Samuel Kocoshis
Pediatric Gastroenterology · Cincinnati, OHNPI 1891724530
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (50.2%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Takeda Pharmaceuticals U.S.A., Inc. accounts for 74.2% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2021 at $10,780 and has fallen 60.5% since, to $4,255 in 2025. Among pediatric gastroenterology clinicians in OH with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 26 payments — averaging $715.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$14K
- Alcresta Therapeutics, Inc.$4K
- Abbott$443
- Avanos Medical$126
- Ironwood Pharmaceuticals, Inc$66
- Shire North American Group Inc$42
- plus $1 from 1 others
Across 83 payments — averaging $10,642 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.
- Shire North American Group Inc$559K
- Takeda Pharmaceuticals U.S.A., Inc.$234K
- Vectivbio AG$91K
What the payments were for
- Consulting fees$9,34550%
- Speaking & faculty fees$7,23539%
- Travel & lodging$8735%
- Food & beverage$1,1516%
- Education$10%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 7 | $13,808 |
| Alcresta Therapeutics, Inc. | 6 | $4,119 |
| Abbott | 7 | $443 |
| Avanos Medical | 1 | $126 |
| Ironwood Pharmaceuticals, Inc | 2 | $66 |
| Shire North American Group Inc | 2 | $42 |
| Travere Therapeutics, Inc. | 1 | $1 |
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
$18,605 in reported general payments places this provider in the 90th percentile of 114 pediatric gastroenterology providers in Ohio.
Other pediatric gastroenterology in Cincinnati
- William BalistreriCincinnati$176K
- James HeubiCincinnati$59K
- Ajay KaulCincinnati$31K
- Neha SantucciCincinnati$30K
- Akihiro AsaiCincinnati$30K
- Alexander MiethkeCincinnati$24K
- Vincent MukkadaCincinnati$24K
- Khalil El-ChammasCincinnati$15K
- Jose GarzaCincinnati$13K
- Stephanie OliveiraCincinnati$7K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.