Sabino Dagostino, DO
Neurological Surgery · Ladson, SCNPI 1770673766
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (42.0%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. Globus Medical accounts for 90.2% of it on its own, with 16 other manufacturers making up the rest. Among neurological 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 417 payments — averaging $1020.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$384K
- Medtronic$31K
- Boston Scientific$5K
- Spinal Simplicity, LLC$4K
- Si-bone, Inc.$580
- Nevro Corp.$338
- plus $1K from 11 others
What the payments were for
- Royalty or licence$178,86342%
- Consulting fees$88,13121%
- Speaking & faculty fees$122,92029%
- Travel & lodging$24,8876%
- Food & beverage$10,5482%
- Other$320%
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 | 181 | $383,539 |
| Medtronic(2 entities) | 55 | $30,779 |
| Boston Scientific | 110 | $4,580 |
| Spinal Simplicity, LLC | 15 | $4,425 |
| Si-bone, Inc. | 7 | $580 |
| Nevro Corp. | 17 | $338 |
| Orthofix Medical, Inc. | 4 | $254 |
| Abbott | 8 | $244 |
| Camber Spine Technologies LLC | 1 | $169 |
| Johnson & Johnson(2 entities) | 6 | $135 |
| Alafair Biosciences, Inc. | 1 | $110 |
| Surgalign Spine Technologies, Inc. | 4 | $86 |
| Integra Lifesciences Corporation | 2 | $46 |
| Assertio Therapeutics, Inc. | 3 | $39 |
| Amarin Pharma, Inc. | 1 | $24 |
| Stryker | 1 | $17 |
| Nalu Medical, Inc. | 1 | $17 |
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.
- CREO$93,063
- CALIBER$71,086
- CREO MCS, Fenestrated, Sideloading$32,667
- ExcelsiusGPS Robotic Navigation System$31,275
- CREO Fenestrated Screw$29,211
- Excelsius - GPS$26,710
- CREO Fenestrated$26,142
- Navigation System AR$12,644
- SYNCHROMED$11,500
- INTELLIS ADAPTIVESTIM$8,377
- Acadia$7,475
- NAVIGATION INSTRUMENTS$6,800
- GLB Navigation System$6,619
- KYPHON EXPRESS II KYPHOPAK TRAY$5,529
- RISE$5,428
- ELSA$5,096
- HA MINUTEMAN G3-R$4,269
- ADAPTIVESTIM$3,009
- EXCELSIUS$2,200
- Intracept$901
How this compares
$425,380 in reported general payments places this provider in the 95th percentile of 114 neurological 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 84 | $691 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 69 | $688 |
| Methylprednisolone | 20 | $140 |
| Cephalexin | 18 | $133 |
| Gabapentin | 18 | $120 |
| Mupirocin | 16 | $101 |
| Tramadol Hcl | 30 | $72 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Ladson
- Alejandro SpiottaCharleston$894K
- David JonesRock Hill$540K
- Jan Vargas MachajGreenville$207K
- Michael CowanRock Hill$184K
- Jonathan LenaCharleston$110K
- Adam BackSpartanburg$99K
- Matthew NealCharleston$65K
- Sumeer LalGreenwood$65K
- Eugene GiddensMyrtle Beach$48K
- Brett GunterWest Columbia$48K
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.