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Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $184 per patient in 2012.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
1,045
Rank: 6th
out of 119 providers in this state & specialty
Services
Performed
25,112
Rank: 1st
out of 119 providers in this state & specialty
Avg Services
Per Patient
24 This Provider is in the top 10%
Avg 4.2
Total Paid
by Medicare
$434K
Rank: 2nd
out of 119 providers in this state & specialty
Avg Paid
Per Patient
$415 This Provider is in the top 10%
Avg $184

Office Visits

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Top Billing

Related story »

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Michael H. Koch
Average for Endocrinology Providers in Virginia

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider, from Jan. 2012 to June 2013.

Patients saw before

Michael H. Koch

Patients saw after

This Provider's Services

This provider performed 47 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
DRUGS

Injection, denosumab (prolia, xgeva), 1 mg

Service Code: J0897
Performed in an office
6,660
times performed,
27% of his services

1st Alert

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

77
patients got this service, 7% of his patients
1.4
average number of visits a patient made for this service
$139,860an average of $21 per time performed $73,260
an average of $11 per time performed
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
2,285
times performed,
9% of his services

2nd 3rd

most performed service for this provider most performed service in this state & specialty

860
patients got this service, 82% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2.2)
$20,565an average of $9 per time performed $6,855
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
2,094
times performed,
8% of his services

3rd 8th

most performed service for this provider most performed service in this state & specialty

822
patients got this service, 79% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.2)
$77,478an average of $37 per time performed $16,752
an average of $8 per time performed
PATHOLOGY AND LABORATORY

Liver function blood test panel

Service Code: 80076
Performed in an office
1,943
times performed,
8% of his services

4th 11th

most performed service for this provider most performed service in this state & specialty

793
patients got this service, 76% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2.2)
$68,005an average of $35 per time performed $13,601
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
1,879
times performed,
7% of his services

5th 9th

most performed service for this provider most performed service in this state & specialty

773
patients got this service, 74% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2)
$103,345an average of $55 per time performed $22,548
an average of $12 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
1,648
times performed,
7% of his services

6th 2nd

most performed service for this provider most performed service in this state & specialty

775
patients got this service, 74% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.7)
$146,672an average of $89 per time performed $77,456
an average of $47 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
1,529
times performed,
6% of his services

7th 5th

most performed service for this provider most performed service in this state & specialty

618
patients got this service, 59% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.1)
$48,928an average of $32 per time performed $21,406
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
1,335
times performed,
5% of his services

8th 6th

most performed service for this provider most performed service in this state & specialty

671
patients got this service, 64% of his patients
2
average number of visits a patient made for this service
(Peers: 1.7)
$74,760an average of $56 per time performed $30,705
an average of $23 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
1,204
times performed,
5% of his services

9th 12th

most performed service for this provider most performed service in this state & specialty

599
patients got this service, 57% of his patients
2
average number of visits a patient made for this service
(Peers: 1.7)
$45,752an average of $38 per time performed $15,652
an average of $13 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
640
times performed,
3% of his services

10th 1st

most performed service for this provider most performed service in this state & specialty

449
patients got this service, 43% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2)
$86,400an average of $135 per time performed $44,160
an average of $69 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
510
times performed,
2% of his services

11th 10th

most performed service for this provider most performed service in this state & specialty

170
patients got this service, 16% of his patients
3
average number of visits a patient made for this service
(Peers: 3.3)
$48,960an average of $96 per time performed $27,030
an average of $53 per time performed
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
472
times performed,
2% of his services

12th 21st

most performed service for this provider most performed service in this state & specialty

119
patients got this service, 11% of his patients
4
average number of visits a patient made for this service
(Peers: 4)
$14,160an average of $30 per time performed $8,024
an average of $17 per time performed
DRUGS

Injection, testosterone cypionate, up to 100 mg

Service Code: J1070
Performed in an office
326
times performed,
1% of his services

13th Alert

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

17
patients got this service, 2% of his patients
6.6
average number of visits a patient made for this service
$3,260an average of $10 per time performed $978
an average of $3 per time performed
DRUGS

Injection, testosterone cypionate, 1 cc, 200 mg

Service Code: J1080
Performed in an office
261
times performed,
1% of his services

