Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Consulting Fee | $31,900 | 18 | 56.3% |
| Travel and Lodging | $16,619 | 40 | 29.3% |
| Food and Beverage | $8,014 | 97 | 14.1% |
| Education | $129.96 | 12 | 0.2% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Spine Wave, Inc. | $21,474 | 43 | $0 (2022) |
| Synaptive Medical Inc. | $19,418 | 34 | $0 (2021) |
| Xenco Medical LLC | $4,000 | 2 | $0 (2020) |
| Zimmer Biomet Holdings, Inc. | $2,837 | 12 | $0 (2017) |
| NuVasive, Inc. | $2,313 | 13 | $0 (2023) |
| Medtronic USA, Inc. | $2,065 | 16 | $0 (2020) |
| Orthofix Medical, Inc. | $1,008 | 4 | $0 (2023) |
| Medtronic, Inc. | $921.41 | 7 | $0 (2022) |
| Globus Medical, Inc. | $626.12 | 5 | $0 (2024) |
| Cerapedics, Inc. | $434.70 | 14 | $0 (2021) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $633.90 | 5 | GS Solutions, Inc. ($230.00) |
| 2023 | $1,294 | 7 | Orthofix Medical, Inc. ($1,008) |
| 2022 | $3,815 | 17 | NuVasive, Inc. ($2,059) |
| 2021 | $13,294 | 29 | Synaptive Medical Inc. ($12,197) |
| 2020 | $3,414 | 13 | Spine Wave, Inc. ($1,580) |
| 2019 | $2,778 | 16 | Spine Wave, Inc. ($2,594) |
| 2018 | $10,926 | 29 | Synaptive Medical Inc. ($5,762) |
| 2017 | $20,508 | 51 | Spine Wave, Inc. ($11,404) |
All Payment Transactions
167 individual payment records from CMS Open Payments — Page 1 of 7
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 10/15/2024 | BIOCOMPOSITES INC | STIMULAN (Device) | Food and Beverage | Cash or cash equivalent | $122.81 | General |
| Category: BONE VOID FILLER | ||||||
| 08/14/2024 | GS Solutions, Inc. | — | Food and Beverage | Cash or cash equivalent | $230.00 | General |
| 04/17/2024 | Providence Medical Technology, Inc. | — | Food and Beverage | In-kind items and services | $26.22 | General |
| 03/22/2024 | Nico Corporation | MILD DEVICE KIT (Device) | Food and Beverage | In-kind items and services | $228.29 | General |
| Category: INSTRUMENTS | ||||||
| 01/30/2024 | Globus Medical, Inc. | TLIF (Device) | Food and Beverage | In-kind items and services | $26.58 | General |
| Category: Spine/Spine Surgery | ||||||
| 09/13/2023 | Orthofix Medical, Inc. | 7D Surgical System (Device) | Food and Beverage | In-kind items and services | $166.46 | General |
| Category: Spine Hardware Systems & Motion Preservation | ||||||
| 08/28/2023 | Orthofix Medical, Inc. | Mariner MIS (Device) | Consulting Fee | Cash or cash equivalent | $500.00 | General |
| Category: Spine Hardware Systems | ||||||
| 08/22/2023 | Penumbra, Inc. | Penumbra System (Device) | Food and Beverage | Cash or cash equivalent | $109.44 | General |
| Category: Neurointervention | ||||||
| 03/30/2023 | NuVasive, Inc. | Pulse (Device) | Food and Beverage | In-kind items and services | $129.60 | General |
| Category: Spine/Spine Surgery | ||||||
| 03/06/2023 | Orthofix Medical, Inc. | Mariner (Device) | Food and Beverage | In-kind items and services | $91.37 | General |
| Category: Thoracolumbosacral Pedicle Screw System | ||||||
| 02/07/2023 | Providence Medical Technology, Inc. | — | Food and Beverage | In-kind items and services | $47.50 | General |
| 01/09/2023 | Orthofix Medical, Inc. | Explorer TO (Device) | Consulting Fee | Cash or cash equivalent | $250.00 | General |
| Category: Intervertebral Fusion Device With Bone Graft, Lumbar | ||||||
| 12/31/2022 | NuVasive, Inc. | Pulse (Device) | Travel and Lodging | In-kind items and services | $146.00 | General |
| Category: Spine/Spine Surgery | ||||||
| 12/31/2022 | NuVasive, Inc. | Pulse (Device) | Travel and Lodging | In-kind items and services | $138.00 | General |
| Category: Spine/Spine Surgery | ||||||
| 12/31/2022 | NuVasive, Inc. | Pulse (Device) | Travel and Lodging | In-kind items and services | $138.00 | General |
| Category: Spine/Spine Surgery | ||||||
| 12/31/2022 | NuVasive, Inc. | Pulse (Device) | Travel and Lodging | In-kind items and services | $138.00 | General |
| Category: Spine/Spine Surgery | ||||||
| 12/04/2022 | NuVasive, Inc. | Pulse (Device) | Food and Beverage | In-kind items and services | $28.52 | General |
| Category: Spine/Spine Surgery | ||||||
| 12/03/2022 | NuVasive, Inc. | Pulse (Device) | Travel and Lodging | In-kind items and services | $588.82 | General |
| Category: Spine/Spine Surgery | ||||||
| 12/03/2022 | NuVasive, Inc. | Pulse (Device) | Food and Beverage | In-kind items and services | $163.60 | General |
| Category: Spine/Spine Surgery | ||||||
| 12/03/2022 | NuVasive, Inc. | Pulse (Device), ALIF | Travel and Lodging | In-kind items and services | $49.37 | General |
| Category: Spine/Spine Surgery | ||||||
| 11/02/2022 | NuVasive, Inc. | Pulse (Device) | Travel and Lodging | In-kind items and services | $643.20 | General |
| Category: Spine/Spine Surgery | ||||||
| 11/01/2022 | NuVasive, Inc. | Pulse (Device) | Travel and Lodging | In-kind items and services | $25.00 | General |
| Category: Spine/Spine Surgery | ||||||
| 06/06/2022 | Medtronic, Inc. | MAZOR X SYSTEM (Device) | Food and Beverage | In-kind items and services | $31.75 | General |
| Category: Image Guided Surgery Products | ||||||
