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Dr. Alan R. Koester, MD

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Specializes in: Spine Surgery, Orthopedics/Orthopedic Surgery and Hand Surgery

Southern Illinois University School of Medicine

Professional interests include: musculoskeletal problems, upper extremity problems, family issues, and more.

1600 Medical Center Drive Suite G500 (ground Floor)
Huntington, WV 25701

(304) 691-1262

Dr. Alan R. Koester, MD is a spine surgeon in Huntington, WV specializing in spine surgery, orthopedics/orthopedic surgery and hand surgery. He graduated from Southern Illinois University School of Medicine. Dr. Alan R. Koester, MD is affiliated with Marshall Health and Cabell Huntington Hospital.

Office Locations

1600 Medical Center Drive Suite G500 (ground Floor)
Huntington, WV 25701

(304) 691-1262

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Some issues Dr. Alan R. Koester, MD can help you with:

Family Issues

The famed writer Leo Tolstoy once wrote, "All happy families are alike; each unhappy family is unhappy in its own way." Family issues are problems that occur amongst members of an immediate, extended, or adopted family. Many forms of family issues exist and can vary in intensity and in duration. Nearly every family will experience a negative family issue at some point.

Each family member can be affected by an issue in an individual and unique way, typically depending on age, maturity, and involvement. This means that family issues are often inequitable, with one or more family members bearing a disproportionate weight of the problem. A frequent example is parental divorce. While both parents may appreciate the immediate relief, divorce can rapidly threaten a developing child's sense of stability and self-confidence. Similarly, a mother who is subject to domestic abuse may conceal the issue in order to shield her children from her distress. In some cases, family issues are generational; a father may cause residual guilt or disagreements from his childhood to carry forward to his own son. While each family's experience is unique, common family issues can include:

Financial disputes
Divorce and separation
Abuse and violence
Narcissistic caretaker(s)
Death
Infidelity and relationship issues
Sibling rivalry
Religious and cultural conflicts
Lifestyle disagreements
Severe physical illness
Mental health issues
Neglect
Retirement and older adulthood
Unsafe or unstable household environment

Some family issues are inevitable – such as retirement and minor lifestyle disagreements – while others can be unexpected and dramatic. Unsafe household environments, abuse, and neglect can lead to severe trauma and intervention by social services or law enforcement.

Most common family issues can be addressed through therapy with one or more family members. Family therapy involves sessions led by a licensed mental health therapist. These sessions often include family discussion, resolution strategies, and other activities to promote family harmony. Another form of treatment for family issues is couples counseling, in which a couples counselor can help spouses communicate and employ problem-solving techniques to improve the strength of their relationship. For children, specialized child therapy can help children and adolescents manage and overcome family issues with age-appropriate methods.

Some people find individual therapy or counseling beneficial in resolving family issues, especially for those who are unable to attend family therapy with other family members. Therapists may encourage the creation of family boundaries. At an extreme, therapy may cause an adult to come to the conclusion that communication with a narcissistic parent must stop in order to preserve mental health and wellbeing.

Musculoskeletal Problems

The musculoskeletal system refers collectively to the bones, joints, ligaments, muscles, and nerves. It is what gives the body structure and movement. Because this system encompasses so much of the body, musculoskeletal problems are extremely varied and can happen almost anywhere. There are musculoskeletal problems that affect only the joints, those that affect the bones, those that affect tendons and ligaments, and those that can happen in any area of the body but cause pain and numbness.

Joint problems include bursitis and arthritis. Bursitis is the inflammation of a fluid-filled sac cushion on the outside of a joint, causing symptoms including pain and swelling. Arthritis is the inflammation and damage of a joint due to wear and tear or disease. There are several treatments for arthritis, but if the damage progresses far enough, joint replacement may be necessary. In joint replacement, a metal or plastic implant is surgically placed within the joint to make movement easier.

Bone problems include scoliosis, fractures, and osteoporosis. Scoliosis is a curvature of the spine, making the normally straight spine look like a 'C' or 'S.' It is treated with braces or surgery. Osteoporosis is a disease that causes bones to weaken and break easily. It's most common in women, especially older women. Fully half of all women over 65 have osteoporosis. Fractures are any break in the bone. They can be a simple crack or a severe and complicated shatter. Osteoporosis causes fractures in people who have it, but other causes are trauma (such as a fall) or overuse.

