Dr. Ian Kovach Md,Phd
203 Watson St Ste 300
Pratt KS 67124
620 721-1002
Medical School: Harvard Medical School - 1992
Accepts Medicare: Yes
Participates In eRX: Yes
Participates In PQRS: No
Participates In EHR: No
License #: 0426905
NPI: 1447343272
Taxonomy Codes:
207X00000X
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Awards & Recognitions
About Us
Practice Philosophy
Conditions
Dr. Ian Kovach is associated with these group practices
Procedure Pricing
| HCPCS Code | Description | Average Price | Average Price Allowed By Medicare |
|---|---|---|---|
| HCPCS Code:27447 | Description:Total knee arthroplasty | Average Price:$4,641.98 | Average Price Allowed By Medicare:$1,576.66 |
| HCPCS Code:27130 | Description:Total hip arthroplasty | Average Price:$3,600.00 | Average Price Allowed By Medicare:$1,366.36 |
| HCPCS Code:27245 | Description:Treat thigh fracture | Average Price:$3,330.00 | Average Price Allowed By Medicare:$1,168.48 |
| HCPCS Code:27236 | Description:Treat thigh fracture | Average Price:$2,750.00 | Average Price Allowed By Medicare:$1,130.08 |
| HCPCS Code:20610 | Description:Drain/inject joint/bursa | Average Price:$174.71 | Average Price Allowed By Medicare:$41.52 |
| HCPCS Code:20610 | Description:Drain/inject joint/bursa | Average Price:$197.13 | Average Price Allowed By Medicare:$69.36 |
| HCPCS Code:99204 | Description:Office/outpatient visit new | Average Price:$275.00 | Average Price Allowed By Medicare:$151.36 |
| HCPCS Code:73520 | Description:X-ray exam of hips | Average Price:$150.00 | Average Price Allowed By Medicare:$38.37 |
| HCPCS Code:99203 | Description:Office/outpatient visit new | Average Price:$200.00 | Average Price Allowed By Medicare:$98.46 |
| HCPCS Code:72110 | Description:X-ray exam of lower spine | Average Price:$96.76 | Average Price Allowed By Medicare:$32.53 |
| HCPCS Code:99214 | Description:Office/outpatient visit est | Average Price:$160.00 | Average Price Allowed By Medicare:$97.75 |
| HCPCS Code:72100 | Description:X-ray exam of lower spine | Average Price:$86.15 | Average Price Allowed By Medicare:$32.18 |
| HCPCS Code:73564 | Description:X-ray exam knee 4 or more | Average Price:$85.00 | Average Price Allowed By Medicare:$40.33 |
| HCPCS Code:73030 | Description:X-ray exam of shoulder | Average Price:$72.11 | Average Price Allowed By Medicare:$27.72 |
| HCPCS Code:73610 | Description:X-ray exam of ankle | Average Price:$74.00 | Average Price Allowed By Medicare:$29.65 |
| HCPCS Code:72170 | Description:X-ray exam of pelvis | Average Price:$67.09 | Average Price Allowed By Medicare:$23.86 |
| HCPCS Code:73560 | Description:X-ray exam of knee 1 or 2 | Average Price:$72.00 | Average Price Allowed By Medicare:$29.01 |
| HCPCS Code:73550 | Description:X-ray exam of thigh | Average Price:$66.20 | Average Price Allowed By Medicare:$23.75 |
| HCPCS Code:73510 | Description:X-ray exam of hip | Average Price:$76.84 | Average Price Allowed By Medicare:$35.03 |
| HCPCS Code:73562 | Description:X-ray exam of knee 3 | Average Price:$75.00 | Average Price Allowed By Medicare:$34.47 |
| HCPCS Code:99212 | Description:Office/outpatient visit est | Average Price:$75.00 | Average Price Allowed By Medicare:$39.45 |
| HCPCS Code:99213 | Description:Office/outpatient visit est | Average Price:$100.00 | Average Price Allowed By Medicare:$65.97 |
| HCPCS Code:73110 | Description:X-ray exam of wrist | Average Price:$65.00 | Average Price Allowed By Medicare:$32.01 |
| HCPCS Code:J7325 | Description:Synvisc or Synvisc-One | Average Price:$20.84 | Average Price Allowed By Medicare:$12.30 |
| HCPCS Code:J3301 | Description:Triamcinolone acet inj NOS | Average Price:$7.00 | Average Price Allowed By Medicare:$1.69 |
| HCPCS Code:95904 | Description:Sense nerve conduction test | Average Price:$20.00 | Average Price Allowed By Medicare:$20.00 |
| HCPCS Code:95903 | Description:Motor nerve conduction test | Average Price:$30.00 | Average Price Allowed By Medicare:$30.00 |
| HCPCS Code:95900 | Description:Motor nerve conduction test | Average Price:$20.00 | Average Price Allowed By Medicare:$20.00 |
