Active NPI 1851808919 Individual Practitioner Male Practitioner

Ryan Joseph Couch , APRN

Nurse Practitioner • Hazard, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ryan Couch, APRN is a certified Nurse Practitioner practicing in Hazard, KY. With approximately 9 years of clinical experience since graduating from Lincoln Memorial University Medical Department in 2017, Ryan Couch delivers high-quality medical care to the local community at 210 BLACK GOLD BLVD STE 106.

Ryan Couch is affiliated with Green Valley Emergency Physicians, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit for life threatening or functioning severity, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

210 Black Gold Blvd Ste 106

Hazard, KY 417012620

Telephone 6064360711

Fax 6064351322

Associated Practice Facility / Clinic

🏢 Quantum Healthcare Associates Inc Facility NPI 1972704179

Medicare Profile & Education

Medical School

Lincoln Memorial University Medical Department

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Hazard, KY

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -2.4 yrs vs City Avg

City Avg: 11.4 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

33 Specialists

Practicing in Hazard, KY (1865 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Couch (9 Years) 9 Yrs

Hazard Specialty Average (11.4 Years) 11.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	140	122	$109.00	$6.42
99285 Emergency department visit for life threatening or functioning severity	119	113	$2194.00	$140.91
99291 Critical care, first 30-74 minutes	54	53	$2825.00	$169.12
99284 Emergency department visit with moderate level of medical decision making	39	37	$1487.00	$97.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	140	120	$103.00	$6.55
99285 Emergency department visit for life threatening or functioning severity	131	125	$2089.00	$143.33
99284 Emergency department visit with moderate level of medical decision making	55	54	$1416.00	$98.55
99291 Critical care, first 30-74 minutes	37	35	$2690.00	$172.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	112	104	$2089.00	$147.18
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	107	96	$103.00	$6.77
99284 Emergency department visit with moderate level of medical decision making	39	39	$1416.00	$101.18
99291 Critical care, first 30-74 minutes	31	30	$2541.42	$178.59
99283 Emergency department visit with low level of medical decision making	15	15	$747.00	$59.83
99219 Hospital observation care, typically 50 minutes	14	14	$137.00	$107.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$159.00	$109.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	113	107	$159.65	$110.40
99219 Hospital observation care, typically 50 minutes	106	100	$137.00	$109.08
99221 Initial hospital inpatient care per day, typically 30 minutes	60	50	$188.00	$82.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	24	$121.40	$58.44
99291 Critical care, first 30-74 minutes	12	12	$387.00	$180.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	145	142	$161.04	$112.75
99219 Hospital observation care, typically 50 minutes	99	91	$137.00	$111.90
99221 Initial hospital inpatient care per day, typically 30 minutes	76	64	$188.00	$83.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	27	$121.83	$59.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	14	$95.00	$32.34
99285 Emergency department visit for life threatening or functioning severity	15	14	$2089.00	$145.50
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	14	14	$242.07	$121.22
99291 Critical care, first 30-74 minutes	13	13	$741.31	$185.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	206	193	$164.39	$111.45
99219 Hospital observation care, typically 50 minutes	182	166	$137.00	$110.21
99221 Initial hospital inpatient care per day, typically 30 minutes	35	32	$188.00	$82.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	19	$95.00	$32.09
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	16	16	$157.00	$118.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	200	182	$159.00	$111.60
99219 Hospital observation care, typically 50 minutes	199	179	$137.00	$111.05

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3011992

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Green Valley Emergency Physicians, Llc

130 Kate Ireland Dr, Hyden, KY 417499071

Phone: 6066722901

Green Valley Emergency Physicians, Llc

1530 Lone Oak Rd, Paducah, KY 420037901

Phone: 8442706621

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners

Chelsea Walker , APRN

Nurse Practitioner - Family

NPI 1033673769