14th Alert

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

33
patients got this service, 3% of his patients
6.6
average number of visits a patient made for this service
$5,220an average of $20 per time performed $1,305
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
243
times performed,
0.97% of his services

15th 22nd

most performed service for this provider most performed service in this state & specialty

194
patients got this service, 19% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$2,916an average of $12 per time performed $1,944
an average of $8 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
194
times performed,
0.77% of his services

16th 17th

most performed service for this provider most performed service in this state & specialty

194
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$58,200an average of $300 per time performed $11,640
an average of $60 per time performed
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
177
times performed,
0.7% of his services

17th 20th

most performed service for this provider most performed service in this state & specialty

140
patients got this service, 13% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$6,549an average of $37 per time performed $1,947
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
173
times performed,
0.69% of his services

18th 42nd

most performed service for this provider most performed service in this state & specialty

129
patients got this service, 12% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$3,114an average of $18 per time performed $692
an average of $4 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
160
times performed,
0.64% of his services

19th 18th

most performed service for this provider most performed service in this state & specialty

68
patients got this service, 7% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2.4)
$9,440an average of $59 per time performed $4,640
an average of $29 per time performed
PATHOLOGY AND LABORATORY

Gonadotropin, luteinizing (reproductive hormone) level

Service Code: 83002
Performed in an office
102
times performed,
0.41% of his services

20th Alert

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

70
patients got this service, 7% of his patients
1.5
average number of visits a patient made for this service
$7,242an average of $71 per time performed $2,652
an average of $26 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
100
times performed,
0.4% of his services

21st 29th

most performed service for this provider most performed service in this state & specialty

100
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,000an average of $30 per time performed $2,300
an average of $23 per time performed
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ×

Service Code: Q2037
Performed in an office
93
times performed,
0.37% of his services

22nd 36th

most performed service for this provider most performed service in this state & specialty

93
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,953an average of $21 per time performed $1,302
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Glycated protein level

Service Code: 82985
Performed in an office
85
times performed,
0.34% of his services

23rd Alert

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

49
patients got this service, 5% of his patients
1.7
average number of visits a patient made for this service
$3,825an average of $45 per time performed $1,785
an average of $21 per time performed
MEDICINE

Ambulatory continuous glucose (sugar) monitoring for a mi... +

Ambulatory continuous glucose (sugar) monitoring for a minimum of 72 hours ×

Service Code: 95250
Performed in an office
82
times performed,
0.33% of his services

24th 58th

most performed service for this provider most performed service in this state & specialty

79
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$24,600an average of $300 per time performed $9,184
an average of $112 per time performed
MEDICINE

Ambulatory continuous glucose (sugar) including interpret... +

Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours ×

Service Code: 95251
Performed in an office
82
times performed,
0.33% of his services

25th 57th

most performed service for this provider most performed service in this state & specialty

77
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$5,904an average of $72 per time performed $2,624
an average of $32 per time performed
PATHOLOGY AND LABORATORY

Cortisol (hormone) measurement

Service Code: 82533
Performed in an office
78
times performed,
0.31% of his services

26th 52nd

most performed service for this provider most performed service in this state & specialty

57
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$4,524an average of $58 per time performed $1,794
an average of $23 per time performed
PATHOLOGY AND LABORATORY

Testosterone (hormone) level

Service Code: 84403
Performed in an office
71
times performed,
0.28% of his services

27th 56th

most performed service for this provider most performed service in this state & specialty

45
patients got this service, 4% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$4,260an average of $60 per time performed $2,556
an average of $36 per time performed
PATHOLOGY AND LABORATORY

Thyroid hormone, t3 measurement

Service Code: 84481
Performed in an office
71
times performed,
0.28% of his services

28th 19th

most performed service for this provider most performed service in this state & specialty

50
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$4,970an average of $70 per time performed $1,633
an average of $23 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
66
times performed,
0.26% of his services

29th 28th

most performed service for this provider most performed service in this state & specialty

65
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,226an average of $261 per time performed $9,636
an average of $146 per time performed
PATHOLOGY AND LABORATORY

Ldl cholesterol level

Service Code: 83721
Performed in an office
64
times performed,
0.25% of his services

