Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Craig Couch (NPI 1568497733)

Field	Value
Entity Type	Individual
Organization	Craig Couch
Address	16040 Park Valley Dr
City	Round Rock
State	TX
ZIP	78681
Taxonomy	Neurology Physician
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicare	$182.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3032	Injection, eptinezumab-jjmr, 1 mg	10,600	$10	$137.8K
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	$24.4K
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…	80	$110	$8.4K
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.	140	$50	$6.5K
64615	The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…	40	$100	$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	$3.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Craig Couch — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3032	2	10	8,450	$10	$167.8K
99214	7,533	32,500	110	$80	$17.6K
99213	17,032	29,790	70	$60	$8.4K
96365	297	890	90	$50	$7.2K
64615	42	90	40	$110	$6.9K
99204	3,274	16,380	30	$110	$5.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edward Fox	TX	Specialist	$403.2K	$0
Terry Peery	TX	Neurology Physician	$89.1K	$0

Nearby Providers

Other providers in the same ZIP code as Craig Couch, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Magella Medical Associates Billing, Inc.	TX	Neonatal-Perinatal Medicine Physician	$0	$69.1M
Kenmar Residential Hcs Services Inc.	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$37.7M
Sedadent Anesthesia Services	TX	Dental Anesthesiology	$0	$11.1M
Darren Kocs	TX	Hematology & Oncology Physician	$2.5M	$0
Oakwood Surgery Center, Ltd., LLP	TX	Ambulatory Surgical Clinic/Center	$2.3M	$85.4K
Beth Hellerstedt	TX	Hematology & Oncology Physician	$2.1M	$0
Michael Herman	TX	Radiation Oncology Physician	$1.6M	$0
Usa Goodman	TX	Family Nurse Practitioner	$1.5M	$0
Darush Rahmani	TX	Rheumatology Physician	$1.4M	$0
Amanda Cantu	TX	Family Nurse Practitioner	$1.3M	$0

Craig Couch — Billing Profile & Reimbursement Data

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Craig Couch — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References