Samuel Joseph, MD
Orthopaedic Surgery of the Spine · Safety Harbor, FLNPI 1336330778
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (52.4%), other and consulting fees — rather than concentrated in one kind of arrangement. 44 manufacturers reported payments, led by Alphatec Spine, Inc at 43.0% of the total. Among orthopaedic surgery of the spine clinicians in FL 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 623 payments — averaging $2705.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$724K
- Arteriocyte Medical Systems, Inc.$496K
- Medacta USA, Inc.$156K
- Spineology Inc.$88K
- Osseus Fusion Systems, LLC$85K
- Integrity Implants Inc.$35K
- plus $102K from 38 others
Across 14 payments — averaging $8521.87 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.
- Orthofix Medical, Inc.$104K
- Spineology Inc.$15K
What the payments were for
- Royalty or licence$883,12452%
- Consulting fees$194,07912%
- Speaking & faculty fees$39,0502%
- Travel & lodging$62,3704%
- Food & beverage$14,7391%
- Entertainment$3720%
- Other$492,01629%
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.
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.
- Other - Miscellaneous$423,705
- Invictus MIS$338,024
- MUST$103,689
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$87,576
- MUST MINI Set Screw$41,302
- FlareHawk$31,622
- Dark Star$28,332
- Battalion TLIF - PC$27,656
- MYSPINE$9,513
- INVICTUS OPEN$8,699
- LIF$8,497
- SpF-XL IIb Implantable Spinal Fusion Stimulator$6,264
- MaxView System - Lateral Set$5,886
- PASS-LP$4,912
- FlareHawk 7 ENDO$4,000
- KODIAK$2,139
- LineSider$2,000
- IdentiTi$1,750
- Biomet SpinalPak Non-invasive Spine Fusion Stimulator System$1,728
- OssDsign Catalyst$1,500
How this compares
$1,685,749 in reported general payments places this provider in the 95th percentile of 159 orthopaedic surgery of the spine providers in Florida.
See all orthopaedic surgery of the spine providers in Florida →
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 |
|---|---|---|
| Gabapentin | 119 | $1,193 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 111 | $956 |
| Methylprednisolone | 92 | $695 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 14 | $621 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 20 | $552 |
| Oxycodone Hcl | 98 | $530 |
| Cephalexin | 77 | $486 |
| Duloxetine Hcl | 64 | $461 |
| Ondansetron OdtOndansetron | 22 | $351 |
| Methocarbamol | 49 | $230 |
| Baclofen | 35 | $175 |
| Doxycycline Hyclate | 15 | $172 |
| Cyclobenzaprine Hcl | 35 | $130 |
| Diazepam | 24 | $93 |
| Tramadol Hcl | 19 | $89 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Safety Harbor
- Harry ShufflebargerMiami$3.5M
- Paul KellerMelbourne$3.4M
- Thomas SweeneySarasota$2.3M
- Geoffrey CronenTampa$2.2M
- James BillysOdessa$1.9M
- Mark DekutoskiDestin$1.8M
- Farhan SiddiqiOdessa$1.7M
- Thomas ErricoMiami$1.6M
- Constantine ToumbisCrystal River$1.6M
- Victor HayesOdessa$1.3M
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.