NP / PA
Couch, Justin
Couch, Justin was paid $192K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoCOUCH, JUSTIN
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
33aNPI1922451681assigned 07/18/2016
33bProvider typeNurse Practitioner
28Total paid$192K
24GClaims4,517
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Illinois
Rank by total paid#164 of 1,687
Median peer was paid$22K
This provider vs. median8.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 247 | $7K | |
| 2019 | 821 | $27K | |
| 2020 | 496 | $21K | |
| 2021 | 699 | $35K | |
| 2022 | 651 | $28K | |
| 2023 | 519 | $20K | |
| 2024incomplete | 1,084 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 1,926 | 1,782 | $89K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 578 | 531 | $25K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.6% | 615 | 578 | $18K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 9.2% | 230 | 207 | $18K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.1% | 181 | 164 | $14K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.8% | 311 | 298 | $7K |
| 87428 | 3.6% | 111 | 102 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.1% | 200 | 181 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 245 | 223 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 69 | 60 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 27 | 19 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | 12 | $615.72 |
1 more codes
| 93042 | <1% | 12 | $8.40 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.