Christina Koshak, MD
Orthopaedic Surgery · Pueblo, CONPI 1659788685
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (41.5%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Synthes GmbH accounts for 70.7% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2023 at $3,162 and has fallen 99.4% since, to $20 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in CO, where the typical reported total is $5,294.
Across 24 payments — averaging $175.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Synthes GmbH$3K
- Alphatec Spine, Inc$421
- SPR Therapeutics, Inc$277
- Medtronic$144
- Ulrich Medical USA, Inc.$120
- Orthofix Medical, Inc.$113
- plus $161 from 5 others
What the payments were for
- Speaking & faculty fees$1,75041%
- Travel & lodging$1,45835%
- Food & beverage$1,01324%
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 |
|---|---|---|
| Synthes GmbH | 5 | $2,984 |
| Alphatec Spine, Inc | 2 | $421 |
| SPR Therapeutics, Inc | 2 | $277 |
| Medtronic(2 entities) | 7 | $144 |
| Ulrich Medical USA, Inc. | 2 | $120 |
| Orthofix Medical, Inc. | 1 | $113 |
| Stryker | 1 | $85 |
| Johnson & Johnson | 1 | $23 |
| Nanohive Medical LLC | 1 | $22 |
| Si-bone, Inc. | 1 | $20 |
| Degen Medical, Inc. | 1 | $11 |
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.
How this compares
$4,221 in reported general payments places this provider in the 45th percentile of 383 orthopaedic surgery providers in Colorado.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Gabapentin | 125 | $2,911 |
| Celecoxib | 14 | $1,146 |
| Meloxicam | 147 | $591 |
| Cyclobenzaprine Hcl | 31 | $290 |
| Tizanidine Hcl | 30 | $221 |
| Oxycodone Hcl | 34 | $186 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $180 |
| Methocarbamol | 23 | $165 |
| Pregabalin | 12 | $132 |
| Tramadol Hcl | 23 | $108 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Pueblo
- Joel MattaVail$21M
- Douglas DennisDenver$16.8M
- Brian HaasDenver$5.1M
- Theodore SchlegelGreenwood Village$5M
- Charlie YangDenver$3.6M
- Robert GreenhowLone Tree$2.8M
- David LoucksLone Tree$2.7M
- Robert BessGreenwood Village$1.8M
- Bharat DesaiGolden$1.4M
- Kris AldenBasalt$1.3M
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.