Lee Kosstrin, MD
Family Medicine · Orlando, FLNPI 1447632740
Payments from drug & device makers
Across 363 payments — averaging $17.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$941
- Novo Nordisk$820
- Pfizer$770
- Lilly USA, LLC$697
- AbbVie$465
- GSK$349
- plus $2K from 33 others
What the payments were for
- Food & beverage$6,315100%
- Education$120%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| AstraZeneca | 46 | $941 |
| Novo Nordisk | 53 | $820 |
| Pfizer | 49 | $770 |
| Lilly USA, LLC | 46 | $697 |
| AbbVie(2 entities) | 27 | $465 |
| GSK | 20 | $349 |
| Amgen | 15 | $259 |
| Boehringer Ingelheim | 13 | $250 |
| Abbott | 12 | $243 |
| Merck | 16 | $234 |
| Exact Sciences | 10 | $209 |
| Antares Pharma, Inc. | 5 | $102 |
| Daiichi Sankyo Inc. | 4 | $76 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $76 |
| Eisai Inc. | 4 | $75 |
| Amarin Pharma, Inc. | 4 | $73 |
| Dynavax Technologies Corporation | 3 | $71 |
| Johnson & Johnson | 3 | $67 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $62 |
| Phathom Pharmaceuticals, Inc. | 2 | $43 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $42 |
| Phadia US Inc. | 2 | $36 |
| Tolmar, Inc. | 2 | $34 |
| Sanofi Pasteur Inc. | 2 | $31 |
| Novartis | 2 | $29 |
| Aimmune Therapeutics, Inc. | 1 | $27 |
| Vistapharm, Inc. | 2 | $26 |
| Inspire Medical Systems, Inc. | 1 | $24 |
| Bayer | 1 | $22 |
| Esperion Therapeutics, Inc. | 1 | $21 |
| Dexcom, Inc. | 1 | $21 |
| Seqirus USA Inc | 1 | $20 |
| Sanofi-aventis U.S. LLC | 1 | $20 |
| Idorsia Pharmaceuticals US Inc | 1 | $19 |
| Genentech USA, Inc. | 1 | $17 |
| Gilead | 1 | $16 |
| Clarus Therapeutics Inc. | 1 | $15 |
| Avanir Pharmaceuticals, Inc. | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
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.
- FARXIGA$106
How this compares
$6,327 in reported general payments places this provider in the 85th percentile of 7,282 family medicine providers in Florida.
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 |
|---|---|---|
| MounjaroTirzepatide | 19 | $48,219 |
| JardianceEmpagliflozin | 25 | $40,915 |
| EliquisApixaban | 19 | $32,270 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 16 | $22,721 |
| JanuviaSitagliptin Phosphate | 18 | $17,110 |
| OzempicSemaglutide | 21 | $16,933 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 24 | $15,312 |
| VascepaIcosapent Ethyl | 12 | $6,280 |
| SynthroidLevothyroxine Sodium | 36 | $4,714 |
| Testosterone | 14 | $2,880 |
| Atorvastatin Calcium | 223 | $2,532 |
| Liothyronine Sodium | 57 | $1,906 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 40 | $1,695 |
| Rosuvastatin Calcium | 129 | $1,677 |
| Ipratropium Bromide | 84 | $1,635 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Boehringer IngelheimJardiance, Synjardy Xr | $250 | $63,63641 claims |
| Lilly USA, LLCMounjaro | $697 | $48,21919 claims |
| PfizerEliquis | $770 | $32,27019 claims |
| MerckJanuvia | $234 | $17,11018 claims |
| Novo NordiskOzempic | $820 | $16,93321 claims |
| GSKTrelegy Ellipta | $349 | $15,31224 claims |
| AbbVieSynthroid, Armour Thyroid | $465 | $6,05649 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 85th percentile of 7,282 family medicine providers in Florida.
Other family medicine in Orlando
- Eva-Maria HeurichOrlando$11.3M
- Humberto CruzOrlando$10.7M
- Hugh ColemanDaytona Beach$115.5M
- Alexander WhiteDaytona Beach$69.7M
- Ronald SurowitzJupiter$38.3M
- Bruce RankinDeland$36.7M
- Keila HooverMiami$33.7M
- John NardandreaOcala$30.8M
- Jorge CasoMiami$22.6M
- Sharrell CooperPalm Coast$16.9M
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.