Medicare Enrolled
Dr. Simi Koshy, MD
Family Medicine · Conroe, TX
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. Koshy 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. Koshy
Dr. Simi Koshy is a family medicine specialist in Conroe, TX, with 14 years of NPI registration. Based on federal Medicare data, Dr. Koshy performed 3,509 Medicare services across 2,353 unique beneficiaries.
Between the years covered by Open Payments, Dr. Koshy received a total of $9,095 from 61 pharmaceutical and/or device companies across 646 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Koshy is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 14 years in practice
▲ Top 6% volume in TX
$9,095 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,509
Medicare services
Top 6% in TX for family medicine
2,353
Unique beneficiaries
$29
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~251 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. |
408 | $75 | $254 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
283 | $8 | $20 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
267 | $8 | $27 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
246 | $10 | $36 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
238 | $13 | $46 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
234 | $16 | $58 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
232 | $10 | $33 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
223 | $29 | $93 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
190 | $0 | $6 |
| 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. |
155 | $117 | $340 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
112 | $1 | $4 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
105 | $17 | $58 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
102 | $9 | $31 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
98 | $22 | $61 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
73 | $3 | $10 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
60 | $51 | $215 |
| 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. |
59 | $9 | $60 |
| Annual alcohol misuse screening, 5 to 15 minutes | 59 | $16 | $43 |
| Annual depression screening | 57 | $16 | $43 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
55 | $112 | $266 |
| Health risk assessment administration and interpretation This procedure involves administering a health risk assessment to a patient and interpreting the results. |
53 | $2 | $35 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
37 | $19 | $63 |
| 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. |
35 | $52 | $392 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
23 | $39 | $174 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
21 | $25 | $89 |
| PSA test (prostate cancer screening) | 20 | $18 | $63 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
20 | $192 | $549 |
| Respiratory virus test for SARS-CoV-2, influenza A/B, and RSV A laboratory test that detects the presence of SARS-CoV-2 (COVID-19), influenza A, influenza B, and respiratory syncytial virus (RSV) in an upper respiratory specimen. |
15 | $140 | $200 |
| New patient office visit, complex (60-74 min) | 15 | $126 | $486 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
14 | $142 | $388 |
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 ↗$9,095
Total received (2018-2024)
Avg $1,299/year across 7 years
Top 6% in TX for family medicine
61
Companies
646
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
$9,062 (99.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$33 (0.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$931
2023
$774
2022
$1,305
2021
$1,266
2020
$788
2019
$1,870
2018
$2,162
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$952
Novo Nordisk Inc
$893
AstraZeneca Pharmaceuticals LP
$882
Takeda Pharmaceuticals U.S.A., Inc.
$711
ABBVIE INC.
$701
Boehringer Ingelheim Pharmaceuticals, Inc.
$514
GlaxoSmithKline, LLC.
$413
SANOFI-AVENTIS U.S. LLC
$391
Janssen Pharmaceuticals, Inc
$377
Amgen Inc.
$293
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$272
AbbVie Inc.
$216
Abbott Laboratories
$195
PFIZER INC.
$191
Astellas Pharma US Inc
$161
Allergan, Inc.
$143
Dexcom, Inc.
$124
Merck Sharp & Dohme Corporation
$108
Medtronic Vascular, Inc.
$105
Allergan Inc.
$92
Genentech USA, Inc.
$69
AbbVie, Inc.
$67
Ironwood Pharmaceuticals, Inc
$65
Eisai Inc.
$55
Ferring Pharmaceuticals Inc.
$53
Biohaven Pharmaceuticals, Inc.
$52
JAZZ PHARMACEUTICALS INC.
$49
Esperion Therapeutics, Inc.
$48
Exact Sciences Corporation
$48
Medtronic, Inc.
$48
Biohaven Pharmaceutical Holding Company Ltd.
$46
Antares Pharma, Inc.
$44
Upsher-Smith Laboratories LLC
$42
VIVUS LLC
$40
Amarin Pharma Inc.
$39
Duchesnay USA Incorporated
$38
Supernus Pharmaceuticals, Inc.
$37
ARBOR PHARMACEUTICALS, INC.
$37
Teva Pharmaceuticals USA, Inc.
$37
AMAG Pharmaceuticals, Inc.
$33
Otsuka America Pharmaceutical, Inc.
$29
SANOFI PASTEUR INC.
$29
Mylan Specialty L.P.
$24
Nalpropion Pharmaceuticals LLC
$24
IDORSIA PHARMACEUTICALS US INC
$23
Sanofi Pasteur Inc.
$23
Novartis Pharmaceuticals Corporation
$23
Bayer HealthCare Pharmaceuticals Inc.
$22
Lupin Inc.
$22
Hologic, LLC
$21
Corcept Therapeutics
$21
IMPEL PHARMACEUTICALS INC.
$20
Kowa Pharmaceuticals America, Inc.
$18
KVK-Tech, Inc.
$16
Merck Sharp & Dohme LLC
$16
Nevro Corp.
$15
Corium, LLC
$14
Romark Laboratories, LC
$14
Radius Health, Inc.
$13
Shire North American Group Inc
$13
Promius Pharma LLC
$11
Top 3 companies account for 30.0% of total payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · AZSTARYS · Aimovig · Alinia Tablets 500mg 30 count bottle · Amitiza · BELSOMRA · BREZTRI · BREZTRI AEROSPHERE · Belviq · CHANTIX · CONTRAVE · COREVALVE EVOLUT R · ClosureFast · Cologuard Collection Kit · Dayvigo · Dexcom G6 Transmitter · Diclegis · EMGALITY · ENTRESTO · EUFLEXXA · EVENITY · Edarbi · FARXIGA · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · INTRAROSA · INVOKANA · JANUVIA · JARDIANCE · Kerendia · Korlym · LINZESS · Linzess · Livalo · MENACTRA · MOUNJARO · MYDAYIS · MYRBETRIQ · Motegrity · NEXLETOL · NOCDURNA · NURTEC ODT · Omnia · Osphena · Otezla · Ozempic · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PROCLAIM · Proclaim Family of SCS IPGs · Prolia · QSYMIA · QULIPTA · QUVIVIQ · REXULTI · REYVOW · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SOLOSEC · SPRAVATO · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · SYNTHROID · Saxenda · Synthroid · TLANDO · TOSYMRA SUMATRIPTAN NASAL SPRAY · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TROKENDI XR · TRULICITY · ThinPrep · Tresiba · Trintellix · Trudhesa · Tymlos · UBRELVY · VANTA ADAPTIVESTIM · VENASEAL · VIBERZI · VIIBRYD · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · XARELTO · XIFAXAN · XYOSTED · Xofluza · YUPELRI · ZEPBOUND · Zembrace
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for family medicine in TX.
Equivalent to $259 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
445
Per 100K population
68.0
County median income
$97,266
Nearest hospital
HCA HOUSTON HEALTHCARE CONROE
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Koshy is a clinical cardiology specialist, with above-average Medicare volume (top 6% in TX), with low-engagement industry engagement in the top 6% of TX peers.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Koshy experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Koshy performed 408 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. Koshy receive payments from pharmaceutical companies?
Yes. Dr. Koshy received a total of $9,095 from 61 companies across 646 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. Koshy's costs compare to other family medicine physicians in Conroe?
Dr. Koshy's average Medicare payment per service is $29. 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. Koshy) 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. The Transparency Score measures 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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