Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Royalty or License | $1.1M | 70 | 63.6% |
| Consulting Fee | $340,053 | 112 | 19.0% |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $118,600 | 41 | 6.6% |
| Travel and Lodging | $92,504 | 177 | 5.2% |
| Unspecified | $70,500 | 9 | 3.9% |
| Food and Beverage | $20,798 | 259 | 1.2% |
| Honoraria | $9,600 | 1 | 0.5% |
| Education | $1,229 | 1 | 0.1% |
Payments by Type
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Arthrex, Inc. | $944,017 | 110 | $0 (2022) |
| Stryker Corporation | $391,784 | 221 | $0 (2024) |
| Wright Medical Technology, Inc. | $153,171 | 175 | $0 (2020) |
| MEDACTA USA, INC. | $107,025 | 82 | $0 (2024) |
| FX Shoulder USA, Inc | $106,866 | 14 | $0 (2023) |
| Catalyst OrthoScience | $77,469 | 15 | $0 (2023) |
| DePuy Synthes Products, Inc. | $3,975 | 4 | $0 (2022) |
| Evolution Surgical, Inc | $3,311 | 16 | $0 (2022) |
| AcelRx Pharmaceuticals, Inc. | $2,000 | 1 | $0 (2021) |
| Zimmer Biomet Holdings, Inc. | $1,105 | 10 | $0 (2023) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $135,893 | 67 | Stryker Corporation ($91,754) |
| 2023 | $154,350 | 79 | Stryker Corporation ($128,170) |
| 2022 | $489,474 | 91 | Arthrex, Inc. ($253,603) |
| 2021 | $290,696 | 87 | Arthrex, Inc. ($197,452) |
| 2020 | $184,823 | 36 | Arthrex, Inc. ($144,048) |
| 2019 | $192,798 | 111 | Arthrex, Inc. ($114,721) |
| 2018 | $242,871 | 132 | Arthrex, Inc. ($163,276) |
| 2017 | $101,438 | 67 | Arthrex, Inc. ($70,918) |
All Payment Transactions
670 individual payment records from CMS Open Payments — Page 1 of 27
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/16/2024 | MEDACTA USA, INC. | Shoulder System (Device) | Travel and Lodging | Cash or cash equivalent | $2,251.96 | General |
| Category: SHOULDER | ||||||
| 12/13/2024 | Stryker Corporation | AEQUALIS (Device) | Consulting Fee | Cash or cash equivalent | $656.25 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 12/03/2024 | Shoulder Innovations, Inc. | InSet System (Device) | Food and Beverage | Cash or cash equivalent | $176.71 | General |
| Category: Orthopedic Implant | ||||||
| 11/26/2024 | Stryker Corporation | BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION (Device) | Consulting Fee | Cash or cash equivalent | $525.00 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 11/12/2024 | MEDACTA USA, INC. | NextAR TSA Platform (Device) | Royalty or License | Cash or cash equivalent | $881.90 | General |
| Category: Shoulder | ||||||
| 10/30/2024 | Stryker Corporation | AEQUALIS PERFORM (Device) | Royalty or License | Cash or cash equivalent | $14,509.01 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 10/30/2024 | Stryker Corporation | AEQUALIS PERFORM (Device) | Royalty or License | Cash or cash equivalent | $109.80 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 10/18/2024 | Stryker Corporation | MAKO (Device) | Food and Beverage | In-kind items and services | $129.72 | General |
| Category: KNEES, HIPS | ||||||
| 10/08/2024 | Hikma Pharmaceuticals USA | COMBOGESIC IV (Drug) | Consulting Fee | Cash or cash equivalent | $343.50 | General |
| Category: Pain / Addiction | ||||||
| 09/25/2024 | Stryker Corporation | BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION (Device) | Travel and Lodging | Cash or cash equivalent | $2,125.76 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 09/13/2024 | Stryker Corporation | MAKO (Device) | Food and Beverage | In-kind items and services | $36.48 | General |
| Category: KNEES, HIPS | ||||||
| 09/06/2024 | Stryker Corporation | AEQUALIS (Device) | Consulting Fee | Cash or cash equivalent | $656.25 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 09/04/2024 | MEDACTA USA, INC. | Shoulder System (Device) | Consulting Fee | Cash or cash equivalent | $22,950.00 | General |
