Covered recipient · General Payments record

JOHN M KOOSTRA

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI: 1922058437
CMS profile: 42144
Location: MONTEREY, CA

General Payments · PY2018–2024

$28,228.63

Reported across 1,337 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,850.72

102 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated

The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,584.88	99
Education	$265.84	3

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Mylan Specialty L.P.	$510.21	13
GENZYME CORPORATION	$494.28	15
GlaxoSmithKline, LLC.	$407.78	22
Acerta Pharma LLC	$377.15	16
Actelion Pharmaceuticals US, Inc.	$203.76	5
Philips Electronics North America Corporation	$130.28	5
Takeda Pharmaceuticals U.S.A., Inc.	$121.78	4
Regeneron Healthcare Solutions, Inc.	$113.05	2
Boehringer Ingelheim Pharmaceuticals, Inc.	$95.16	4
Amgen Inc.	$88.82	3
SANOFI-AVENTIS U.S. LLC	$84.99	1
Janssen Pharmaceuticals, Inc	$72.91	4
Insmed, Inc.	$47.57	2
Merck Sharp & Dohme Corporation	$33.97	2
BAXTER HEALTHCARE	$30.07	2
HARMONY BIOSCIENCES LLC	$24.61	1
Bayer HealthCare Pharmaceuticals Inc.	$14.33	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$3,673.38	216
PY2019	$3,907.77	240
PY2020	$2,924.10	150
PY2021	$4,250.59	195
PY2022	$4,787.20	200
PY2023	$5,834.87	234
PY2024	$2,850.72	102

