163K
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.