Tendon and ligament problems most often result from injury or overuse. Two good examples are ligament tears and tendonitis. The most common ligament tear is the ACL tear in the knee. This ligament supports and stabilizes the knee and is most often torn during sports activities. Tendonitis happens when a tendon, which connects muscles and bones together, becomes irritated and inflamed. This happens most often in older patients who push their bodies too far, leading to pain and swelling. Treatment for both tendon and ligament problems usually includes rest, ice, and supporting the area to let it heal.

Pain and numbness problems can be caused by overuse, disease, an injury, or a compressed nerve. Lower back pain and carpal tunnel syndrome are two of the most common conditions patients encounter. Lower back pain may be caused by sore muscles that have been overworked, or an injury to the disks separating the vertebrae in the spine. Lower back pain usually goes away on its own within a few days, but it may require medical treatment depending on the cause. Carpal tunnel syndrome occurs when the nerve at the base of the palm becomes trapped or pinched. Symptoms include tingling, pain, numbness, or weakness in the hand. Treatment involves rest and sometimes steroid injections.

Because the musculoskeletal system involves so much of the body, problems here can be incredibly varied in their type and severity. Some musculoskeletal problems will go away on their own or only require rest, while others may require medication, physical therapy, or even surgery.

Noteworthy Medicare Patient Procedures Performed by Dr. Alan R. Koester, MD in 2024

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

open carpal tunnel surgery

By Affordability:

decompression surgery

nerve decompression surgery

nerve procedures

nerve surgery

In 2024, among providers in related specialties within West Virginia, Dr. Alan R. Koester, MD performed more open carpal tunnel surgery procedures for Medicare patients than 95% of them and he also had a list price for decompression surgery, nerve decompression surgery, nerve procedures, and nerve surgery that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Alan R. Koester, MD treated as a spine surgeon in Huntington, WV during 2012 were injections and aspiration.

Volume of procedures performed by Dr. Alan R. Koester, MD for Medicare patients.

aspiration	83
doctor visit	312
injections	107

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Alan R. Koester, MD treated as a spine surgeon in Huntington, WV during 2013 were injections and aspiration.

Volume of procedures performed by Dr. Alan R. Koester, MD for Medicare patients.

aspiration	34
doctor visit	311
injections	62

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Alan R. Koester, MD.

**Gender**
Male	85
Female	130

**Age**
From 65 to 74	84
From 75 to 84	39
85 and over	16
Less than 65	76

Conditions of Medicare patients treated by Dr. Alan R. Koester, MD in 2013

Hypertension	74
High Cholesterol	57
Stroke	0
Ischemic Heart Disease	35
Depression	37
Chronic Kidney Disease	28
Asthma	7
Osteoperosis	10
Atrial Fibrilation	9
Heart Failure	20
Chronic Obstructive Pulmonary Disease	25
Diabetes	38
Dementia	10
Cancer	7

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Alan R. Koester, MD treated as a spine surgeon in Huntington, WV during 2014 were injections, aspiration, nerve procedures and open surgery.

Volume of procedures performed by Dr. Alan R. Koester, MD for Medicare patients.

aspiration	59
decompression surgery	13
doctor visit	367
injections	86
nerve procedures	13
open surgery	13
upper extremity surgery	13

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Alan R. Koester, MD.

**Gender**
Male	85
Female	144

**Age**
From 65 to 74	93
From 75 to 84	45
85 and over	14
Less than 65	77

Conditions of Medicare patients treated by Dr. Alan R. Koester, MD in 2014

Hypertension	72
High Cholesterol	56
Stroke	0
Ischemic Heart Disease	38
Depression	36
Chronic Kidney Disease	21
Asthma	7
Osteoperosis	11
Atrial Fibrilation	12
Heart Failure	21
Chronic Obstructive Pulmonary Disease	24
Diabetes	39
Dementia	7
Cancer	5

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Alan R. Koester, MD treated as a spine surgeon in Huntington, WV during 2015 were injections, aspiration, upper extremity surgery and reconstructive surgery.

Volume of procedures performed by Dr. Alan R. Koester, MD for Medicare patients.

aspiration	91
decompression surgery	13
doctor visit	408
injections	125
joint surgery	16
nerve procedures	13
open surgery	13
reconstructive surgery	16
upper extremity surgery	29

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Alan R. Koester, MD.

