Physician

Anita R. Koch, RN CNS

According to 2025 Medicare claims, Anita Koch, RN CNS (NPI: 1316190556) practices certified clinical nurse specialist in the Youngstown-Warren, OH market, with the plurality of this provider's patient population coming from Mahoning, OH. This provider's primary affiliated billing organization is TRIAD HEALTH SERVICES, LLC (NPI: 1588925457; TIN: 454951682) and primary practice location at 44512-6090.

Koch's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 214 traditional Medicare patients, billed 1,227 HCPCS/CPT codes, and received $47,841 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 3,006 prescription claims across 559 beneficiaries totaling $168,557 in drug costs, led by Xtampza Er (Oxycodone Myristate). Open Payments data shows 3 records totaling $163. 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 risen steadily, from $5,746 to $47,841. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $75,227 and ending at $168,557. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	59	121	$5,746
2016	122	401	$17,323
2017	82	232	$9,396
2018	126	181	$8,143
2019	362	820	$37,229
2020	306	1,191	$52,472
2021	298	1,094	$59,199
2022	270	997	$52,863
2023	206	739	$38,478
2024	214	1,227	$47,841

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	134	585	$75,227
2016	199	1,917	$225,262
2017	235	1,728	$172,891
2018	526	2,103	$209,061
2019	737	3,005	$295,315
2020	566	2,767	$161,775
2021	575	3,030	$154,211
2022	575	3,137	$182,202
2023	507	2,886	$177,814
2024	559	3,006	$168,557

DME Billing Trend

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

No connected DME records

* / # = 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	189	501	$64
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	102	247	$41
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	161	477	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xtampza Er	Oxycodone Myristate	56	1,664	$44,811
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	788	23,300	$21,031
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	598	17,796	$17,039
Fentanyl	Fentanyl	158	4,472	$15,906
Hysingla Er	Hydrocodone Bitartrate	23	690	$9,865

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$163	Boston Scientific 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

Explore More Providers

FAQ

What Medicare data is available for Anita R. Koch, RN CNS?

Tedicare shows public-source Medicare data for Anita R. Koch, RN CNS (NPI 1316190556), 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 Anita R. Koch, RN CNS have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Anita R. Koch, RN CNS?

Anita R. Koch, RN CNS is linked to TRIAD HEALTH SERVICES, LLC (billing NPI 1588925457) in the available physician profile data.

Does Anita R. Koch, RN CNS have Open Payments data?

Anita R. Koch, RN CNS has 3 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.