Physician

Robert J Koch, DO

According to 2025 Medicare claims, Robert Koch, DO (NPI: 1962497974) practices cardiology in the Lake County, IL market, with the plurality of this provider's patient population coming from Lake, IL. This provider's primary affiliated billing organization is LAKE HEART SPECIALISTS (NPI: 1629063391; TIN: 363884882) and primary practice location at 60031-5712. Koch is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033), participating under the MSSP model.

Koch's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,544 traditional Medicare patients, billed 8,591 HCPCS/CPT codes, and received $962,115 in Medicare payments. The top billing code was 93306 (Ultrasound of heart with color-depicted blood flow, rate, direction and valve function). Part D data shows 9,518 prescription claims across 990 beneficiaries totaling $2,933,843 in drug costs, led by Jardiance (Empagliflozin). DME data shows 14 claims. Open Payments data shows 86 records totaling $16,508. 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 $630,076 to $962,115. Similarly, Part D prescription costs have moved sharply higher in recent years, from $652,412 to $2,933,843. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $55,362 to $35,055.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,911	7,856	$630,076
2016	2,003	8,265	$659,051
2017	1,878	7,667	$617,579
2018	2,089	9,072	$759,808
2019	1,986	9,199	$901,031
2020	2,071	8,866	$835,989
2021	1,813	10,377	$1,037,219
2022	1,845	9,362	$811,348
2023	1,801	9,406	$728,606
2024	1,544	8,591	$962,115

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	580	6,656	$652,412
2016	623	6,644	$737,928
2017	681	6,799	$807,655
2018	719	6,939	$870,909
2019	797	7,643	$1,243,645
2020	798	7,694	$1,437,276
2021	798	8,150	$1,760,100
2022	848	8,446	$2,155,893
2023	898	8,614	$2,325,567
2024	990	9,518	$2,933,843

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	27	$55,362
2016	N/R	35	$69,039
2017	N/R	24	$49,310
2018	N/R	15	$32,776
2019	N/R	13	$28,401
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	14	$35,020

* / # = 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
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	371	378	$109
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	654	1,303	$93
93015	Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	221	247	$54
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	666	1,158	$11
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	599	722	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	504	38,701	$720,441
Vyndamax	Tafamidis	19	870	$700,044
Vascepa	Icosapent Ethyl	648	50,320	$569,021
Eliquis	Apixaban	300	19,701	$379,232
Xarelto	Rivaroxaban	61	4,590	$83,018

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
K0606	Automatic external defibrillator, with integrated electrocardiogram analysis, garment type	Y	N/R	14	$35,020

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	86	$16,508	Boehringer Ingelheim Pharmaceuticals, Inc.
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 Robert J. Koch, DO?

Tedicare shows public-source Medicare data for Robert J. Koch, DO (NPI 1962497974), 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 Robert J. Koch, DO have ACO affiliation data?

Robert J. Koch, DO is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033).

What billing organization is linked to Robert J. Koch, DO?

Robert J. Koch, DO is linked to LAKE HEART SPECIALISTS (billing NPI 1629063391) in the available physician profile data.

Does Robert J. Koch, DO have Open Payments data?

Robert J. Koch, DO has 86 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.