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Compare the published Medicare service mix of Adrienne J Koch, D.O. with clinicians in the same registry specialty: Internal Medicine.

ELKTON, VA · 25 milesEdit location
Within 25 miles · Approximate ZIP-area distance

Approximate straight-line distances between ZIP-area centers; a city search starts from the average of its ZIP centers. Uses the primary reported practice ZIP, not an exact office address or driving distance. Records without matched coordinates are excluded. How distance works

2024 published service data · 37 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

William Maloney, MD

Internal Medicine · Charlottesville, VA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)
88%Service-mix similarity~24.2 milesView profile →

Trent Mazer, MD

Internal Medicine · Harrisonburg, VA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)
87%Service-mix similarity~13.3 milesView profile →

Lidiya Gutnikova, MD

Internal Medicine · Rockingham, VA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)
78%Service-mix similarity~13.3 milesView profile →

Rachel L Mehaffey, MD

Internal Medicine · Charlottesville, VA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)
72%Service-mix similarity~24.2 milesView profile →

Johan Sebastian Urena Hernandez, MD

Internal Medicine · Harrisonburg, VA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Transitional care management services for problem of at least moderate complexity (99495)
70%Service-mix similarity~13.3 milesView profile →

Mark D Niehaus, MD

Internal Medicine · Charlottesville, VA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)
70%Service-mix similarity~21.7 milesView profile →

Katina Serlemitsos Christopher, MD

Internal Medicine · Crozet, VA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)
68%Service-mix similarity~19.3 milesView profile →

Joshua Marks Greenhoe, MD

Internal Medicine · Charlottesville, VA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)
65%Service-mix similarity~24.2 milesView profile →

Kiyoko Asao-Ragosta, M.D.

Internal Medicine · Charlottesville, VA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)
64%Service-mix similarity~21.7 milesView profile →

Carolyn J Dalldorf, MD

Internal Medicine · Charlottesville, VA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)
62%Service-mix similarity~24.2 milesView profile →

Manpreet Kaur Arshi, M.D.

Internal Medicine · Luray, VA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
59%Service-mix similarity~19.8 milesView profile →

Renee Louise Fischer, MD

Internal Medicine · Charlottesville, VA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)
55%Service-mix similarity~21.7 milesView profile →
How this comparison works

We use the same calendar year of CMS Medicare Physician & Other Practitioners data for both providers. Published non-drug service counts are combined by HCPCS code across places of service. We apply log(1 + count), normalize the vectors, and compare them using cosine similarity.

Candidates share the reference provider’s current NPPES primary taxonomy and match the location you enter. We examine up to 500 candidates in approximate distance order, then show up to 12 with the highest positive similarity within that set. The score is not a percentile, medical recommendation, or prediction. Suppressed services are not estimated. Medicare fee-for-service data does not describe a provider’s entire practice.

Source: CMS Medicare Physician & Other Practitioners - by Provider and Service : 2024-12-01 · Published May 21, 2026.