Physician

Douglas A Koch, MD

According to 2025 Medicare claims, Douglas Koch, MD (NPI: 1245205947) practices orthopedic surgery in the Lincoln, NE market, with the plurality of this provider's patient population coming from Lancaster, NE. This provider's primary affiliated billing organization is NEBRASKA ORTHOPAEDIC CENTER PC (NPI: 1659349330; TIN: 91-1779832) and primary practice location at 68506-1682. Koch is affiliated with the NPG Health Collaborative LLC (ACO ID: A3287), Prairie Vista Care Organization (ACO ID: A3578), Bryan Health Connect ACO, LLC (ACO ID: A4573), and Avera Prairie View ACO (ACO ID: A4692), participating under the MSSP model.

Koch's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 833 traditional Medicare patients, billed 7,413 HCPCS/CPT codes, and received $349,449 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 844 prescription claims across 352 beneficiaries totaling $11,171 in drug costs, led by Xarelto (Rivaroxaban). DME data shows 31 claims. Open Payments data shows 4 records totaling $91. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $11,144 and ending at $11,171. For DME billing, reported payments moved sharply higher in recent years, from $597 to $4,251.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	682	3,085	$256,437
2016	765	2,964	$284,825
2017	818	3,495	$313,732
2018	779	3,396	$316,738
2019	809	3,480	$332,837
2020	670	2,626	$262,842
2021	688	3,317	$310,687
2022	783	5,292	$339,315
2023	804	5,851	$316,781
2024	833	7,413	$349,449

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	151	355	$11,144
2016	138	280	$6,668
2017	167	350	$4,940
2018	172	371	$4,931
2019	194	497	$9,042
2020	216	502	$8,703
2021	217	460	$5,249
2022	258	586	$6,455
2023	269	596	$7,636
2024	352	844	$11,171

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	12	12	$1,138
2017	45	45	$3,928
2018	23	23	$2,285
2019	32	32	$2,135
2020	11	26	$950
2021	11	11	$546
2022	15	15	$1,312
2023	13	14	$1,212
2024	31	31	$2,017

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	151	$85
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	326	418	$62
20610	Aspiration and/or injection of fluid from large joint	318	509	$46
73562	X-ray of knee, 3 views	230	320	$28
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	288	3,978	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xarelto	Rivaroxaban	13	228	$4,188
Oxycodone Hcl	Oxycodone Hcl	156	1,081	$1,113
Tramadol Hcl	Tramadol Hcl	222	1,615	$796
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	45	253	$549
Cephalexin	Cephalexin	21	227	$393

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	N	17	17	$1,390
E0143	Walker, folding, wheeled, adjustable or fixed height	N	14	14	$627

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$91	Linvatec Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Douglas A. Koch, MD?

Tedicare shows public-source Medicare data for Douglas A. Koch, MD (NPI 1245205947), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Douglas A. Koch, MD have ACO affiliation data?

Douglas A. Koch, MD is shown with ACO affiliation data for NPG Health Collaborative LLC (MSSP, ACO ID A3287), Prairie Vista Care Organization (MSSP, ACO ID A3578), Bryan Health Connect ACO, LLC (MSSP, ACO ID A4573), and Avera Prairie View ACO (MSSP, ACO ID A4692).

What billing organization is linked to Douglas A. Koch, MD?

Douglas A. Koch, MD is linked to NEBRASKA ORTHOPAEDIC CENTER PC (billing NPI 1659349330) in the available physician profile data.

Does Douglas A. Koch, MD have Open Payments data?

Douglas A. Koch, MD has 4 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.