Samuel Koo, MD
Orthopaedic Surgery · Seattle, WANPI 1467626374
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $8,643 of the $12,851 with a category attached, or 67.2%. Arthrex accounts for 74.4% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2019 at $9,840 and has fallen 99.8% since, to $19 in 2025.
Across 156 payments — averaging $82.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$10K
- Smith+Nephew$2K
- DJO, LLC$643
- Zimmer Biomet$230
- Stryker$199
- Johnson & Johnson$46
What the payments were for
- Speaking & faculty fees$8,64367%
- Travel & lodging$3,11024%
- Food & beverage$1,0999%
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 |
|---|---|---|
| Arthrex | 17 | $9,556 |
| Smith+Nephew | 7 | $2,178 |
| DJO, LLC | 118 | $643 |
| Zimmer Biomet | 9 | $230 |
| Stryker | 3 | $199 |
| Johnson & Johnson | 2 | $46 |
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.
- AETOS Shoulder System$1,064
- PROMOS$786
- TRIGEN InterTAN$262
- TWINFIX$137
How this compares
$12,851 in reported general payments places this provider in the 75th percentile of 495 orthopaedic surgery providers in Washington.
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 |
|---|---|---|
| Oxycodone Hcl | 20 | $143 |
| Ondansetron Hcl | 14 | $50 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Seattle
- James PritchettSeattle$6.4M
- James CrutcherSeattle$3.5M
- Keith MayoSeattle$3.1M
- Matthew SaltzmanSeattle$1.8M
- Burt YaszaySeattle$1.3M
- Sean ToomeySeattle$1.2M
- Robert HartSeattle$942K
- Jeffrey RohSeattle$604K
- Michael BrageSeattle$496K
- Daniel SchwartzSeattle$424K
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.