Stephen Johans, MD
Neurological Surgery · O Fallon, ILNPI 1013273580
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,041 of the $3,247 with a category attached, or 62.9%. Medtronic accounts for 74.2% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2019 at $2,108 and has fallen 90.5% since, to $200 in 2025. That places this record below the midpoint for neurological surgery clinicians in IL, where the typical reported total is $2,724.
Across 39 payments — averaging $83.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Accord Healthcare, Inc.$196
- Abbott$167
- Olympus America Inc.$129
- Acerus Pharmaceuticals Corporation$43
- Blue Earth Diagnostics$34
- plus $270 from 11 others
What the payments were for
- Travel & lodging$1,20637%
- Food & beverage$2,04163%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Medtronic(2 entities) | 18 | $2,408 |
| Accord Healthcare, Inc. | 2 | $196 |
| Abbott | 4 | $167 |
| Olympus America Inc. | 1 | $129 |
| Acerus Pharmaceuticals Corporation | 2 | $43 |
| Blue Earth Diagnostics | 1 | $34 |
| Lemaitre Vascular, Inc. | 1 | $32 |
| GE HealthCare | 1 | $31 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $31 |
| MML US, Inc. | 1 | $30 |
| Providence Medical Technology, Inc. | 1 | $27 |
| Baxter Healthcare | 1 | $26 |
| Servier Pharmaceuticals LLC | 1 | $25 |
| Integra Lifesciences Corporation | 1 | $23 |
| Elite Orthopedics, LLC | 1 | $18 |
| Teleflex LLC | 1 | $15 |
| Ossdsign USA Incorporated | 1 | $13 |
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.
- CD HORIZON$1,522
- INTELLIS ADAPTIVESTIM$142
- O-ARM-Spine$139
- iTIND System$129
- UNID_PASS$118
- ETERNA$104
How this compares
$3,247 in reported general payments places this provider in the 50th percentile of 302 neurological surgery providers in Illinois.
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 | 86 | $1,132 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 61 | $798 |
| Naloxone Hcl | 11 | $772 |
| Methylprednisolone | 57 | $391 |
| Tizanidine Hcl | 25 | $319 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 22 | $285 |
| Tramadol Hcl | 23 | $135 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in O Fallon
- Tyler KoskiChicago$2.3M
- Vincent TraynelisChicago$1.8M
- Sergey NeckryshChicago$1.6M
- Russell NockelsArlington Heights$1.4M
- Bruce FrankelSpringfield$1.3M
- Richard FesslerChicago$910K
- Julian BailesEvanston$666K
- John OtooleChicago$593K
- Patrick SugruePark Ridge$571K
- Melissa MaciasRockford$529K
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.