| 06/03/2022 | Medtronic, Inc. | STEALTHSTATION S8 PLATFORM (Device) | Food and Beverage | In-kind items and services | $135.07 | General |
| Category: Image Guided Surgery Products | ||||||
| 06/02/2022 | Medtronic, Inc. | O-ARM (Device) | Food and Beverage | In-kind items and services | $102.39 | General |
| Category: Image Guided Surgery Products | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 11 | 590 | 861 | $936,047 | $130,642 |
| 2022 | 14 | 583 | 835 | $1.1M | $143,598 |
| 2021 | 11 | 515 | 725 | $765,741 | $109,211 |
| 2020 | 9 | 476 | 732 | $700,052 | $83,040 |
All Medicare Procedures & Services
45 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 272 | 471 | $140,358 | $43,172 | 30.8% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Office | 2023 | 129 | 129 | $77,142 | $20,706 | 26.8% |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | Facility | 2023 | 24 | 24 | $176,352 | $18,027 | 10.2% |
| 22633 | Fusion of spine in lower back with partial removal of spine bone and disc | Facility | 2023 | 11 | 11 | $158,829 | $14,775 | 9.3% |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | Facility | 2023 | 22 | 59 | $98,766 | $9,496 | 9.6% |
| 22214 | Incision or removal of lower spine bone segment | Facility | 2023 | 11 | 11 | $109,758 | $6,464 | 5.9% |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | Facility | 2023 | 21 | 33 | $93,192 | $6,120 | 6.6% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 28 | 28 | $18,620 | $3,577 | 19.2% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 29 | 51 | $12,393 | $3,091 | 24.9% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 28 | 29 | $13,137 | $2,810 | 21.4% |
| 61781 | Computer-assisted procedure inside brain | Facility | 2023 | 15 | 15 | $37,500 | $2,404 | 6.4% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 232 | 404 | $120,392 | $36,960 | 30.7% |
| 22633 | Fusion of spine in lower back with partial removal of spine bone and disc | Facility | 2022 | 17 | 17 | $245,463 | $25,074 | 10.2% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Office | 2022 | 119 | 119 | $71,162 | $18,832 | 26.5% |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | Facility | 2022 | 16 | 16 | $117,568 | $10,979 | 9.3% |
| 22214 | Incision or removal of lower spine bone segment | Facility | 2022 | 18 | 18 | $179,604 | $10,876 | 6.1% |
| 22840 | Placement of stabilizing device to back of 1 spine bone in neck | Facility | 2022 | 15 | 15 | $100,425 | $9,032 | 9.0% |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | Facility | 2022 | 26 | 36 | $101,664 | $7,360 | 7.2% |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | Facility | 2022 | 15 | 37 | $61,938 | $6,170 | 10.0% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2022 | 33 | 36 | $15,156 | $4,817 | 31.8% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 25 | 68 | $16,524 | $3,804 | 23.0% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 19 | 20 | $13,300 | $3,106 | 23.4% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 25 | 26 | $11,778 | $2,754 | 23.4% |
| 63052 | Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back | Facility | 2022 | 11 | 11 | $25,245 | $2,246 | 8.9% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 12 | 12 | $5,676 | $1,589 | 28.0% |
About Dr. Joseph Koen, M.D
Dr. Joseph Koen, M.D is a Neurological Surgery healthcare provider based in Chesapeake, Virginia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/18/2005. The National Provider Identifier (NPI) number assigned to this provider is 1578562062.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Joseph Koen, M.D has received a total of $56,663 in payments from pharmaceutical and medical device companies, with $633.90 received in 2024. These payments were reported across 167 transactions from 20 companies. The most common payment nature is "Consulting Fee" ($31,900).
As a Medicare-enrolled provider, Koen has provided services to 2,164 Medicare beneficiaries, totaling 3,153 services with total Medicare billing of $466,492. Data is available for 4 years (2020–2023), covering 45 distinct procedure/service records.
Practice Information
- Specialty Neurological Surgery
- Location Chesapeake, VA
- Active Since 07/18/2005
- Last Updated 02/04/2022
- Taxonomy Code 207T00000X
- Entity Type Individual
- NPI Number 1578562062
Products in Payments
- Spinal Implants (Device) $17,588
- Brightmatter Guide V (Device) $12,197
- Brightmatter Guide/Modus V (Device) $5,762
- Pulse (Device) $2,188
- Mobi-C (Device) $1,803
- BRIGHTMATTER GUIDE/Modus V (Device) $1,459
- S7 (Device) $1,137
- ROI-C (Device) $1,034
- O-ARM-ST (Device) $850.87
- Lateral Fusion (Device) $825.18
- SALVO SPINE SYSTEM (Device) $800.00
- MAZOR X SYSTEM (Device) $631.91
- Mariner MIS (Device) $500.00
- QUARTEX (Device) $486.10
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT (Device) $434.70
- Posterior Fusion (Device) $328.54
- OptiMesh Interbody Fusion System (Device) $302.03
- Explorer TO (Device) $250.00
- MILD DEVICE KIT (Device) $228.29
- SPINE PRODUCT (Device) $193.18
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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