| Category: SHOULDER | ||||||
| 08/22/2024 | Stryker Corporation | MAKO (Device) | Food and Beverage | In-kind items and services | $71.25 | General |
| Category: KNEES, HIPS | ||||||
| 08/09/2024 | Stryker Corporation | TORNIER FLEX (Device) | Consulting Fee | Cash or cash equivalent | $4,200.00 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 08/08/2024 | MEDACTA USA, INC. | NextAR TSA Platform (Device) | Royalty or License | Cash or cash equivalent | $453.47 | General |
| Category: Shoulder | ||||||
| 07/29/2024 | Stryker Corporation | AEQUALIS PERFORM (Device) | Royalty or License | Cash or cash equivalent | $14,288.15 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 07/29/2024 | Stryker Corporation | AEQUALIS PERFORM (Device) | Royalty or License | Cash or cash equivalent | $112.58 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 06/18/2024 | Heron Therapeutics, Inc. | ZYNRELEF (Drug) | Food and Beverage | In-kind items and services | $22.39 | General |
| Category: POST SURGICAL PAIN RELIEF | ||||||
| 06/15/2024 | Stryker Corporation | AEQUALIS ASCEND FLEX (Device) | Food and Beverage | In-kind items and services | $146.48 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 06/14/2024 | DePuy Synthes Sales Inc. | HEALIX KNOTLESS PEEK (Device) | Food and Beverage | In-kind items and services | $104.83 | General |
| Category: Sports Surgical | ||||||
| 06/13/2024 | Stryker Corporation | TORNIER PERFORM REVERSED GLENOID (Device), TORNIER FLEX | Consulting Fee | Cash or cash equivalent | $9,056.25 | General |
| Category: BONE SUBSTITUTE | ||||||
| 06/13/2024 | Stryker Corporation | TORNIER FLEX (Device), TORNIER PERFORM REVERSED GLENOID | Food and Beverage | In-kind items and services | $27.64 | General |
| Category: TRAUMA & EXTREMITIES | ||||||
| 06/06/2024 | Heron Therapeutics, Inc. | ZYNRELEF (Drug) | Food and Beverage | In-kind items and services | $22.09 | General |
| Category: POST SURGICAL PAIN RELIEF | ||||||
| 06/05/2024 | MEDACTA USA, INC. | NextAR TSA Platform (Device) | Royalty or License | Cash or cash equivalent | $1,281.26 | General |
| Category: Shoulder | ||||||
Research Studies & Clinical Trials
| Study Name | Company | Amount | Records |
|---|---|---|---|
| Easytech Reversed shoulder | FX Shoulder USA, Inc | $42,075 | 1 |
| Easytech Reversed Shoulder IDE | FX Shoulder USA, Inc | $19,877 | 1 |
| Easytech Reversed Shoulder System Clinical Study | FX Shoulder USA, Inc | $7,440 | 1 |
| GRIP 3 | Wright Medical Technology, Inc. | $714.60 | 1 |
| Comprehensive Revision System | Wright Medical Technology, Inc. | $393.75 | 1 |
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 13 | 1,218 | 1,860 | $2.0M | $266,981 |
| 2022 | 12 | 1,071 | 1,597 | $1.8M | $242,648 |
| 2021 | 12 | 933 | 1,486 | $1.5M | $220,038 |
| 2020 | 7 | 284 | 334 | $264,580 | $43,758 |
All Medicare Procedures & Services
59 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 23472 | Prosthetic repair of shoulder joint, total shoulder | Facility | 2023 | 87 | 87 | $1.1M | $114,872 | 10.7% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 211 | 354 | $77,880 | $40,554 | 52.1% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2023 | 167 | 289 | $63,580 | $23,946 | 37.7% |
| 29827 | Repair of shoulder rotator cuff using an endoscope | Facility | 2023 | 23 | 23 | $218,250 | $22,871 | 10.5% |
| 73030 | X-ray of shoulder, minimum of 2 views | Office | 2023 | 201 | 401 | $48,120 | $14,218 | 29.5% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 88 | 88 | $35,200 | $11,688 | 33.2% |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | Facility | 2023 | 22 | 22 | $178,000 | $10,672 | 6.0% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Facility | 2023 | 67 | 67 | $26,800 | $7,336 | 27.4% |