HCPCS Code Definitions
- J7325
- Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg
- J3301
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg
- 99214
- Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
- 20610
- Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)
- 99213
- Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
- 99203
- Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
- 73110
- Radiologic examination, wrist; complete, minimum of 3 views
- 27236
- Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement
- 27130
- Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft
- 73030
- Radiologic examination, shoulder; complete, minimum of 2 views
- 72170
- Radiologic examination, pelvis; 1 or 2 views
- 20610
- Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)
- 27245
- Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage
- 72110
- Radiologic examination, spine, lumbosacral; minimum of 4 views
- 72100
- Radiologic examination, spine, lumbosacral; 2 or 3 views
- 27447
- Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)
- 73562
- Radiologic examination, knee; 3 views
- 99212
- Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
- 99204
- Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
- 73564
- Radiologic examination, knee; complete, 4 or more views
- 73560
- Radiologic examination, knee; 1 or 2 views
- 73610
- Radiologic examination, ankle; complete, minimum of 3 views
- 73550
- Radiologic examination, femur, 2 views
- 73510
- Radiologic examination, hip, unilateral; complete, minimum of 2 views
- 73520
- Radiologic examination, hips, bilateral, minimum of 2 views of each hip, including anteroposterior view of pelvis
Medical Malpractice Cases
None Found
Medical Board Sanctions
None Found
Referrals
NPI
Doctor Name
Specialty
Count
*These referrals represent the top 10 that Dr. Kovach has made to other doctors
Publications
Effects of femoral neck length, stem size, and body weight on strains in the proximal cement mantle. - The Journal of bone and joint surgery. American volume
Several studies have shown that certain cemented total hip replacement femoral stems have been associated with the complications of early debonding, loosening, and osteolysis. Some authors have suggested that these failures may be related to the surface finish of the stems. We developed an in vitro biomechanical experiment characterized by simulated stair-climbing to investigate the multiple factors involved in loosening of cemented femoral stems. In this study, we measured the effects of stem neck length, body weight, stem size, and calcar-collar contact on the torsional stability, as reflected by the strains in the proximal cement mantle, of one design of cemented femoral stem.Eight Centralign femoral stems (Zimmer, Warsaw, Indiana) were cemented into eight cadaver femora with use of contemporary cementing techniques. Prior to insertion, fifteen strain-gauge rosettes were mounted around the proximal portion of the stem. The stems were loaded on a jig that simulated static peak loading during stair-climbing. Loading was repeated for each stem with three different joint reaction forces and for three different neck lengths. Calcar loading by the collar was then eliminated by removing a 0.5-mm slice of bone beneath the collar, and all loadings were then repeated.The peak principal tensile strains in the proximal cement increased linearly with both body weight (r (2) > 0.95) and neck length (r (2) > 0.75). Increasing body weight affected the peak cement strains far more than did increasing neck length. During simulated stair-climbing, calcar-collar contact reduced peak strains in the proximal cement by a factor of 1.5 to two. Peak principal tensile strains in the proximal cement often exceeded 1000 me when the smaller stems were used.In this stair-climbing test model, the peak proximal cement strains were increased more by changes in body weight than they were by changes in neck length. Even during stair-climbing, calcar-collar contact reduced peak cement strains.
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