Julio Rosado, MD
Neurological Surgery · San Juan, PRNPI 1255381208
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $2,233 of the $3,419 with a category attached, or 65.3%. Globus Medical accounts for 66.0% of it on its own, with 7 other manufacturers making up the rest.
Across 44 payments — averaging $77.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$2K
- Orthofix Medical, Inc.$596
- Medtronic$253
- Integra Lifesciences Corporation$152
- AbbVie$74
- Stryker$54
- plus $31 from 2 others
What the payments were for
- Travel & lodging$2,23365%
- Food & beverage$1,18535%
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 |
|---|---|---|
| Globus Medical(2 entities) | 22 | $2,257 |
| Orthofix Medical, Inc. | 12 | $596 |
| Medtronic(2 entities) | 5 | $253 |
| Integra Lifesciences Corporation | 1 | $152 |
| AbbVie | 1 | $74 |
| Stryker | 1 | $54 |
| E.r. Squibb & Sons, L.L.C. | 1 | $17 |
| AstraZeneca | 1 | $15 |
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.
- ALIF$1,274
- Pulse$272
- XLIF$200
- Admiral$174
- CODMAN CERTAS$152
- CUSA CLARITY$152
- CODMAN HAKIM$152
- DURASEAL EXACT SPINAL SEALANT SYSTEM$152
- Modulus$132
- OSTEOCOOL RF ABLATION$121
How this compares
$3,419 in reported general payments places this provider in the 55th percentile of 39 neurological surgery providers in Puerto Rico.
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 |
|---|---|---|
| Dexamethasone | 45 | $1,161 |
| Alendronate Sodium | 58 | $680 |
| Calcitonin-SalmonCalcitonin,salmon,synthetic | 11 | $593 |
| Naproxen Sodium | 27 | $549 |
| Baclofen | 41 | $487 |
| Levetiracetam | 21 | $342 |
| Gabapentin | 38 | $322 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 12 | $192 |
| Famotidine | 35 | $151 |
| Lorazepam | 13 | $87 |
| Alprazolam | 18 | $85 |
| Sertraline Hcl | 15 | $79 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in San Juan
- Rodolfo AlcedoSan Juan$38K
- Rafael Rodriguez-MercadoSan Juan$17K
- Fanor Saavedra PozoSan Juan$11K
- Cesar CarballoSan Juan$9K
- Michael LopezSan Juan$8K
- Eva Pamias PortalatinSan Juan$4K
- Gisela Murray OrtizSan Juan$4K
- Larry TorresSan Juan$2K
- Miguel Mayol del ValleSan Juan$784
- Ramon de Leon-BerrasSan Juan$468
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.