| 23020 | Release of tendon of shoulder joint | Facility | 2023 | 12 | 12 | $73,500 | $4,507 | 6.1% |
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | Facility | 2023 | 28 | 28 | $56,000 | $4,255 | 7.6% |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | Facility | 2023 | 28 | 28 | $140,000 | $3,782 | 2.7% |
| 73030 | X-ray of shoulder, minimum of 2 views | Facility | 2023 | 154 | 327 | $11,785 | $2,605 | 22.1% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2023 | 31 | 32 | $9,600 | $1,764 | 18.4% |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | Office | 2023 | 30 | 31 | $4,650 | $1,593 | 34.3% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 17 | 17 | $3,060 | $1,305 | 42.6% |
| 20610 | Aspiration and/or injection of fluid from large joint | Facility | 2023 | 20 | 21 | $6,300 | $731.34 | 11.6% |
| J1040 | Injection, methylprednisolone acetate, 80 mg | Office | 2023 | 32 | 33 | $660.00 | $280.95 | 42.6% |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | Facility | 2022 | 51 | 52 | $626,400 | $67,483 | 10.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 210 | 370 | $81,400 | $41,516 | 51.0% |
| 29827 | Repair of shoulder rotator cuff using an endoscope | Facility | 2022 | 34 | 34 | $305,100 | $33,063 | 10.8% |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | Facility | 2022 | 37 | 38 | $254,800 | $20,591 | 8.1% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2022 | 131 | 223 | $49,060 | $18,562 | 37.8% |
| 23474 | Revision of total shoulder repair, total shoulder | Facility | 2022 | 11 | 11 | $154,000 | $17,010 | 11.0% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 75 | 75 | $30,000 | $10,692 | 35.6% |
| 73030 | X-ray of shoulder, minimum of 2 views | Office | 2022 | 173 | 300 | $36,000 | $10,488 | 29.1% |
About Dr. John Costouros, MD
Dr. John Costouros, MD is a Orthopaedic Surgery healthcare provider based in Redwood City, California. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 11/02/2006. The National Provider Identifier (NPI) number assigned to this provider is 1437238565.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. John Costouros, MD has received a total of $1.8M in payments from pharmaceutical and medical device companies, with $135,893 received in 2024. These payments were reported across 670 transactions from 24 companies. The most common payment nature is "Royalty or License" ($1.1M).
As a Medicare-enrolled provider, Costouros has provided services to 3,506 Medicare beneficiaries, totaling 5,277 services with total Medicare billing of $773,425. Data is available for 4 years (2020–2023), covering 59 distinct procedure/service records.
Practice Information
- Specialty Orthopaedic Surgery
- Location Redwood City, CA
- Active Since 11/02/2006
- Last Updated 09/20/2016
- Taxonomy Code 207X00000X
- Entity Type Individual
- NPI Number 1437238565
Products in Payments
- ARTHREX (Device) $446,057
- ARTHROPLASTY IMPLANTS SHOULDER ARTHROPLASTY & FRACTURE REVERS (Device) $317,085
- AEQUALIS PERFORM (Device) $217,345
- SIMPLICITI (Device) $74,445
- Catalyst Total CSR (Device) $74,051
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION (Device) $72,543
- ARTHROPLASTY IMPLANTS REVERS TOTAL SHOULDER REVERS (Device) $62,945
- AEQUALIS ASCEND FLEX (Device) $56,341
- BLUEPRINT PSI SYSTEM (Device) $45,855
- Shoulder System (Device) $39,312
- NEXTAR (Device) $21,587
- Easytech Anatomical Shoulder System (Device) $19,877
- R&D UPPER EXT (Device) $18,232
- AEQUALIS (Device) $14,190
- QUADRA (Device) $12,826
- PRIMARY SHOULDER (Device) $11,476
- TORNIER PERFORM REVERSED GLENOID (Device) $9,056
- Easytech Reversed (Device) $7,440
- Primary Shoulder (Device) $5,650
- REUNION (Device) $4,841
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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