Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Sally Koch (NPI 1215523915)

Field	Value
Entity Type	Individual
Organization	Sally Koch
Address	675 Peter Jefferson Pkwy Ste 300
City	Charlottesville
State	VA
ZIP	22911
Taxonomy	Family Nurse Practitioner
NPI Enumerated	December 16, 2020

Payer Source	Total Paid
Medicare	$22.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	100	$110	$10.5K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	60	$70	$4K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	30	$120	$3.4K
G0318	Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	130	$20	$2.6K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	20	$100	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Sally Koch — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	283	460	90	$80	$20.2K
99310	341	390	70	$110	$14.1K
99350	64	200	50	$120	$12.4K
99345	33	80	30	$140	$4K
G0318	7	30	50	$20	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sarah Brown	VA	Family Nurse Practitioner	$28.1K	$0
Ashleigh Bergstrom	VA	Family Nurse Practitioner	$26.5K	$0
Michael Williamson	VA	Clinical Social Worker	$13.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Virginia Physicians Group	VA	Sports Medicine (Neuromusculoskeletal Medicine) Physician	$0	$84.6M
Compass Youth Services	VA	Community/Behavioral Health Agency	$0	$63.5M
Martha Jefferson Hospital	VA	General Acute Care Hospital	$0	$26.9M
Addiction Recovery Systems LLC	VA	Methadone Clinic	$127.5K	$11.5M
Children's Dentistry Of Charlottesville, P.C.	VA	Dentist	$0	$11M
Mohit Nanda	VA	Retina Specialist (Ophthalmology) Physician	$4.6M	$0
Jacob Meyer	VA	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Scott Chirichetti	VA	Pain Medicine Physician	$1.1M	$0
Stephen Vance	VA	MOHS-Micrographic Surgery Physician	$924.6K	$0
Vandana Nanda	VA	MOHS-Micrographic Surgery Physician	$912.2K	$0

Sally Koch — Billing Profile & Reimbursement Data

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Sally Koch — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References