**Gender**
Male	182
Female	282

**Age**
From 65 to 74	186
From 75 to 84	92
85 and over	34
Less than 65	152

Conditions of Medicare patients treated by Dr. Alan R. Koester, MD in 2015

Hypertension	75
High Cholesterol	61
Stroke	7
Ischemic Heart Disease	35
Depression	39
Chronic Kidney Disease	28
Asthma	17
Osteoperosis	13
Atrial Fibrilation	9
Heart Failure	16
Chronic Obstructive Pulmonary Disease	21
Diabetes	41
Dementia	10
Cancer	0

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Alan R. Koester, MD treated as a spine surgeon in Huntington, WV during 2016 were injections, aspiration, upper extremity surgery and X-rays.

Volume of procedures performed by Dr. Alan R. Koester, MD for Medicare patients.

aspiration	131
decompression surgery	30
doctor visit	489
injections	169
joint surgery	17
musculoskeletal imaging	41
nerve procedures	30
open surgery	15
reconstructive surgery	17
upper extremity surgery	47
X-rays	41

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Alan R. Koester, MD.

**Gender**
Male	115
Female	176

**Age**
From 65 to 74	113
From 75 to 84	68
85 and over	15
Less than 65	95

Conditions of Medicare patients treated by Dr. Alan R. Koester, MD in 2016

Hypertension	75
High Cholesterol	58
Stroke	5
Ischemic Heart Disease	35
Depression	37
Chronic Kidney Disease	33
Asthma	27
Osteoperosis	10
Atrial Fibrilation	10
Heart Failure	16
Chronic Obstructive Pulmonary Disease	21
Diabetes	40
Dementia	10
Cancer	8

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Alan R. Koester, MD treated as a spine surgeon in Huntington, WV during 2017 were injections, aspiration, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Alan R. Koester, MD for Medicare patients.

aspiration	72
doctor visit	387
injections	112
joint surgery	18
musculoskeletal imaging	21
reconstructive surgery	18
upper extremity surgery	18
X-rays	21

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Alan R. Koester, MD.

**Gender**
Male	90
Female	176

**Age**
From 65 to 74	104
From 75 to 84	71
85 and over	13
Less than 65	78

Conditions of Medicare patients treated by Dr. Alan R. Koester, MD in 2017

Hypertension	75
High Cholesterol	52
Stroke	7
Ischemic Heart Disease	40
Depression	40
Chronic Kidney Disease	39
Asthma	11
Osteoperosis	14
Atrial Fibrilation	11
Heart Failure	20
Chronic Obstructive Pulmonary Disease	26
Diabetes	39
Dementia	15
Cancer	9

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Alan R. Koester, MD treated as a spine surgeon in Huntington, WV during 2018 were injections, aspiration, upper extremity surgery and nerve procedures.

Volume of procedures performed by Dr. Alan R. Koester, MD for Medicare patients.

aspiration	64
decompression surgery	41
doctor visit	274
injections	100
joint surgery	16
musculoskeletal imaging	25
nerve procedures	41
open surgery	26
reconstructive surgery	16
upper extremity surgery	57
X-rays	25

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Alan R. Koester, MD.

**Gender**
Male	80
Female	153

**Age**
From 65 to 74	100
From 75 to 84	51
85 and over	20
Less than 65	62

Conditions of Medicare patients treated by Dr. Alan R. Koester, MD in 2018

Hypertension	75
High Cholesterol	64
Stroke	5
Ischemic Heart Disease	40
Depression	44
Chronic Kidney Disease	38
Asthma	13
Osteoperosis	14
Atrial Fibrilation	11
Heart Failure	20
Chronic Obstructive Pulmonary Disease	27
Diabetes	39
Dementia	16
Cancer	9

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Alan R. Koester, MD treated as a spine surgeon in Huntington, WV during 2019 were upper extremity surgery, injections, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Alan R. Koester, MD for Medicare patients.

aspiration	28
decompression surgery	36
doctor visit	238
injections	41
joint surgery	21
musculoskeletal imaging	16
nerve procedures	36
open surgery	24
reconstructive surgery	21
upper extremity surgery	57
X-rays	16

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Alan R. Koester, MD.

