Ralph Vosburg, MD
Surgery · Myrtle Beach, SCNPI 1184927774
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (47.5%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 69.7% of it on its own, with 19 other manufacturers making up the rest. Reporting peaked in 2022 at $13,253 and has fallen 65.6% since, to $4,557 in 2025. Among surgery clinicians in SC 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 151 payments — averaging $202.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$21K
- Medtronic$4K
- Davol Inc.$2K
- Medical Device Business Services, Inc.$953
- Bolder Surgical, LLC$675
- Johnson & Johnson$601
- plus $805 from 14 others
What the payments were for
- Consulting fees$4,04013%
- Travel & lodging$8,31727%
- Food & beverage$3,68212%
- Education$14,50047%
- Gifts$160%
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 |
|---|---|---|
| Intuitive Surgical | 61 | $21,308 |
| Medtronic | 8 | $3,783 |
| Davol Inc. | 29 | $2,432 |
| Medical Device Business Services, Inc. | 7 | $953 |
| Bolder Surgical, LLC | 1 | $675 |
| Johnson & Johnson | 19 | $601 |
| Novo Nordisk | 4 | $193 |
| Amgen | 5 | $147 |
| Phathom Pharmaceuticals, Inc. | 2 | $136 |
| BD | 3 | $83 |
| Vantive US Healthcare LLC | 1 | $55 |
| Boehringer Ingelheim | 3 | $54 |
| Lilly USA, LLC | 1 | $23 |
| TELA Bio, Inc. | 1 | $22 |
| Abbott | 1 | $21 |
| Mannkind Corporation | 1 | $18 |
| Endo Pharmaceuticals Inc. | 1 | $16 |
| Dexcom, Inc. | 1 | $13 |
| AstraZeneca | 1 | $12 |
| Merck | 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.
- DAVINCI XI$14,500
- Da Vinci Surgical System$5,312
- Phasix Mesh$1,699
- LINX Reflux Management System$896
- CoolSeal Generator$675
- DA VINCI SP$569
- Signia$342
- VOQUEZNA$121
- Wegovy$119
- Echelon Flex$116
- ETHICON$116
How this compares
$30,556 in reported general payments places this provider in the 95th percentile of 553 surgery providers in South Carolina.
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 |
|---|---|---|
| Omeprazole | 14 | $120 |
Paid to pharmacies, not to this prescriber.
Other surgery in Myrtle Beach
- Steven MatzingerMyrtle Beach$65K
- Antonio PepeMyrtle Beach$20K
- Hania BednarskiMyrtle Beach$18K
- Morris WashingtonMyrtle Beach$18K
- Ari KramerSpartanburg$502K
- Chitharanjan PullattranaCharleston$408K
- John ScottGreenville$242K
- Jason CundiffGreenville$235K
- Steven KahnCharleston$197K
- John KramerPawleys Island$194K
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.