Joseph Kosinski, MD
Family Medicine · Clarksville, TNNPI 1154435501
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,035 of the $1,500 with a category attached, or 69.0%. Every reported general payment came from a single manufacturer, Madrigal Pharmaceuticals.
Across 8 payments — averaging $187.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Madrigal Pharmaceuticals$2K
Across 41 payments — averaging $14,524 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Madrigal Pharmaceuticals$528K
- Pfizer$68K
What the payments were for
- Travel & lodging$1,03569%
- Food & beverage$46531%
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 |
|---|---|---|
| Madrigal Pharmaceuticals | 8 | $1,500 |
How this compares
$1,500 in reported general payments places this provider in the 65th percentile of 2,087 family medicine providers in Tennessee.
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 |
|---|---|---|
| OzempicSemaglutide | 85 | $102,097 |
| EliquisApixaban | 53 | $56,207 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 44 | $43,047 |
| JanuviaSitagliptin Phosphate | 23 | $27,892 |
| Tresiba Flextouch U-100Insulin Degludec | 14 | $20,202 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 26 | $19,852 |
| MounjaroTirzepatide | 17 | $17,349 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 15 | $15,677 |
| XareltoRivaroxaban | 12 | $13,900 |
| LinzessLinaclotide | 14 | $10,094 |
| Breo ElliptaFluticasone/Vilanterol | 24 | $8,974 |
| Atorvastatin Calcium | 626 | $8,365 |
| Dexlansoprazole DrDexlansoprazole | 13 | $5,045 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 157 | $4,532 |
| SymbicortBudesonide/Formoterol Fumarate | 11 | $4,427 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Clarksville
- David BolesClarksville$21K
- Kevin DennisFranklin$354K
- Charolette JacksonBartlett$162K
- Keren HolmesNashville$58K
- Kabir Harricharan SinghNewport$49K
- Khaisha GistAntioch$49K
- Jerry PunchKnoxville$45K
- Christopher HollowayAntioch$41K
- Curtis JantziKingsport$39K
- Ellen ClelandChattanooga$38K
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.