Jenalee Coster, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Richmond, VANPI 1770859191
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (51.5%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 82.5% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2024 at $9,756 and has fallen 69.3% since, to $2,990 in 2025.
Across 74 payments — averaging $215.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$13K
- Zimmer Biomet$1K
- Johnson & Johnson$403
- Medtronic$242
- AstraZeneca$196
- Novocure Inc.$141
- plus $516 from 8 others
What the payments were for
- Travel & lodging$5,04332%
- Food & beverage$2,68617%
- Education$8,21352%
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 |
|---|---|---|
| Intuitive Surgical | 45 | $13,156 |
| Zimmer Biomet | 9 | $1,288 |
| Johnson & Johnson | 4 | $403 |
| Medtronic | 3 | $242 |
| AstraZeneca | 2 | $196 |
| Novocure Inc. | 1 | $141 |
| Novo Nordisk | 1 | $124 |
| BD | 2 | $109 |
| Edwards Lifesciences | 1 | $90 |
| Merck | 1 | $90 |
| Atricure, Inc. | 2 | $42 |
| Mimedx Group, Inc. | 1 | $24 |
| Alcresta Therapeutics, Inc. | 1 | $21 |
| Stryker | 1 | $16 |
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.
- Da Vinci Surgical System$9,788
- DAVINCI XI$2,500
- Echelon Flex$248
- OPTUNE LUA (NOVOTTF-200T)$141
- N/A$137
- Wegovy$124
- ECHELON ENDOPATH$120
- IMFINZI$110
- Harmonic$110
- EVARREST$110
- VISTASEAL$110
How this compares
$15,942 in reported general payments places this provider in the 75th percentile of 109 thoracic surgery (cardiothoracic vascular surgery) providers in Virginia.
See all thoracic surgery (cardiothoracic vascular surgery) 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Tramadol Hcl | 12 | $25 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Richmond
- Jonathan KievRichmond$20K
- Paul WehmanRichmond$13K
- Arturo CardounelRichmond$9K
- Rachit ShahRichmond$7K
- Luigi Lagazzi GarrosRichmond$6K
- Daniel MulloyRichmond$5K
- Vigneshwar KasirajanRichmond$5K
- Lauren TaylorRichmond$4K
- Motaz Al YafiRichmond$4K
- Steven FiserRichmond$4K
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.