Total Payments
$29,720
2024 Payments
$513.97
Companies
20
Transactions
215
Medicare Patients
5,434
Medicare Billing
$474,637

Payment Breakdown by Category

Travel$12,267 (41.3%)
Food & Beverage$11,375 (38.3%)
Other$5,000 (16.8%)
Education$1,078 (3.6%)

Payments by Nature

Nature of Payment Amount Transactions Share
Travel and Lodging $12,267 31 41.3%
Food and Beverage $11,375 176 38.3%
Grant $5,000 1 16.8%
Education $1,078 7 3.6%

Top Paying Companies

Company Total Records Latest Year
Boston Scientific Corporation $10,506 37 $0 (2024)
Medtronic Vascular, Inc. $5,815 35 $0 (2019)
Abbott Laboratories $5,212 67 $0 (2024)
BIOTRONIK INC. $4,767 25 $0 (2019)
Medtronic, Inc. $1,084 9 $0 (2024)
Medical Device Business Services, Inc. $836.29 7 $0 (2018)
ATRICURE, INC. $396.83 6 $0 (2023)
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $243.78 7 $0 (2023)
Biosense Webster, Inc. $170.98 3 $0 (2024)
E.R. Squibb & Sons, L.L.C. $131.00 3 $0 (2024)

Payment History by Year

Year Amount Transactions Top Company
2024 $513.97 16 Boston Scientific Corporation ($225.72)
2023 $2,578 32 Boston Scientific Corporation ($1,740)
2022 $505.55 10 Abbott Laboratories ($248.98)
2021 $1,462 17 Medtronic, Inc. ($1,028)
2020 $29.35 1 Biosense Webster, Inc. ($29.35)
2019 $8,758 66 Medtronic Vascular, Inc. ($4,346)
2018 $11,226 42 BOSTON SCIENTIFIC CORPORATION ($5,224)
2017 $4,646 31 BOSTON SCIENTIFIC CORPORATION ($2,830)

All Payment Transactions

215 individual payment records from CMS Open Payments — Page 1 of 9

Date Company Product Nature Form Amount Type
12/11/2024 Boston Scientific Corporation Food and Beverage In-kind items and services $26.90 General
Category: General - EP_EP
06/17/2024 Abbott Laboratories ENSITE (Device) Food and Beverage In-kind items and services $9.80 General
Category: Electrophysiology
05/09/2024 Boston Scientific Corporation Food and Beverage In-kind items and services $99.93 General
04/16/2024 Abbott Laboratories ENSITE (Device) Food and Beverage In-kind items and services $24.89 General
Category: Electrophysiology
03/27/2024 Boston Scientific Corporation WATCHMAN FLX (Device) Food and Beverage In-kind items and services $4.55 General
Category: WATCHMAN FLX_IC
03/14/2024 Boston Scientific Corporation WATCHMAN FLX (Device) Food and Beverage In-kind items and services $27.09 General
Category: WATCHMAN FLX_IC
03/12/2024 E.R. Squibb & Sons, L.L.C. CAMZYOS (Drug) Food and Beverage Cash or cash equivalent $13.56 General
Category: Cardiovascular
02/27/2024 Abbott Laboratories ENSITE (Device) Food and Beverage In-kind items and services $24.34 General
Category: Electrophysiology
02/22/2024 SANOFI-AVENTIS U.S. LLC MULTAQ (Drug) Food and Beverage In-kind items and services $14.64 General
Category: Cardiology/Vascular Diseases
02/21/2024 Biosense Webster, Inc. CARTO 3 (Device) Food and Beverage In-kind items and services $81.07 General
Category: Cardiology
01/26/2024 Medtronic, Inc. ARCTIC FRONT ADVANCE (Device) Food and Beverage In-kind items and services $15.93 General
Category: Ablation
01/10/2024 Abbott Laboratories TENDRIL (Device) Food and Beverage In-kind items and services $31.69 General
Category: Cardiac Rhythm Management
01/10/2024 Abbott Laboratories TENDRIL (Device) Food and Beverage In-kind items and services $21.50 General
Category: Cardiac Rhythm Management
01/10/2024 Boston Scientific Corporation Food and Beverage In-kind items and services $12.66 General
Category: General - Therapies_CRM
01/09/2024 Abbott Laboratories ENSITE (Device) Food and Beverage In-kind items and services $50.83 General
Category: Electrophysiology
01/05/2024 Boston Scientific Corporation Food and Beverage In-kind items and services $54.59 General
Category: General - Therapies_CRM
12/14/2023 ATRICURE, INC. EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX (Device) Food and Beverage In-kind items and services $79.95 General
Category: CARDIOVASCULAR
12/07/2023 E.R. Squibb & Sons, L.L.C. CAMZYOS (Drug) Food and Beverage Cash or cash equivalent $15.83 General
Category: Cardiovascular
12/06/2023 Abbott Laboratories ENSITE PRECISION (Device) Food and Beverage In-kind items and services $11.79 General
Category: Electrophysiology
12/02/2023 Boston Scientific Corporation Food and Beverage In-kind items and services $379.87 General
Category: General - Therapies_CRM
12/02/2023 Boston Scientific Corporation Travel and Lodging In-kind items and services $315.27 General
Category: General - Therapies_CRM
12/02/2023 Boston Scientific Corporation Rhythmia Mapping System (Device) Food and Beverage In-kind items and services $76.31 General
Category: Rhythmia_EP
12/01/2023 Boston Scientific Corporation Travel and Lodging In-kind items and services $361.41 General
Category: General - Therapies_CRM
12/01/2023 Boston Scientific Corporation Travel and Lodging In-kind items and services $315.27 General
Category: General - Therapies_CRM
12/01/2023 Boston Scientific Corporation Food and Beverage In-kind items and services $133.68 General
Category: General - EP_EP

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 26 1,382 2,044 $266,794 $120,038
2022 25 1,383 2,017 $249,298 $122,279
2021 27 1,288 1,792 $218,032 $111,696
2020 29 1,381 1,903 $255,340 $120,625
Total Patients
5,434
Total Services
7,756
Medicare Billing
$474,637
Procedure Codes
109

All Medicare Procedures & Services

109 procedure records from CMS Medicare Utilization — Page 1 of 5

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
93656 Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation Facility 2023 21 22 $37,180 $15,307 41.2%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 128 161 $30,268 $13,382 44.2%
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes Facility 2023 77 82 $23,944 $10,823 45.2%
33249 Insertion of implantable defibrillator system Facility 2023 15 15 $20,790 $10,430 50.2%
33208 Insertion of pacemaker and upper and lower heart chamber electrode Facility 2023 26 26 $20,410 $9,686 47.5%
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days Office 2023 206 457 $15,081 $6,539 43.4%
99215 Established patient office or other outpatient visit, 40-54 minutes Office 2023 48 51 $13,494 $6,355 47.1%
33225 Insertion of left lower heart electrode for pacemaker or defibrillator Facility 2023 17 17 $12,053 $5,731 47.5%
93294 Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days Office 2023 122 266 $11,970 $5,231 43.7%
93295 Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days Office 2023 85 193 $10,615 $4,830 45.5%
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes Facility 2023 42 72 $7,560 $4,388 58.0%
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes Facility 2023 37 44 $6,644 $3,943 59.3%
93655 Insertion of catheters and destruction of tissue to treat abnormal heart rhythm Facility 2023 16 16 $7,536 $3,561 47.3%
92960 External shock to heart to regulate heart beat Facility 2023 41 44 $10,032 $3,328 33.2%
93280 Programming of dual lead pacemaker system Office 2023 66 79 $6,056 $2,607 43.1%
99238 Hospital discharge day management, 30 minutes or less Facility 2023 39 40 $4,200 $2,414 57.5%
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report Office 2023 171 227 $4,767 $2,226 46.7%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 30 31 $4,123 $1,928 46.8%
93284 Programming of multiple lead implantable defibrillator system Office 2023 32 33 $3,449 $1,653 47.9%
93641 Evaluation of single or dual chamber pacing cardioverter-defibrillator and generator at time of implantation or replacement Facility 2023 12 12 $5,604 $1,422 25.4%
93623 Programming of heart rhythm stimulation after drug infusion Facility 2023 22 23 $3,427 $1,369 39.9%
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional Office 2023 54 55 $2,090 $1,051 50.3%
93283 Programming of dual lead implantable defibrillator system Office 2023 20 20 $1,941 $1,003 51.7%
93279 Programming of single lead pacemaker system Office 2023 11 13 $858.00 $421.67 49.1%
99152 Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes Facility 2023 33 34 $2,482 $323.44 13.0%

About Dr. Ryan Koene, M.D

Dr. Ryan Koene, M.D is a Student in an Organized Health Care Education/Training Program healthcare provider based in Saint Paul, Minnesota. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 06/09/2011. The National Provider Identifier (NPI) number assigned to this provider is 1639464498.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Ryan Koene, M.D has received a total of $29,720 in payments from pharmaceutical and medical device companies, with $513.97 received in 2024. These payments were reported across 215 transactions from 20 companies. The most common payment nature is "Travel and Lodging" ($12,267).

As a Medicare-enrolled provider, Koene has provided services to 5,434 Medicare beneficiaries, totaling 7,756 services with total Medicare billing of $474,637. Data is available for 4 years (2020–2023), covering 109 distinct procedure/service records.

Practice Information

Products in Payments

  • GENERAL BRADY (Device) $5,000
  • Ensite Cardiac Mapping System (Device) $2,843
  • GENERAL - BRADY (Device) $2,513
  • Micra (Device) $1,028
  • Arctic Front (Device) $828.90
  • Carto 3 System (Device) $398.21
  • Quadra Assura CRT Defibrillator (Device) $307.91
  • ENSITE PRECISION (Device) $306.75
  • EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX (Device) $283.03
  • RHYTHMIA (Device) $269.21
  • EnSite Velocity System Mapping D (Device) $246.28
  • LifeVest (Device) $243.78
  • ICDs (Device) $191.94
  • EMBLEM (Device) $177.21
  • Pacemakers (Device) $175.30
  • Ablation Therapy Hardware (Device) $170.91
  • EnSite Precision Cardiac Mapping System (Device) $169.45
  • AMPLATZER (Device) $144.31
  • RESONATE (Device) $138.05
  • Claria MRI (Device) $131.66

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.

Student in an Organized Health Care Education/Training Program Doctors in Saint Paul