Physician

Abigail Lynn Koch, M.D.

According to 2025 Medicare claims, Abigail Koch, M.D. (NPI: 1992149108) practices pulmonary disease in the Winston-Salem, NC market, with the plurality of this provider's patient population coming from Forsyth, NC. This provider's primary affiliated billing organization is WAKE FOREST UNIVERSITY HEALTH SCIENCES (NPI: 1003803032; TIN: 223849199) and primary practice location at 27103-5166. 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 224 traditional Medicare patients, billed 379 HCPCS/CPT codes, and received $38,286 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 212 prescription claims across 70 beneficiaries totaling $172,931 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 25 claims. Open Payments data shows 10 records totaling $1,088. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have risen steadily, from $7,392 to $172,931. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $1,257 and ending at $1,702.

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$19K$38K2022 Medicare payment: $16,424 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $26,181 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $38,286 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
202266131$16,424
2023156310$26,181
2024224379$38,286

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$104K$207K2015 Drug cost: $7,392 (USD; Tot_Drug_Cst)2016 Drug cost: $7,702 (USD; Tot_Drug_Cst)2017 Drug cost: $3,066 (USD; Tot_Drug_Cst)2018 Drug cost: $8,985 (USD; Tot_Drug_Cst)2019 Drug cost: $21,445 (USD; Tot_Drug_Cst)2020 Drug cost: $650 (USD; Tot_Drug_Cst)2021 Drug cost: $34,837 (USD; Tot_Drug_Cst)2022 Drug cost: $6,745 (USD; Tot_Drug_Cst)2023 Drug cost: $207,076 (USD; Tot_Drug_Cst)2024 Drug cost: $172,931 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151858$7,392
20161376$7,702
2017N/R36$3,066
2018N/R18$8,985
20192169$21,445
2020N/R11$650
2021N/R26$34,837
20222037$6,745
202356222$207,076
202470212$172,931

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$617$1.2K2018 Medicare payment: $1,163 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $1,091 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $1,188 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $390 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $1,234 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R24$1,163
2019N/R24$1,091
2020N/R19$1,188
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R12$390
2024N/R25$1,234

* / # = 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
99291Critical care, first 30-74 minutes60109$171
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more4949$113
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more7488$76
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3654$64
94010Test to measure expiratory airflow and volume1516$7

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Trelegy ElliptaFluticasone/Umeclidin/Vilanter17930$19,206
Breo ElliptaFluticasone/Vilanterol23750$10,056
SymbicortBudesonide/Formoterol Fumarate12420$3,229
Albuterol Sulfate HfaAlbuterol Sulfate27857$791
Fluticasone PropionateFluticasone Propionate141,110$298

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R13$1,028
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R12$206

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.10$1,088AstraZeneca Pharmaceuticals LP
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 Abigail Lynn Koch, M.D.?

Tedicare shows public-source Medicare data for Abigail Lynn Koch, M.D. (NPI 1992149108), 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 Abigail Lynn Koch, M.D. have ACO affiliation data?

Abigail Lynn Koch, M.D. is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033).

What billing organization is linked to Abigail Lynn Koch, M.D.?

Abigail Lynn Koch, M.D. is linked to WAKE FOREST UNIVERSITY HEALTH SCIENCES (billing NPI 1003803032) in the available physician profile data.

Does Abigail Lynn Koch, M.D. have Open Payments data?

Abigail Lynn Koch, M.D. has 10 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.