William Costigan, MD
Orthopaedic Surgery of the Spine · Pasadena, CANPI 1821084641
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,998 of the $6,836 with a category attached, or 87.8%. 24 manufacturers reported payments, led by Globus Medical at 45.6% of the total. Reporting peaked in 2021 at $1,773 and has fallen 73.5% since, to $470 in 2025. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in CA, where the typical reported total is $17,657.
Across 173 payments — averaging $39.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$3K
- Abbott$964
- Orthofix Medical, Inc.$939
- Spinefrontier, Inc.$743
- Medtronic$226
- Relievant Medsystems, Inc.$126
- plus $723 from 18 others
Across 10 payments — averaging $59,143 each. An ownership or investment interest held by the physician or an immediate family member.
- Axiomed LLC$500K
- Overture Orthopaedics$91K
- Senate Surgical Distribution, LLC$0
What the payments were for
- Travel & lodging$81912%
- Food & beverage$5,99888%
- Entertainment$190%
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 |
|---|---|---|
| Globus Medical(2 entities) | 97 | $3,115 |
| Abbott | 25 | $964 |
| Orthofix Medical, Inc. | 10 | $939 |
| Spinefrontier, Inc. | 4 | $743 |
| Medtronic(2 entities) | 10 | $226 |
| Relievant Medsystems, Inc. | 1 | $126 |
| Carbofix Spine Inc | 1 | $79 |
| KARL Storz Endoscopy-america | 1 | $70 |
| Smith+Nephew | 1 | $69 |
| Baxter Healthcare | 2 | $68 |
| Amgen | 4 | $64 |
| Bioventus LLC | 1 | $50 |
| Alphatec Spine, Inc | 2 | $50 |
| Integra Lifesciences Corporation | 2 | $38 |
| Si-bone, Inc. | 2 | $37 |
| Highridge Medical LLC | 1 | $32 |
| Stryker | 1 | $27 |
| Redhill Biopharma Inc. | 1 | $24 |
| Providence Medical Technology, Inc. | 2 | $24 |
| Vertex | 1 | $22 |
| Kowa Pharmaceuticals America, Inc. | 1 | $21 |
| Overture Orthopaedics | 1 | $19 |
| Pfizer | 1 | $15 |
| Vertiflex, Inc. | 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.
- InSpan$629
- Sacrix$436
- Mariner$383
- Lattus$383
- Proclaim Family of SCS IPGs$333
- SacroFuse$193
- NanoFuse Putty$193
- Meridian$182
- Proclaim IPG$179
- ExcelsiusGPS Robotic Navigation System$165
- MAGEC$160
- Intracept$126
- Firebird SI Navigation System$125
- XLIF$103
How this compares
$6,836 in reported general payments places this provider in the 35th percentile of 288 orthopaedic surgery of the spine providers in California.
See all orthopaedic surgery of the spine providers in California →
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 |
|---|---|---|
| Celecoxib | 206 | $7,305 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 344 | $6,558 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 234 | $4,750 |
| Gabapentin | 229 | $2,705 |
| Ibuprofen | 242 | $2,382 |
| Famotidine | 148 | $1,869 |
| Carisoprodol | 116 | $883 |
| Diclofenac Sodium | 49 | $771 |
| Methocarbamol | 63 | $755 |
| Oxycodone Hcl | 30 | $728 |
| Tramadol Hcl | 151 | $654 |
| Lidocaine | 15 | $558 |
| Cyclobenzaprine Hcl | 26 | $514 |
| Pregabalin | 33 | $480 |
| Tizanidine Hcl | 52 | $329 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Pasadena
- Ben PradhanPasadena$694K
- Walter BurnhamPasadena$384K
- Hyun BaeSanta Monica$56.8M
- Choll KimSan Diego$4M
- Stacey BedermanOrange$3.7M
- Gregory Mundisla Jolla$3.3M
- Paul SlosarDaly City$3.1M
- Babak Barcohanavan Nuys$2.9M
- Neelakantan AnandLos Angeles$2.9M
- Sanjay KhuranaMarina del Rey$2.3M
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.