Medicare Enrolled

Dr. Ghassan Koussa, M.D.

Critical Care Medicine · Oneida, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
600 SENECA ST, Oneida, NY 13421
3153617472
In practice since 2008 (18 years)
NPI: 1730341421 verify on NPPES ↗
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. Koussa 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 →
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What this data tells you about Dr. Koussa

Dr. Ghassan Koussa is a critical care medicine specialist in Oneida, NY, with 18 years of NPI registration. Based on federal Medicare data, Dr. Koussa performed 939 Medicare services across 696 unique beneficiaries.

Between the years covered by Open Payments, Dr. Koussa received a total of $7,180 from 31 pharmaceutical and/or device companies across 359 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in critical care medicine. 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. Koussa 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.

✓ 18 years in practice ▲ Top 22% volume in NY $7,180 industry payments

Medicare Practice Summary

Medicare Utilization ↗
939
Medicare services
Top 22% in NY for critical care medicine
696
Unique beneficiaries
$84
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~52 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
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
261 $90 $230
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.
122 $86 $234
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.
110 $67 $166
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.
79 $157 $531
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.
70 $70 $198
Hospital discharge management, 30+ min
This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge.
58 $87 $221
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
53 $131 $333
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.
47 $110 $296
Breathing device use evaluation
An assessment of how a patient uses a breathing device. The provider reviews the patient's technique and device handling.
26 $11 $32
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.
22 $7 $55
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
21 $61 $868
Lung volume test using sensors
A test that measures the amount of air in the lungs using sensors.
20 $9 $77
Pulmonary gas exchange test
A test to examine how well the lungs exchange gases.
20 $6 $81
Smoking cessation counseling, 4-10 minutes
A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation.
16 $14 $25
Hospital discharge day management, 30 minutes or less
This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less.
14 $62 $158
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 ↗
$7,180
Total received (2018-2024)
Avg $1,026/year across 7 years
Top 14% in NY for critical care medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
359
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
$7,082 (98.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$98 (1.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,089
2023
$772
2022
$1,736
2021
$994
2020
$388
2019
$609
2018
$592

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$641
AstraZeneca Pharmaceuticals LP
$593
Regeneron Healthcare Solutions, Inc.
$199
Philips North America LLC
$141
Boehringer Ingelheim Pharmaceuticals, Inc.
$115
Grifols USA, LLC
$102
SANOFI-AVENTIS U.S. LLC
$68
GENZYME CORPORATION
$66
Fisher & Paykel Healthcare Inc
$38
Mylan Specialty L.P.
$33
Insmed, Inc.
$30
ABBVIE INC.
$24
Pharming Healthcare, Inc.
$21
Actelion Pharmaceuticals US, Inc.
$17
Top 3 companies account for 68.6% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$2,198
GlaxoSmithKline, LLC.
$1,617
Boehringer Ingelheim Pharmaceuticals, Inc.
$701
Regeneron Healthcare Solutions, Inc.
$446
Grifols USA, LLC
$295
Actelion Pharmaceuticals US, Inc.
$188
GENZYME CORPORATION
$187
Amgen Inc.
$180
Mylan Specialty L.P.
$169
Philips North America LLC
$141
Teva Pharmaceuticals USA, Inc.
$133
Insmed, Inc.
$129
Novartis Pharmaceuticals Corporation
$126
Abbott Laboratories
$102
SANOFI-AVENTIS U.S. LLC
$68
Circassia Pharmaceuticals Inc
$66
Sunovion Pharmaceuticals Inc.
$65
Philips Electronics North America Corporation
$62
PFIZER INC.
$53
Fisher & Paykel Healthcare Inc
$38
Genentech USA, Inc.
$27
ABBVIE INC.
$24
Olympus America Inc.
$23
Electromed, Inc.
$23
Pharming Healthcare, Inc.
$21
CSL Behring
$20
Takeda Pharmaceuticals U.S.A., Inc.
$18
Mallinckrodt Enterprises LLC
$18
Otsuka America Pharmaceutical, Inc.
$17
Merck Sharp & Dohme Corporation
$14
La Jolla Pharmaceutical Company
$11
Top 3 companies account for 62.9% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · (AK6) Vest Therapy · 120V · 60Hz · ACTHAR · AIRSUPRA · ANORO · ANORO ELLIPTA · AREXVY · AVYCAZ · AirDuo Digihaler · Arikayce · BEVESPI AEROSPHERE · BREO · BREZTRI · BREZTRI AEROSPHERE · BROVANA · CINQAIR · CentriMag · DUAKLIR PRESSAIR · DUPIXENT · Dymista · ELIQUIS · Esbriet · FARXIGA · FASENRA · FISHER & PAYKEL HEALTHCARE · GIAPREZA · GLASSIA · Kcentra · LONHALA MAGNAIR · NUCALA · OFEV · OPSUMIT · ProAir Digihaler · Prolastin-C Liquid · RUCONEST · SAMSCA · SMARTVEST · SPiN Thoracic Navigation System · STIOLTO RESPIMAT · SYMBICORT · TEZSPIRE · TRELEGY ELLIPTA · TUDORZA PRESSAIR · UPTRAVI · Utibron · XOLAIR · Xolair · YUPELRI · Yupelri
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a critical care medicine specialist in Oneida?
Compare critical care medicines in the Oneida area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Critical care medicines within 10 mi
25
Per 100K population
37.0
County median income
$73,141
Nearest hospital
ONEIDA HEALTH HOSPITAL
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. Koussa is a clinical cardiology specialist, with above-average Medicare volume (top 22% in NY), with low-engagement industry engagement in the top 14% of NY peers, with 18 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. Koussa experienced with hospital follow-up visit, high complexity?
Based on Medicare claims data, Dr. Koussa performed 261 hospital follow-up visit, high complexity 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. Koussa receive payments from pharmaceutical companies?
Yes. Dr. Koussa received a total of $7,180 from 31 companies across 359 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. Koussa's costs compare to other critical care medicines in Oneida?
Dr. Koussa's average Medicare payment per service is $84. 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. Koussa) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →