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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBenjamin Koch
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    Benjamin Koch — Billing Profile & Reimbursement Data

    NPI 1174733836 · Duluth, MN · Anatomic Pathology & Clinical Pathology Physician

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    Benjamin Koch is a anatomic pathology & clinical pathology physician provider located in Duluth, Minnesota. This profile covers 23 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBenjamin Koch
    Address400 E 3rd St
    CityDuluth
    StateMN
    ZIP55805
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedMay 23, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$48.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…630$30$17.1K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…330$20$6.9K
    84165The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…280$10$3.6K
    88189The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.50$60$3.2K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…40$60$2.6K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…90$30$2.5K
    86334The lab analyst performs immunofixation electrophoresis, typically on the patient’s serum, to diagnose and or monitor monoclonal gammopathies or myeloma, a bone marrow tumor.150$10$1.9K
    88188The clinician, typically a pathologist, interprets flow cytometry results of nine to 15 markers.30$50$1.4K
    88309The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…10$110$1.3K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.20$50$1.3K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305115490230$30$16.5K
    8834141270150$30$5.5K
    8830716622060$70$5K
    88344173030$80$4.6K
    8834211131070$40$3.9K
    881736710030$60$3.5K
    88189165030$60$3.1K
    88309758020$110$2.7K
    883606911040$40$2.6K
    881126911060$30$2.6K

    Showing 1–10 of 23

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Benjamin Koch, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Essentia Health Virginia, LLCMNGeneral Acute Care Hospital$0$12.9M
    Essentia Health Virginia, LLCMNRural Health Clinic/Center$0$5.6M
    St. Mary's Duluth Clinic Health SystemMNClinical Medical Laboratory$260.2K$5M
    John ThompsonMDOphthalmology Physician$3.9M$0
    Kim OgleWIInternal Medicine Physician$211.8K$0
    Bryan AustinWICardiovascular Disease Physician$131.4K$0
    Traci RogersMNFamily Nurse Practitioner$130.1K$0
    Julia MontgomeryMNClinical Cardiac Electrophysiology Physician$129K$0
    Brianne SableWIPhysician Assistant$121.5K$0
    Benjamin JorgensenMNVascular Surgery Physician$119.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Benjamin Koch, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rem Arrowhead, Inc.MNIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$107.9M
    The Duluth Clinic, LtdMNMulti-Specialty Clinic/Center$0$51.7M
    Brightwater Health Dba Human Development CenterMNMental Health Clinic/Center (Including Community Mental Health Center)$0$50.4M
    Smdc Medical CenterMNGeneral Acute Care Hospital$0$35.3M
    St. Luke's Hospital Of DuluthMNGeneral Acute Care Hospital$0$26.6M
    St Marys Medical CenterMNGeneral Acute Care Hospital$0$21M
    Lakewalk Surgery Center, Inc.MNAmbulatory Surgical Clinic/Center$1.7M$8.6M
    Webmed Mental HealthMNMental Health Counselor$0$7.1M
    St. Ann's HomeMNAssisted Living Facility$0$5.1M
    Hilary ReichMNDermatology Physician$294K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Minnesota Distribution
    Benjamin Koch — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota