Physician

Danette Ko, MD

According to 2025 Medicare claims, Danette Ko, MD (NPI: 1700185162) practices rheumatology in the Salt Lake City-Murray, UT market, with the plurality of this provider's patient population coming from Salt Lake, UT. This provider's primary affiliated billing organization is IHC HEALTH SERVICES INC (NPI: 1346634342; TIN: 942854057) and primary practice location at 84107-4872. Ko is affiliated with the Castell Accountable Care, LLC (ACO ID: D0136), participating under the REACH model.

Ko's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 295 traditional Medicare patients, billed 65,983 HCPCS/CPT codes, and received $677,587 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 1,510 prescription claims across 256 beneficiaries totaling $1,206,276 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2016 DME data shows 32 claims. Open Payments data shows 5 records totaling $112. 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 moved sharply higher in recent years, from $54,392 to $677,587. Similarly, Part D prescription costs have risen steadily, from $1,434 to $1,206,276. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$339K$678K2015 Medicare payment: $54,392 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $38,701 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $11,461 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $8,445 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $59,306 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $74,266 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $263,161 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $475,409 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $677,587 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015335578$54,392
2016182500$38,701
2017N/RN/RN/R
2018120198$11,461
201998168$8,445
2020702,531$59,306
20211303,719$74,266
202216721,262$263,161
202324143,418$475,409
202429565,983$677,587

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$603K$1.2M2015 Drug cost: $1,434 (USD; Tot_Drug_Cst)2016 Drug cost: $3,112 (USD; Tot_Drug_Cst)2017 Drug cost: $100,437 (USD; Tot_Drug_Cst)2018 Drug cost: $247,970 (USD; Tot_Drug_Cst)2019 Drug cost: $345,368 (USD; Tot_Drug_Cst)2020 Drug cost: $89,702 (USD; Tot_Drug_Cst)2021 Drug cost: $232,335 (USD; Tot_Drug_Cst)2022 Drug cost: $519,214 (USD; Tot_Drug_Cst)2023 Drug cost: $937,037 (USD; Tot_Drug_Cst)2024 Drug cost: $1,206,276 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151936$1,434
201658137$3,112
201743132$100,437
2018103400$247,970
2019131597$345,368
2020125512$89,702
2021147625$232,335
20222321,198$519,214
20232251,517$937,037
20242561,510$1,206,276

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$7.0K$14K2015 Medicare payment: $13,996 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $1,325 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R22$13,996
2016N/R32$1,325
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more104292$86
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less80205$41
J0897Injection, denosumab, 1 mg916,360$20
96372Injection of drug or substance under skin or into muscle114213$10
J3489Injection, zoledronic acid, 1 mg45225$4

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab431,204$327,722
Taltz AutoinjectorIxekizumab17476$140,502
Humira PenAdalimumab12364$87,643
EnbrelEtanercept12336$84,148
BenlystaBelimumab11308$60,211

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.5$112E.R. Squibb & Sons, L.L.C.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Danette Ko, MD?

Tedicare shows public-source Medicare data for Danette Ko, MD (NPI 1700185162), 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 Danette Ko, MD have ACO affiliation data?

Danette Ko, MD is shown with ACO affiliation data for Castell Accountable Care, LLC (REACH, ACO ID D0136).

What billing organization is linked to Danette Ko, MD?

Danette Ko, MD is linked to IHC HEALTH SERVICES INC (billing NPI 1346634342) in the available physician profile data.

Does Danette Ko, MD have Open Payments data?

Danette Ko, MD has 5 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.