**Gender**
Male	73
Female	150

**Age**
From 65 to 74	96
From 75 to 84	54
85 and over	21
Less than 65	52

Conditions of Medicare patients treated by Dr. Alan R. Koester, MD in 2019

Hypertension	75
High Cholesterol	65
Stroke	5
Ischemic Heart Disease	35
Depression	44
Chronic Kidney Disease	44
Asthma	11
Osteoperosis	17
Atrial Fibrilation	13
Heart Failure	21
Chronic Obstructive Pulmonary Disease	23
Diabetes	39
Dementia	12
Cancer	9

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Alan R. Koester, MD treated as a spine surgeon in Huntington, WV during 2020 were injections and aspiration.

Volume of procedures performed by Dr. Alan R. Koester, MD for Medicare patients.

aspiration	34
doctor visit	176
injections	54

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Alan R. Koester, MD.

**Gender**
Male	67
Female	115

**Age**
From 65 to 74	85
From 75 to 84	38
85 and over	13
Less than 65	46

Conditions of Medicare patients treated by Dr. Alan R. Koester, MD in 2020

Hypertension	73
High Cholesterol	64
Stroke	0
Ischemic Heart Disease	37
Depression	38
Chronic Kidney Disease	35
Asthma	12
Osteoperosis	10
Atrial Fibrilation	8
Heart Failure	14
Chronic Obstructive Pulmonary Disease	14
Diabetes	36
Dementia	12
Cancer	0

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Alan R. Koester, MD treated as a spine surgeon in Huntington, WV during 2021 were injections, nerve procedures, upper extremity surgery and decompression surgery.

Volume of procedures performed by Dr. Alan R. Koester, MD for Medicare patients.

aspiration	14
decompression surgery	27
doctor visit	136
injections	36
nerve procedures	27
open surgery	15
upper extremity surgery	27

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Alan R. Koester, MD.

**Gender**
Male	86
Female	131

**Age**
From 65 to 74	93
From 75 to 84	57
85 and over	16
Less than 65	51

Conditions of Medicare patients treated by Dr. Alan R. Koester, MD in 2021

Hypertension	74
High Cholesterol	64
Stroke	0
Ischemic Heart Disease	30
Depression	31
Chronic Kidney Disease	38
Asthma	11
Osteoperosis	13
Atrial Fibrilation	11
Heart Failure	17
Chronic Obstructive Pulmonary Disease	17
Diabetes	35
Dementia	10
Cancer	0

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Alan R. Koester, MD treated as a spine surgeon in Huntington, WV during 2022 were aspiration and injections.

Volume of procedures performed by Dr. Alan R. Koester, MD for Medicare patients.

aspiration	19
doctor visit	101
injections	19

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Alan R. Koester, MD.

**Gender**
Male	55
Female	112

**Age**
From 65 to 74	79
From 75 to 84	41
85 and over	15
Less than 65	32

Conditions of Medicare patients treated by Dr. Alan R. Koester, MD in 2022

Hypertension	75
High Cholesterol	72
Stroke	0
Ischemic Heart Disease	25
Depression	31
Chronic Kidney Disease	30
Asthma	16
Osteoperosis	19
Atrial Fibrilation	17
Heart Failure	13
Chronic Obstructive Pulmonary Disease	25
Diabetes	38
Dementia	0
Cancer	10

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Alan R. Koester, MD treated as a spine surgeon in Huntington, WV during 2023 were injections, aspiration, nerve procedures and open surgery.

Volume of procedures performed by Dr. Alan R. Koester, MD for Medicare patients.

aspiration	12
decompression surgery	11
doctor visit	93
injections	26
nerve procedures	11
open surgery	11
upper extremity surgery	11

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Alan R. Koester, MD.

**Gender**
Male	74
Female	138

**Age**
From 65 to 74	102
From 75 to 84	57
85 and over	14
Less than 65	39

Conditions of Medicare patients treated by Dr. Alan R. Koester, MD in 2023

Hypertension	75
High Cholesterol	75
Stroke	6
Ischemic Heart Disease	25
Depression	34
Chronic Kidney Disease	22
Asthma	12
Osteoperosis	18
Atrial Fibrilation	13
Heart Failure	13
Chronic Obstructive Pulmonary Disease	18
Diabetes	27
Dementia	6
Cancer	12

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

The top procedures that Dr. Alan R. Koester, MD treated as a spine surgeon in Huntington, WV during 2024 were nerve procedures, open surgery, upper extremity surgery and decompression surgery.

