Sarah Koch, MD
Vascular Surgery · Tacoma, WANPI 1578859575
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,595 of the $3,946 with a category attached, or 65.8%. It is spread thinly across 22 manufacturers, the largest accounting for just 18.6%. That places this record below the midpoint for vascular surgery clinicians in WA, where the typical reported total is $4,221.
Across 75 payments — averaging $52.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- W. L. Gore & Associates, Inc.$733
- Cook Incorporated$669
- Shockwave Medical, Inc$668
- Inari Medical, Inc.$534
- Cook Medical LLC$332
- Johnson & Johnson$215
- plus $796 from 16 others
What the payments were for
- Speaking & faculty fees$100%
- Travel & lodging$1,34134%
- Food & beverage$2,59566%
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 |
|---|---|---|
| W. L. Gore & Associates, Inc. | 12 | $733 |
| Cook Incorporated | 3 | $669 |
| Shockwave Medical, Inc | 4 | $668 |
| Inari Medical, Inc. | 6 | $534 |
| Cook Medical LLC | 2 | $332 |
| Johnson & Johnson(2 entities) | 12 | $215 |
| Penumbra, Inc. | 6 | $136 |
| Argenx US, Inc. | 4 | $120 |
| Abbott | 1 | $89 |
| Medtronic(2 entities) | 4 | $80 |
| Cardiva Medical, Inc. | 3 | $60 |
| Amgen | 2 | $47 |
| EMD Serono, Inc. | 1 | $35 |
| Merck | 2 | $35 |
| GE HealthCare | 3 | $33 |
| Lemaitre Vascular, Inc. | 2 | $33 |
| Boston Scientific | 2 | $33 |
| Stryker | 1 | $29 |
| Bard Peripheral Vascular, Inc. | 2 | $28 |
| Pfizer | 1 | $17 |
| Cordis US CORP. | 1 | $14 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $8 |
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
$3,946 in reported general payments places this provider in the 45th percentile of 111 vascular 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 |
|---|---|---|
| XareltoRivaroxaban | 19 | $16,722 |
| ClopidogrelClopidogrel Bisulfate | 45 | $322 |
| Atorvastatin Calcium | 50 | $290 |
| Oxycodone Hcl | 31 | $136 |
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 |
|---|---|---|
| Johnson & JohnsonXarelto | $215 | $16,72219 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 45th percentile of 111 vascular surgery providers in Washington.
Other vascular surgery in Tacoma
- Felix VladimirTacoma$19K
- Amit KainthTacoma$12K
- Chatt JohnsonTacoma$10K
- Charles AndersenTacoma$9K
- Hao VuTacoma$7K
- Jonathan RatcliffTacoma$5K
- Allen RubinTacoma$5K
- Daiva NevidomskyteTacoma$4K
- Benjamin StarnesSeatle$666K
- Kathleen GibsonBellevue$593K
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.