Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $389 per patient in 2015.
They performed about 14 services per patient. Here’s how this provider compares.

Number of
Patients
684
Rank: 120th
out of 375 providers in this state & specialty
Services
Performed
21,626
Rank: 13th
out of 375 providers in this state & specialty
Avg Services
Per Patient
31.6 This Provider is in the top 10%
Avg 14.2
Total Paid
by Medicare
$280K
Rank: 69th
out of 375 providers in this state & specialty
Avg Paid
Per Patient
$409 This Provider
Avg $389

Note: About 33% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 87 different services in 2015
(58 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
drug
DRUGS

Injection, hydromorphone, up to 4 mg

Service Code: J1170
Performed in an office
6,896
times performed,
32% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in AL perform this service

92
patients got this service, 13% of his patients
1.2
average number of visits a patient made for this service
$99,302.40an average of $14.40 per time performed $7,723.52
an average of $1.12 per time performed
drug
DRUGS

Injection, onabotulinumtoxina, 1 unit

Service Code: J0585
Performed in an office
4,400
times performed,
20% of his services

2nd 5th

most performed service for this provider most performed service in this state & specialty

20
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.9)
$36,520.00an average of $8.30 per time performed $19,140.00
an average of $4.35 per time performed
drug

Injection, morphine sulfate, preservative-free for epidur... +

Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10mg ×

Service Code: J2274
Performed in an office
3,456
times performed,
16% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in AL perform this service

62
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
$58,752.00an average of $17.00 per time performed $23,950.08
an average of $6.93 per time performed
drug
DRUGS

Injection, clonidine hydrochloride, 1 mg

Service Code: J0735
Performed in an office
1,518
times performed,
7% of his services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in AL perform this service

161
patients got this service, 24% of his patients
1.2
average number of visits a patient made for this service
$104,939.34an average of $69.13 per time performed $22,420.86
an average of $14.77 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
1,031
times performed,
5% of his services

5th 3rd

most performed service for this provider most performed service in this state & specialty

506
patients got this service, 74% of his patients
2
average number of visits a patient made for this service
(Peers: 1.9)
$139,185.00an average of $135.00 per time performed $63,891.07
an average of $61.97 per time performed
drug
DRUGS

Injection, midazolam hydrochloride, per 1 mg

Service Code: J2250
Performed in an office
975
times performed,
5% of his services

6th 25th

most performed service for this provider most performed service in this state & specialty

137
patients got this service, 20% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.2)
$4,875.00an average of $5.00 per time performed $87.75
an average of $0.09 per time performed
medical
PROCEDURES

Drug screen, other than chromatographic; any number of dr... +

Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter ×

Service Code: G0434
Performed in an office
586
times performed,
3% of his services

7th 99th

most performed service for this provider most performed service in this state & specialty

503
patients got this service, 74% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$20,510.00an average of $35.00 per time performed $11,157.44
an average of $19.04 per time performed
medical

Drug confirmation, each procedure

Service Code: G6058
Performed in an office
558
times performed,
3% of his services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in AL perform this service

65
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
$19,530.00an average of $35.00 per time performed $8,710.38
an average of $15.61 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
374
times performed,
2% of his services

9th 4th

most performed service for this provider most performed service in this state & specialty

294
patients got this service, 43% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.7)
$33,660.00an average of $90.00 per time performed $12,420.54
an average of $33.21 per time performed
drug
DRUGS

Injection, fentanyl citrate, 0.1 mg

Service Code: J3010
Performed in an office
314
times performed,
1% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in AL perform this service

25
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
$6,280.00an average of $20.00 per time performed $141.30
an average of $0.45 per time performed
medical
MEDICINE

Refilling and maintenance of implantable spinal or brain ... +

Refilling and maintenance of implantable spinal or brain drug delivery pump or reservoir ×

Service Code: 95990
Performed in an office
185
times performed,
0.86% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in AL perform this service

90
patients got this service, 13% of his patients
2.1
average number of visits a patient made for this service
$18,500.00an average of $100.00 per time performed $10,998.25
an average of $59.45 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
135
times performed,
0.62% of his services

12th 183rd

most performed service for this provider most performed service in this state & specialty

130
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1.7)
$4,725.00an average of $35.00 per time performed $1,004.40
an average of $7.44 per time performed
drug
DRUGS

Injection, baclofen, 10 mg

Service Code: J0475
Performed in an office
112
times performed,
0.52% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in AL perform this service