30th 67th

most performed service for this provider most performed service in this state & specialty

45
patients got this service, 4% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$1,280an average of $20 per time performed $896
an average of $14 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
56
times performed,
0.22% of his services

31st 34th

most performed service for this provider most performed service in this state & specialty

44
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$7,728an average of $138 per time performed $4,256
an average of $76 per time performed
PATHOLOGY AND LABORATORY

Phosphate level

Service Code: 84100
Performed in an office
51
times performed,
0.2% of his services

32nd 53rd

most performed service for this provider most performed service in this state & specialty

42
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$1,020an average of $20 per time performed $204
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
42
times performed,
0.17% of his services

33rd Alert

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

37
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$1,386an average of $33 per time performed $882
an average of $21 per time performed
PATHOLOGY AND LABORATORY

Parathormone (parathyroid hormone) level

Service Code: 83970
Performed in an office
37
times performed,
0.15% of his services

34th 55th

most performed service for this provider most performed service in this state & specialty

31
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$3,219an average of $87 per time performed $2,035
an average of $55 per time performed
PATHOLOGY AND LABORATORY

Gonadotropin, follicle stimulating (reproductive hormone)... +

Gonadotropin, follicle stimulating (reproductive hormone) level ×

Service Code: 83001
Performed in an office
36
times performed,
0.14% of his services

35th Alert

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

31
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
$2,412an average of $67 per time performed $900
an average of $25 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
35
times performed,
0.14% of his services

36th 15th

most performed service for this provider most performed service in this state & specialty

35
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,315an average of $209 per time performed $4,270
an average of $122 per time performed
PATHOLOGY AND LABORATORY

Prolactin (milk producing hormone) level

Service Code: 84146
Performed in an office
35
times performed,
0.14% of his services

37th 69th

most performed service for this provider most performed service in this state & specialty

27
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$2,135an average of $61 per time performed $910
an average of $26 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
33
times performed,
0.13% of his services

38th 44th

most performed service for this provider most performed service in this state & specialty

33
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$1,782an average of $54 per time performed $825
an average of $25 per time performed
PATHOLOGY AND LABORATORY

Blood glucose (sugar) tolerance test

Service Code: 82952
Performed in an office
30
times performed,
0.12% of his services

39th Alert

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$570an average of $19 per time performed $180
an average of $6 per time performed
EVALUATION AND MANAGEMENT

Smoking and tobacco use intermediate counseling, greater ... +

Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes ×

Service Code: 99406
Performed in an office
24
times performed,
0.1% of his services

40th Alert

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

22
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$480an average of $20 per time performed $240
an average of $10 per time performed
PATHOLOGY AND LABORATORY

Thyroglobulin (thyroid protein) antibody measurement

Service Code: 86800
Performed in an office
20
times performed,
0.08% of his services

41st 40th

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$680an average of $34 per time performed $460
an average of $23 per time performed
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
17
times performed,
0.07% of his services

42nd Alert

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

17
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$255an average of $15 per time performed $85
an average of $5 per time performed
RADIOLOGY

Ultrasound of head and neck

Service Code: 76536
Performed in an office
16
times performed,
0.06% of his services

43rd 24th

most performed service for this provider most performed service in this state & specialty

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,256an average of $141 per time performed $1,136
an average of $71 per time performed
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82550
Performed in an office
15
times performed,
0.06% of his services

44th Alert

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$450an average of $30 per time performed $75
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Microsomal antibodies (autoantibody) measurement

Service Code: 86376
Performed in an office
14
times performed,
0.06% of his services

45th 43rd

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$434an average of $31 per time performed $294
an average of $21 per time performed
PATHOLOGY AND LABORATORY

Blood glucose (sugar) tolerance test

Service Code: 82951
Performed in an office
12
times performed,
0.05% of his services

46th Alert

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$588an average of $49 per time performed $180
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Iron binding capacity

Service Code: 83550
Performed in an office
12
times performed,
0.05% of his services

47th Alert

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

11
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
$216an average of $18 per time performed $144
an average of $12 per time performed

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2013 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Notes: This provider has a self-reported specialty of "Endocrinology, Diabetes & Metabolism." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.


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