Ryan Koonce, MD
Adult Reconstructive Orthopaedic Surgery · Highlands Ranch, CONPI 1831245513
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $423 of the $596 with a category attached, or 70.9%. 5 manufacturers reported payments, led by Zimmer Biomet at 29.1% of the total. That places this record below the midpoint for adult reconstructive orthopaedic surgery clinicians in CO, where the typical reported total is $12,336.
Across 6 payments — averaging $99.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$174
- Johnson & Johnson$144
- Stryker$131
- Encore Medical, LP$114
- Innovation Technologies Inc$34
What the payments were for
- Food & beverage$42371%
- Education$17429%
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 |
|---|---|---|
| Zimmer Biomet | 1 | $174 |
| Johnson & Johnson | 1 | $144 |
| Stryker | 1 | $131 |
| Encore Medical, LP | 1 | $114 |
| Innovation Technologies Inc | 2 | $34 |
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.
- Gender Solutions Patellofemoral$174
- MAKO$131
- DJO Surgical Exprt Revision Hip$114
- DJO Surgical Empowr Knee System$114
How this compares
$596 in reported general payments places this provider in the 10th percentile of 31 adult reconstructive orthopaedic surgery providers in Colorado.
See all adult reconstructive 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.
Other adult reconstructive orthopaedic surgery in Highlands Ranch
- Armodios HatzidakisDenver$1.4M
- Sean GreyFort Collins$761K
- Kirk KindsfaterFort Collins$578K
- Derek JohnsonParker$181K
- Mark TuttleDenver$95K
- Michael DaytonAurora$56K
- Jason JenningsDenver$45K
- David ForresterColorado Springs$29K
- Hailee ReistDenver$27K
- Eric BaslerAurora$24K
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.