83
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
$30,800.00an average of $275.00 per time performed $16,845.92
an average of $150.41 per time performed
medical
DRUGS

Unclassified drugs

Service Code: J3490
Performed in an office
87
times performed,
0.4% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in AL perform this service

64
patients got this service, 9% of his patients
1.3
average number of visits a patient made for this service
$149,599.98an average of $1,719.54 per time performed $5,811.60
an average of $66.80 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64493
Performed in an office
50
times performed,
0.23% of his services

15th 216th

most performed service for this provider most performed service in this state & specialty

44
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$12,500.00an average of $250.00 per time performed $7,394.50
an average of $147.89 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64494
Performed in an office
50
times performed,
0.23% of his services

16th 221st

most performed service for this provider most performed service in this state & specialty

44
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$7,500.00an average of $150.00 per time performed $4,867.00
an average of $97.34 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64495
Performed in an office
50
times performed,
0.23% of his services

17th 260th

most performed service for this provider most performed service in this state & specialty

44
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$7,500.00an average of $150.00 per time performed $4,867.50
an average of $97.35 per time performed
medical
NERVOUS SYSTEM

Injections of substances into lower or sacral spine

Service Code: 62311
Performed in an office
49
times performed,
0.23% of his services

18th 88th

most performed service for this provider most performed service in this state & specialty

46
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$17,150.00an average of $350.00 per time performed $6,321.98
an average of $129.02 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
48
times performed,
0.22% of his services

19th 33rd

most performed service for this provider most performed service in this state & specialty

48
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,880.00an average of $185.00 per time performed $4,523.04
an average of $94.23 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into lower o... +

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance ×

Service Code: 64484
Performed in an office
42
times performed,
0.19% of his services

20th 132nd

most performed service for this provider most performed service in this state & specialty

30
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$10,500.00an average of $250.00 per time performed $2,574.18
an average of $61.29 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for spine or spinal canal injection +

Fluoroscopic guidance for spine or spinal canal injection ×

Service Code: 77003
Performed in an office
39
times performed,
0.18% of his services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in AL perform this service

37
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$3,900.00an average of $100.00 per time performed $2,242.11
an average of $57.49 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into lower o... +

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance ×

Service Code: 64483
Performed in an office
34
times performed,
0.16% of his services

22nd 103rd

most performed service for this provider most performed service in this state & specialty

31
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$12,240.00an average of $360.00 per time performed $4,812.02
an average of $141.53 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
31
times performed,
0.14% of his services

23rd 21st

most performed service for this provider most performed service in this state & specialty

31
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$1,860.00an average of $60.00 per time performed $642.01
an average of $20.71 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for insertion of needle

Service Code: 77002
Performed in an office
30
times performed,
0.14% of his services

24th 327th

most performed service for this provider most performed service in this state & specialty

25
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$3,000.00an average of $100.00 per time performed $1,823.10
an average of $60.77 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
30
times performed,
0.14% of his services

25th 49th

most performed service for this provider most performed service in this state & specialty

22
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.8)
$4,500.00an average of $150.00 per time performed $1,150.80
an average of $38.36 per time performed
medical
RADIOLOGY

Mri scan of lower spinal canal

Service Code: 72148
Performed in an office
29
times performed,
0.13% of his services

26th 201st

most performed service for this provider most performed service in this state & specialty

29
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$28,855.00an average of $995.00 per time performed $3,458.25
an average of $119.25 per time performed
medical
NERVOUS SYSTEM

Injections of substances into upper or middle spine

Service Code: 62310
Performed in an office
18
times performed,
0.08% of his services

27th 163rd

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$6,300.00an average of $350.00 per time performed $2,466.00
an average of $137.00 per time performed
medical
RADIOLOGY

Mri scan of upper spinal canal

Service Code: 72141
Performed in an office
17
times performed,
0.08% of his services

28th 403rd

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,340.00an average of $1,020.00 per time performed $2,255.22
an average of $132.66 per time performed
medical

Injection of chemical for destruction of facial and neck ... +

Injection of chemical for destruction of facial and neck nerve muscles on both sides of face ×

Service Code: 64615
Performed in an office
16
times performed,
0.07% of his services

29th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in AL perform this service

14
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$6,240.00an average of $390.00 per time performed $1,615.52
an average of $100.97 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

John Patrick Couch
Average for Specialist Providers in Alabama

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

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