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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Couch
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    James Couch — Billing Profile & Reimbursement Data

    NPI 1376635052 · Mt Pleasant, TN · Family Medicine Physician

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    James Couch is a family medicine physician provider located in Mt Pleasant, Tennessee. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Couch
    Address200 S Cross Bridges Rd
    CityMt Pleasant
    StateTN
    ZIP38474
    TaxonomyFamily Medicine Physician
    NPI EnumeratedSeptember 29, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$169.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…910$70$67.1K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…210$140$29.1K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…150$90$14.2K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…260$50$12.6K
    99214The 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…140$80$10.7K
    99213The 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…160$60$9.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit60$120$7.4K
    99315The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.100$60$5.6K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…30$130$4.4K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…60$70$4.4K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9930995660270$70$29.8K
    992145,28411,370120$80$16.6K
    99308202620150$50$13.7K
    G04391,4062,65070$110$11.2K
    993061518050$130$10.6K
    992133,23711,03080$50$8K
    993052820050$90$7.6K
    906626941,83050$70$4.9K
    9388032756040$70$4.7K
    G00081,2863,23050$30$2.1K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maury Regional Medical Group, IncTNFamily Medicine Physician$0$6.5M
    Lucas WilmoreTNAddiction Medicine (Family Medicine) Physician$4.4K$4.6M
    Gibran NaddyTNInternal Medicine Physician$545K$28.9K
    Nilay PatelTNSurgery Physician$445.2K$0
    Justin KropfTNUrology Physician$376K$0
    Stephen PareyTNOtolaryngology Physician$360.3K$0
    Joe MobleyTNSpecialist$281.8K$0
    Varun DhulipalaTNHematology & Oncology Physician$276.7K$0
    Richard KennedyTNFamily Medicine Physician$242.8K$0
    Jawaid KamalTNInternal Medicine Physician$26.9K$215.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Tennessee Distribution
    James Couch — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee