Medicare Enrolled
Dr. John Koostra, M.D.
Sleep Medicine (Internal Medicine) Physician · Monterey, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Koostra from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Koostra?
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What this data tells you about Dr. Koostra
Dr. John Koostra is a sleep medicine physician in Monterey, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Koostra performed 4,123 Medicare services across 1,997 unique beneficiaries.
Between the years covered by Open Payments, Dr. Koostra received a total of $28,229 from 52 pharmaceutical and/or device companies across 1337 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sleep medicine (internal medicine) physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Koostra is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 5% volume in CA
$28,229 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,123
Medicare services
Top 5% in CA for sleep medicine (internal medicine) physician
1,997
Unique beneficiaries
$61
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~217 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,733 | $100 | $158 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
1,411 | $22 | $115 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
177 | $9 | $25 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
162 | $12 | $32 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
111 | $18 | $40 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
74 | $122 | $212 |
| Inhalation treatment for airway obstruction or sputum production A treatment involving the inhalation of medication to help clear airway obstructions or reduce sputum production. |
69 | $8 | $35 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
69 | $90 | $154 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
67 | $33 | $165 |
| Pulmonary gas exchange test A test to examine how well the lungs exchange gases. |
66 | $48 | $170 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
63 | $173 | $415 |
| Lung volume test using gas dilution or washout A test that measures the amount of air in your lungs by using a gas dilution or washout method. |
47 | $36 | $165 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
36 | $127 | $217 |
| High altitude lung function and oxygen needs test A test to measure lung function at high altitude and evaluate oxygen requirements during rest and exercise. |
26 | $15 | $88 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
12 | $71 | $107 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$28,229
Total received (2018-2024)
Avg $4,033/year across 7 years
Top 5% in CA for sleep medicine (internal medicine) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
52
Companies
1,337
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$27,773 (98.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$456 (1.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,851
2023
$5,835
2022
$4,787
2021
$4,251
2020
$2,924
2019
$3,908
2018
$3,673
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Mylan Specialty L.P.
$510
GENZYME CORPORATION
$494
GlaxoSmithKline, LLC.
$408
AstraZeneca Pharmaceuticals LP
$377
Actelion Pharmaceuticals US, Inc.
$204
Philips North America LLC
$130
Takeda Pharmaceuticals U.S.A., Inc.
$122
Regeneron Healthcare Solutions, Inc.
$113
Boehringer Ingelheim Pharmaceuticals, Inc.
$95
Amgen Inc.
$89
SANOFI-AVENTIS U.S. LLC
$85
Janssen Pharmaceuticals, Inc
$73
Insmed, Inc.
$48
Merck Sharp & Dohme LLC
$34
Baxter Healthcare
$30
HARMONY BIOSCIENCES LLC
$25
Bayer Healthcare Pharmaceuticals Inc.
$14
Top 3 companies account for 49.5% of 2024 payments
All-time payments by company (2018-2024) ›
GlaxoSmithKline, LLC.
$4,649
AstraZeneca Pharmaceuticals LP
$3,586
Actelion Pharmaceuticals US, Inc.
$2,566
Grifols USA, LLC
$2,241
Mylan Specialty L.P.
$2,043
Boehringer Ingelheim Pharmaceuticals, Inc.
$2,007
GENZYME CORPORATION
$1,137
Electromed, Inc.
$899
Philips Electronics North America Corporation
$787
Insmed, Inc.
$770
Gilead Sciences, Inc.
$663
Amgen Inc.
$605
Harmony Biosciences LLC
$601
Genentech USA, Inc.
$455
Advanced Respiratory, Inc
$428
Janssen Pharmaceuticals, Inc
$414
Inspire Medical Systems, Inc.
$372
Sunovion Pharmaceuticals Inc.
$366
Takeda Pharmaceuticals U.S.A., Inc.
$300
Novartis Pharmaceuticals Corporation
$297
Bayer HealthCare Pharmaceuticals Inc.
