Andrew Coskey, MD
Orthopaedic Trauma · Virginia Beach, VANPI 1922590702
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (43.4%), education and grants — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Smith+Nephew at 40.1% of the total. Reporting peaked in 2023 at $8,653 and has fallen 89.3% since, to $927 in 2025.
Across 239 payments — averaging $106.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$10K
- Stryker$9K
- Medical Device Business Services, Inc.$3K
- Medinc Of Texas$1K
- Arthrex$1K
- Johnson & Johnson$1K
- plus $408 from 6 others
What the payments were for
- Grants$5,00020%
- Travel & lodging$2,3649%
- Food & beverage$11,08043%
- Education$7,08028%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Smith+Nephew | 7 | $10,229 |
| Stryker | 176 | $8,649 |
| Medical Device Business Services, Inc. | 17 | $2,635 |
| Medinc Of Texas | 4 | $1,454 |
| Arthrex | 11 | $1,101 |
| Johnson & Johnson(2 entities) | 17 | $1,048 |
| Amgen | 2 | $142 |
| Axogen | 1 | $140 |
| Globus Medical | 1 | $43 |
| Heraeus Medical, LLC. | 1 | $31 |
| Integra Lifesciences Corporation | 1 | $27 |
| Treace Medical Concepts, Inc. | 1 | $24 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- MAKO$1,620
- NA$1,337
- TRIDENT$465
- TRIATHLON$464
- STAR$436
- GAMMA$218
- ACCOLADE$175
- GRAFTJACKET$165
- AIR$154
- T2 ALPHA$146
- AVANCE NERVE GRAFT$140
- TFN-Advance$138
- VA-LCP$138
- TRIGEN InterTAN$131
- EVENITY$126
- Prolia$126
- ALLOWRAP$116
- PANGEA$106
- AUGMENT INJECTABLE$101
- AXSOS$101
How this compares
$25,524 in reported general payments places this provider in the 75th percentile of 21 orthopaedic trauma providers in Virginia.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other orthopaedic trauma in Virginia Beach
- Suneel BhatNorfolk$182K
- David WeissCharlottesville$115K
- Seth YarboroCharlottesville$40K
- Emily KeenerNorfolk$34K
- Timothy HoggardCharlottesville$31K
- David ZuprukNorfolk$21K
- Erica CrumpPortsmouth$16K
- Rishabh JethanandaniRichmond$14K
- Ahmad FashandiNorth Chesterfield$9K
- Cary SchwartzbachFairfax$5K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.