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NPI 1700185162 · Murray, UT · Rheumatology Physician
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Danette Ko is a rheumatology physician provider located in Murray, Utah. This profile covers 11 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Danette Ko |
| Address | 181 E Medical Tower Dr |
| City | Murray |
| State | UT |
| ZIP | 84107 |
| Taxonomy | Rheumatology Physician |
| NPI Enumerated | March 23, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $195.7K |
| Medicaid | $54.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 4,080 | $20 | $73.4K |
| Q5104 | Injection, infliximab-abda, biosimilar, (renflexis), 10 mg | 2,510 | $30 | $72.8K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 290 | $80 | $23.8K |
| 96413 | Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These… | 90 | $100 | $8.3K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 160 | $50 | $7.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 50 | $60 | $3.1K |
| 96415 | In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the… | 100 | $20 | $2K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 120 | $10 | $1.3K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 20 | $80 | $1.1K |
| J3489 | Injection, zoledronic acid, 1 mg | 160 | $10 | $960 |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| Q5104 | 5 | 10 | 3,550 | $30 | $99.1K |
| J0897 | 15 | 70 | 1,920 | $20 | $67.2K |
| 96413 | 35 | 50 | 100 | $90 | $13.8K |
| 99214 | 559 | 4,080 | 80 | $80 | $11.6K |
| 99213 | 2,094 | 3,680 | 60 | $50 | $6.4K |
| 96365 | 23 | 80 | 90 | $40 | $5.2K |
| 90694 | 470 | 530 | 40 | $80 | $4.2K |
| 96415 | 11 | 40 | 60 | $20 | $2K |
| G0008 | 973 | 1,060 | 40 | $30 | $1.9K |
| J3489 | 7 | 20 | 110 | $10 | $830 |
Showing 1–10 of 11
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 340 | $110 | $36.6K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 30 | $180 | $5.8K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 20 | $210 | $4.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 60 | $60 | $3.5K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 80 | $40 | $3.1K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 120 | $10 | $870 |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 120 | $1 | $460 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 30 | $1 | $30 |
How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Utah median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 98 | 120 | 1,100 | $30 | $186.6K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 197 | 240 | 220 | $50 | $145.2K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 552 | 1,340 | 200 | $80 | $144K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 961 | 1,360 | 190 | $70 | $125K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 155 | 200 | 240 | $90 | $85.8K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 84 | 100 | 2,770 | $10 | $75.1K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 208 | 270 | 80 | $100 | $41.6K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 10 | 20 | 80 | $10 | $5.3K |
Other providers in the same ZIP code as Danette Ko, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Ihc Health Services, Inc. | UT | General Acute Care Hospital | $0 | $68.7M |
| Ihc Health Services, Inc. | UT | Clinical Medical Laboratory | $2.7M | $17.9M |
| Alpine Home Medical Equipment LLC | UT | Oxygen Equipment & Supplies (DME) | $0 | $18.6M |
| Ddi Vantage | UT | Developmentally Disabled Services Day Training Agency | $0 | $18.4M |
| Utah Emergency Physicians | UT | Emergency Medicine Physician | $0 | $14.5M |
| Home Caregivers Partnership, LLC | UT | Home Health Agency | $0 | $10.4M |
| Gcs Foundation | UT | Supports Brokerage Agency | $0 | $6.2M |
| Ihc Health Services Inc | UT | Diagnostic Radiology Physician | $0 | $6.1M |
| Joel Herring | UT | Retina Specialist (Ophthalmology) Physician | $5.6M | $23.7K |
| Project Reality | UT | Mental Health Counselor | $0 | $5.1M |
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