Dr. Kevin Koth, DO
12866 Troxler Ave, Highland, IL 62249 • +1-672-555-7151
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Highland Percentiles
NPI #1972798049 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across IL Orthopedic Surgery providers positions Dr. Kevin Koth, DO in Highland at -0.53σ (0th city percentile / 5.84th state percentile, 333 Medicare beneficiaries), with clinical focus spanning 61 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1972798049 highlights 270 annual claims for 99213 (12th Highland percentile; $247–$339 self-pay corridor) plus 203 encounters under 20610 and 143 under 73562.
Self-pay new patient consultations with Dr. Koth (CPT 99204 GPCI-adjusted benchmark) estimate around $218.00 (community reported average: $218.00) with hybrid in-clinic and telehealth video consults, 20-minute average reception wait, and a 4.62/5 modern protocol openness score across 20 patient logs.
From 12866 Troxler Ave in Highland (+1-672-555-7151), Dr. Koth, DO (8-year clinical track record) delivers 61 Active CMS HCPCS Codes care.
Compared against Highland, IL Orthopedic Surgery peers
751 annual services across 333 beneficiaries
Standard deviations from IL Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 270 | 12th | $247 – $339 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 203 | 12th | $263 – $361 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 143 | 12th | $148 – $203 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 83 | 12th | $355 – $486 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 53 | 12th | $2284 – $3130 |
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Dr. Kevin Koth, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Koth National Provider Identifier | NPI #1972798049 (DO) | CMS NPPES Registry (62249) |
| Dr. Koth Highland CMS Volume Rank | 0.00th Pct (751 CMS svcs; Z -0.527σ) | CMS Medicare Part B (IL Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Highland, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 20 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.62/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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