Volume of procedures performed by Dr. Alan R. Koester, MD for Medicare patients.

decompression surgery	14
doctor visit	81
nerve procedures	14
open surgery	14
upper extremity surgery	14

2024 Medicare Patient Data

Information about Medicare patients treated by Dr. Alan R. Koester, MD.

**Gender**
Male	43
Female	83

**Age**
From 65 to 74	64
From 75 to 84	31
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Alan R. Koester, MD in 2024

Hypertension	75
High Cholesterol	72
Stroke	0
Ischemic Heart Disease	31
Depression	38
Chronic Kidney Disease	19
Asthma	21
Osteoperosis	26
Atrial Fibrilation	17
Heart Failure	10
Chronic Obstructive Pulmonary Disease	21
Diabetes	29
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Volume of procedures performed by Dr. Alan R. Koester, MD for Medicare patients.

The highest averages for the top procedures that Dr. Alan R. Koester, MD treated as a spine surgeon in Huntington, WV were injections, aspiration, upper extremity surgery and X-rays.

aspiration	53
decompression surgery	23
doctor visit	259
injections	78
joint surgery	17
musculoskeletal imaging	25
nerve procedures	23
open surgery	16
reconstructive surgery	17
upper extremity surgery	30
X-rays	25

Average Medicare Patient Data From 2012 - 2024

Information about Medicare patients treated by Dr. Alan R. Koester, MD.

**Gender**
Female	137
Male	79

**Age**
85 and over	14
75 to 84	49
Less than 65	58
65 to 74	92

Average of Total of Conditions of Medicare patients treated by Dr. Alan R. Koester, MD From 2012 - 2024

The highest averages of the most common conditions of Medicare patients that Dr. Alan R. Koester, MD treated were hypertension, high cholesterol, depression and diabetes.

Hypertension	68
High Cholesterol	58
Stroke	2
Ischemic Heart Disease	31
Depression	34
Chronic Kidney Disease	28
Asthma	12
Osteoporosis	13
Heart Failure	15
Chronic Obstructive Pulmonary Disease	20
Diabetes	33
Atrial Fibrillation	10
Cancer	5
Dementia	8

Education & Training

Dr. Alan R. Koester, MD graduated from Southern Illinois University School of Medicine. He completed residency at Southern Illinois University Affiliated Hospitals. He is certified by the American Board of Orthopaedic Surgery (Orthopaedics-Hand Surgery) American Board of Orthopaedic Surgery (Orthopaedic Surgery) and has a state license in West Virginia.

Medical School: Southern Illinois University School of Medicine

Residency: Southern Illinois University Affiliated Hospitals

Board Certification: American Board of Orthopaedic Surgery (Orthopaedics-Hand Surgery) American Board of Orthopaedic Surgery (Orthopaedic Surgery)

Licensed In: West Virginia

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General Payments

These charts describe general payments received by Dr. Alan R. Koester, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
ENCORE MEDICAL, LP	$9,711 DJO Surgical Discovery Elbow System $3,532	DJO Surgical AltiVate Reverse $1,968	DJO Surgical Turon Modular Shoulder System $1,442	DJO Surgical AltiVate Anatomic System $1,225	DJO Surgical Match Point System $709	Other $835
AXOGEN	$4,860 AxoGuard Nerve Protector $4,034	AxoGuard Nerve Connector $816	$10
ACUMED LLC	$874 Polarus 3 Solution $874
Mid-Atlantic Surgical Systems, LLC	$380 $380
Zimmer Biomet Holdings, Inc.	$221 Comprehensive Reverse $143	Comprehensive Primary Stem $78
Other	$564 ORTHO - TRAUMA $101	Flowable $100	TACTOSET $70	Recon-Upper Extremity Metal $43	AEQUALIS PERFORM REVERSED $43	Other $207

**Types of Payments**
Travel and Lodging	$9,283
Food and Beverage	$4,217
Honoraria	$3,000
Gift	$99
Education	$10

Biography

Dr. Alan Koester's areas of specialization are hand surgery, spine surgery, and orthopedics/orthopedic surgery; he sees patients in Huntington, WV. Dr. Koester has a special interest in hand problems, musculoskeletal problems, and surgical procedures. His hospital/clinic affiliations include Marshall Health and Cabell Huntington Hospital. Before completing his residency at a hospital affiliated with Southern Illinois University, Dr. Koester attended medical school at Southern Illinois University School of Medicine.