Medicare Enrolled
Dr. Andrew Koogler, M.D.
Pain Medicine · Lakewood, WA
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. Koogler 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. Koogler
Dr. Andrew Koogler is a pain medicine specialist in Lakewood, WA, with 12 years of NPI registration. Based on federal Medicare data, Dr. Koogler performed 7,581 Medicare services across 2,791 unique beneficiaries.
Between the years covered by Open Payments, Dr. Koogler received a total of $10,058 from 32 pharmaceutical and/or device companies across 253 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain 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. Koogler 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.
✓ 12 years in practice
▲ Top 9% volume in WA
$10,058 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,581
Medicare services
Top 9% in WA for pain medicine
2,791
Unique beneficiaries
$65
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~632 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 |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
3,155 | $0 | $3 |
| 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. |
1,857 | $111 | $309 |
| Contrast dye for imaging, lower concentration | 434 | $0 | $2 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
433 | $60 | $375 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
251 | $194 | $621 |
| 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. |
213 | $73 | $233 |
| Midazolam injection, per 1 mg Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments. |
121 | $0 | $2 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
101 | $240 | $575 |
| Spinal drug pump reprogramming and refill A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir. |
87 | $76 | $782 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
74 | $210 | $3,166 |
| New patient office visit, complex (60-74 min) | 74 | $177 | $609 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
73 | $111 | $1,727 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
64 | $56 | $459 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
60 | $145 | $555 |
| 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. |
59 | $162 | $453 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
48 | $48 | $309 |
| Assessment of emotional or behavioral problems An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns. |
46 | $4 | $22 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
42 | $93 | $614 |
| Additional sedation, per 15 minutes Administration of a drug to deepen sedation during a procedure. This code covers each additional 15-minute increment of sedation beyond the initial period. |
40 | $9 | $42 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
34 | $103 | $560 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
33 | $230 | $2,810 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
32 | $171 | $2,004 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
29 | $61 | $387 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
28 | $1,457 | $7,357 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
28 | $229 | $1,266 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
26 | $38 | $200 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
23 | $512 | $6,158 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
20 | $279 | $3,037 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
18 | $156 | $1,444 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
18 | $79 | $834 |
| Injection, methylprednisolone acetate, 40 mg | 18 | $6 | $50 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
15 | $340 | $2,678 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
15 | $198 | $1,155 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
12 | $164 | $1,867 |
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 ↗$10,058
Total received (2018-2024)
Avg $1,437/year across 7 years
Top 26% in WA for pain medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
32
Companies
253
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
$10,058 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,041
2023
$2,791
2022
$1,298
2021
$1,458
2020
$824
2019
$2,496
2018
$150
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$237
Nevro Corp.
$209
SPR Therapeutics, Inc
$198
Vertos Medical, Inc.
$95
SI-BONE, INC.
$55
Saluda Medical Americas, Inc.
$42
Medtronic, Inc.
$41
PAINTEQ LLC
$36
Nalu Medical, Inc.
$34
Virtus Pharmaceuticals LLC
$33
PFIZER INC.
$25
Axonics, Inc.
$19
Fidia Pharma USA Inc.
$17
Top 3 companies account for 61.9% of 2024 payments
All-time payments by company (2018-2024) ›
Nevro Corp.
$4,226
Relievant Medsystems, Inc.
$1,386
Boston Scientific Corporation
$1,068
Flowonix Medical Incorporated
$589
Medtronic, Inc.
$487
Collegium Pharmaceutical, Inc.
$356
BOSTON SCIENTIFIC CORPORATION
$294
SPR Therapeutics, Inc
$253
Foundation Fusion Solutions, LLC
$205
Biohaven Pharmaceuticals, Inc.
$148
Abbott Laboratories
$122
Vertos Medical, Inc.
$95
Stimwave Technologies Incorporated
$94
AbbVie Inc.
$79
ABBVIE INC.
$76
Nalu Medical, Inc.
$66
SI-BONE, INC.
$55
Axonics, Inc.
$46
BioDelivery Sciences International, Inc.
$45
Saluda Medical Americas, Inc.
$42
PFIZER INC.
$41
Bioventus LLC
$40
Allergan, Inc.
$38
PAINTEQ LLC
$36
Virtus Pharmaceuticals LLC
$33
Orexo US, Inc.
$30
Biohaven Pharmaceutical Holding Company Ltd.
$26
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$18
Amgen Inc.
$18
Fidia Pharma USA Inc.
$17
Lilly USA, LLC
$16
Baudax Bio Inc.
$14
Top 3 companies account for 66.4% of all-time payments
Associated products mentioned in payments ›
ANJESO · ASCENDA · Aimovig · Axonics · BELBUCA · BUNAVAIL 2.1 mg 30-count box · CLINICAL TRIAL PRODUCT · Durolane · EMGALITY · Evoke · GENERAL - PAIN MANAGEMENT · General - Pain Management · HYMOVIS · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · LEVORPHANOL TARTRATE · NURTEC ODT · Nalu Neurostimulation System · Omnia · PAINTEQ · PROCLAIM · Proclaim IPG · Prometra II · QULIPTA · RELISTOR · SPECTRA WAVEWRITER · SPRINT PNS System · Senza · Senza Spinal Cord Stimulation System · Superion · UBRELVY · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XTAMPZA · ZAVZPRET · Zubsolv · mild Device Kit
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.
Geographic Context
Pain medicines within 10 mi
10
Per 100K population
1.1
County median income
$96,632
Nearest hospital
ST CLARE HOSPITAL
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. Koogler is a clinical cardiology specialist, with above-average Medicare volume (top 9% in WA), with low-engagement industry engagement.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Koogler experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Koogler performed 3,155 dexamethasone injection (steroid) 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. Koogler receive payments from pharmaceutical companies?
Yes. Dr. Koogler received a total of $10,058 from 32 companies across 253 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. Koogler's costs compare to other pain medicines in Lakewood?
Dr. Koogler's average Medicare payment per service is $65. 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. Koogler) 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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