$294
Regeneron Healthcare Solutions, Inc.
$267
Teva Pharmaceuticals USA, Inc.
$263
Merck Sharp & Dohme LLC
$254
Mallinckrodt Hospital Products Inc.
$232
SANOFI-AVENTIS U.S. LLC
$199
Baxter Healthcare
$164
Ambu Inc.
$160
Medtronic Vascular, Inc.
$149
Axsome Therapeutics, Inc.
$131
Philips North America LLC
$130
Shire North American Group Inc
$101
Nabriva Therapeutics, plc
$93
ADVANCED RESPIRATORY, INC
$79
Covis Pharma GmBH
$56
Allergan Inc.
$51
ViiV Healthcare Company
$50
Allergan, Inc.
$48
Merck Sharp & Dohme Corporation
$48
JAZZ PHARMACEUTICALS INC.
$39
ABBVIE INC.
$35
PORTOLA PHARMACEUTICALS, INC.
$29
HARMONY BIOSCIENCES LLC
$25
Resmed Corp
$21
Circassia Pharmaceuticals Inc
$19
Mallinckrodt LLC
$19
CMP Pharma, Inc.
$18
Ceribell, Inc.
$17
AbbVie Inc.
$15
Bayer Healthcare Pharmaceuticals Inc.
$14
PORTOLA PHARMACEUTICALS, LLC
$12
La Jolla Pharmaceutical Company
$11
Top 3 companies account for 38.3% of all-time payments
Associated products mentioned in payments ›
(5044) MCOT · (8874) inCourage · (9369) Reusable Vest · ACTHAR · AIRSUPRA · ANDEXXA · ANORO · ANORO ELLIPTA · APRETUDE · AREXVY · ASMANEX · AVYCAZ · Adempas · AirDuo Digihaler · AirFit · Arikayce · BEVESPI AEROSPHERE · BOSENTAN TABLETS · BREO · BREZTRI · BREZTRI AEROSPHERE · BROVANA · CINQAIR · CUVITRU · Carospir · DALVANCE · DIFICID · DUPIXENT · Dymista · Esbriet · FARXIGA · FASENRA · GAMMAGARD · GIAPREZA · GLASSIA · Hillrom - Life 2000 Ventilation System · Hillrom - Vest System Model 105 Home Care · INSPIRE · Inspire Upper Airway Stimulation System · LONHALA MAGNAIR · Letairis · Life 2000 Ventilation System · Micra · NO PRODUCT DISCUSSED · NUCALA · OFEV · OPSUMIT · OPSUMIT MACITENTAN · Perforomist · ProAir Digihaler · Prolastin-C · Prolastin-C Liquid · Respiratoriy Care Undiv · Reusable Vest · SMARTVEST · SPIRIVA · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Sunosi · TEFLARO · TEZSPIRE · TRELEGY ELLIPTA · TUDORZA PRESSAIR · The Vest System Model 105 Home Care · Trilogy 100 · UPTRAVI · UTIBRON · Utibron · WAKIX · WINREVAIR · Wakix · XARELTO · XOLAIR · Xembify · Xenleta · Xolair · YUPELRI · Yupelri · ZERBAXA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for sleep medicine (internal medicine) physician in CA.
Geographic Context
Sleep medicine physicians within 10 mi
4
Per 100K population
0.9
County median income
$94,486
Nearest hospital
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Koostra is a clinical cardiology specialist, with above-average Medicare volume (top 5% in CA), with low-engagement industry engagement in the top 5% of CA peers, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Koostra experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Koostra performed 1,733 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Koostra receive payments from pharmaceutical companies?
Yes. Dr. Koostra received a total of $28,229 from 52 companies across 1,337 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Koostra's costs compare to other sleep medicine physicians in Monterey?
Dr. Koostra's average Medicare payment per service is $61. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Koostra) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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