Payment records · PY2024 (102)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2018 2019 2020 2021 2022 2023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Actelion Pharmaceuticals US, Inc.	$29.34	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1078870564	CMS
Actelion Pharmaceuticals US, Inc.	$99.99	05/22/2024	Education	Undisputed	01/23/2026	1078870570	CMS
Actelion Pharmaceuticals US, Inc.	$22.89	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1078870566	CMS
Actelion Pharmaceuticals US, Inc.	$30.74	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1078870560	CMS
Actelion Pharmaceuticals US, Inc.	$20.80	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1078870568	CMS
Amgen Inc.	$28.20	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1111623078	CMS
Amgen Inc.	$32.27	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1111623080	CMS
Amgen Inc.	$28.35	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1111623082	CMS
AstraZeneca Pharmaceuticals LP	$24.51	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1104457694	CMS
AstraZeneca Pharmaceuticals LP	$58.03	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1104685377	CMS
AstraZeneca Pharmaceuticals LP	$22.46	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1105451674	CMS
AstraZeneca Pharmaceuticals LP	$19.23	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1105490227	CMS
AstraZeneca Pharmaceuticals LP	$16.60	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1105562392	CMS
AstraZeneca Pharmaceuticals LP	$18.59	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1104315164	CMS
AstraZeneca Pharmaceuticals LP	$13.75	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1104477380	CMS
AstraZeneca Pharmaceuticals LP	$18.82	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1105842953	CMS
AstraZeneca Pharmaceuticals LP	$23.61	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1104572902	CMS
AstraZeneca Pharmaceuticals LP	$26.42	06/08/2024	Food and Beverage	Undisputed	01/23/2026	1104641937	CMS
AstraZeneca Pharmaceuticals LP	$32.01	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1104312850	CMS
AstraZeneca Pharmaceuticals LP	$22.01	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1104356477	CMS
AstraZeneca Pharmaceuticals LP	$32.79	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1105304687	CMS
AstraZeneca Pharmaceuticals LP	$22.72	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1104462410	CMS
AstraZeneca Pharmaceuticals LP	$9.67	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1105733101	CMS
AstraZeneca Pharmaceuticals LP	$15.93	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1105682949	CMS
Baxter Healthcare	$14.34	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1118295346	CMS
Baxter Healthcare	$15.73	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1118295344	CMS
Bayer Healthcare Pharmaceuticals Inc.	$14.33	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1086133448	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$26.82	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1118235378	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$27.75	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1118235380	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.98	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1118235376	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.61	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1118235374	CMS
GENZYME CORPORATION	$12.51	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1139605869	CMS
GENZYME CORPORATION	$121.16	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1139605939	CMS
GENZYME CORPORATION	$20.35	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1139605885	CMS
GENZYME CORPORATION	$18.00	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1139605899	CMS
GENZYME CORPORATION	$15.74	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1139605905	CMS
GENZYME CORPORATION	$11.10	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1139605913	CMS
GENZYME CORPORATION	$21.80	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1139605917	CMS
GENZYME CORPORATION	$23.29	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1139605931	CMS
GENZYME CORPORATION	$25.22	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1139605959	CMS
GENZYME CORPORATION	$30.30	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1139605961	CMS
GENZYME CORPORATION	$27.05	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1139605963	CMS
GENZYME CORPORATION	$11.26	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1139605969	CMS
GENZYME CORPORATION	$15.36	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1139605985	CMS
GENZYME CORPORATION	$125.00	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1139606015	CMS
GENZYME CORPORATION	$16.14	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1139606001	CMS
GlaxoSmithKline, LLC.	$24.19	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1116429272	CMS
GlaxoSmithKline, LLC.	$26.02	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1116186695	CMS
GlaxoSmithKline, LLC.	$22.31	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1116400568	CMS
GlaxoSmithKline, LLC.	$16.27	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1115824155	CMS
GlaxoSmithKline, LLC.	$19.11	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1116613582	CMS
GlaxoSmithKline, LLC.	$9.00	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1116729962	CMS
GlaxoSmithKline, LLC.	$12.91	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1116346710	CMS
GlaxoSmithKline, LLC.	$10.96	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1115871316	CMS
GlaxoSmithKline, LLC.	$8.90	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1116684177	CMS
GlaxoSmithKline, LLC.	$18.89	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1116357928	CMS
GlaxoSmithKline, LLC.	$14.78	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1115974973	CMS
GlaxoSmithKline, LLC.	$27.75	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1116429392	CMS
GlaxoSmithKline, LLC.	$27.67	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1115992745	CMS
GlaxoSmithKline, LLC.	$28.28	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1116466968	CMS
GlaxoSmithKline, LLC.	$17.06	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1116105530	CMS
GlaxoSmithKline, LLC.	$26.69	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1116722879	CMS
GlaxoSmithKline, LLC.	$21.73	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1116563610	CMS
GlaxoSmithKline, LLC.	$22.67	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1116424865	CMS
GlaxoSmithKline, LLC.	$19.49	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1116712949	CMS
GlaxoSmithKline, LLC.	$16.49	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1115888555	CMS
GlaxoSmithKline, LLC.	$9.06	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1116364389	CMS
GlaxoSmithKline, LLC.	$7.55	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1116549791	CMS
HARMONY BIOSCIENCES LLC	$24.61	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1126057751	CMS
Insmed, Inc.	$28.80	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1089561852	CMS
Insmed, Inc.	$18.77	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1089581836	CMS
Janssen Pharmaceuticals, Inc	$10.47	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1077931885	CMS
Janssen Pharmaceuticals, Inc	$19.60	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1077931833	CMS
Janssen Pharmaceuticals, Inc	$19.41	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1077931847	CMS
Janssen Pharmaceuticals, Inc	$23.43	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1077931893	CMS
Merck Sharp & Dohme LLC	$20.52	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1141882542	CMS
Merck Sharp & Dohme LLC	$13.45	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1141734245	CMS
Mylan Specialty L.P.	$33.22	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1147307759	CMS
Mylan Specialty L.P.	$35.00	02/03/2024	Food and Beverage	Undisputed	01/23/2026	1147308504	CMS
Mylan Specialty L.P.	$34.91	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1147336547	CMS
Mylan Specialty L.P.	$30.87	04/07/2024	Food and Beverage	Undisputed	01/23/2026	1147350177	CMS
Mylan Specialty L.P.	$27.80	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1147374044	CMS
Mylan Specialty L.P.	$31.15	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1147373313	CMS
Mylan Specialty L.P.	$31.21	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1147290270	CMS
Mylan Specialty L.P.	$124.20	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1147288682	CMS
Mylan Specialty L.P.	$28.62	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1147294615	CMS
Mylan Specialty L.P.	$31.74	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1147300796	CMS
Mylan Specialty L.P.	$34.19	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1147323471	CMS
Mylan Specialty L.P.	$34.21	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1147305487	CMS
Mylan Specialty L.P.	$33.09	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1147360154	CMS
Philips North America LLC	$21.14	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1146914564	CMS
Philips North America LLC	$23.36	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1146914566	CMS
Philips North America LLC	$26.99	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1146914568	CMS
Philips North America LLC	$33.52	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1146914570	CMS
Philips North America LLC	$25.27	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1146914572	CMS
Regeneron Healthcare Solutions, Inc.	$80.86	10/18/2024	Education	Undisputed	01/23/2026	1114091165	CMS
Regeneron Healthcare Solutions, Inc.	$32.19	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1114091167	CMS
SANOFI-AVENTIS U.S. LLC	$84.99	06/24/2024	Education	Undisputed	01/23/2026	1139605911	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$33.31	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1137606265	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$27.26	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1137606268	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$35.22	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1137606272	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$25.99	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1137606276	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-01-23
Program years on this page: 2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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