Dr. Richard Couch, D.O
Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Education | $2,446 | 4 | 43.0% |
| Travel and Lodging | $2,044 | 12 | 36.0% |
| Food and Beverage | $1,195 | 41 | 21.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Arthrex, Inc. | $3,091 | 11 | $0 (2021) |
| Medtronic, Inc. | $1,083 | 9 | $0 (2022) |
| Zimmer Biomet Holdings, Inc. | $1,032 | 14 | $0 (2022) |
| Endo Pharmaceuticals Inc. | $96.27 | 6 | $0 (2023) |
| Ethicon US, LLC | $69.14 | 2 | $0 (2018) |
| Bioventus LLC | $68.85 | 3 | $0 (2023) |
| Avanos Medical | $40.55 | 2 | $0 (2019) |
| Amgen Inc. | $38.38 | 2 | $0 (2024) |
| Stryker Corporation | $36.17 | 1 | $0 (2017) |
| Ferring Pharmaceuticals Inc. | $35.30 | 2 | $0 (2019) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $16.31 | 1 | Amgen Inc. ($16.31) |
| 2023 | $88.20 | 4 | Endo Pharmaceuticals Inc. ($36.49) |
| 2022 | $1,571 | 17 | Medtronic, Inc. ($1,083) |
| 2021 | $3,119 | 12 | Arthrex, Inc. ($3,091) |
| 2019 | $571.19 | 13 | Zimmer Biomet Holdings, Inc. ($450.89) |
| 2018 | $49.89 | 2 | Ethicon US, LLC ($30.29) |
| 2017 | $268.71 | 8 | Zimmer Biomet Holdings, Inc. ($117.83) |
All Payment Transactions
57 individual payment records from CMS Open Payments — Page 1 of 3
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 04/02/2024 | Amgen Inc. | EVENITY (Biological), Prolia | Food and Beverage | In-kind items and services | $16.31 | General |
| Category: Bone Health | ||||||
| 12/05/2023 | ACUMED LLC | ACUMED (Device), ACUMED, ACUMED | Food and Beverage | In-kind items and services | $31.32 | General |
| Category: Hand & Wrist | ||||||
| 11/29/2023 | Endo Pharmaceuticals Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $15.57 | General |
| Category: ORTHOPEDIC | ||||||
| 10/17/2023 | Bioventus LLC | Durolane (Device) | Food and Beverage | In-kind items and services | $20.39 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 07/12/2023 | Endo Pharmaceuticals Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $20.92 | General |
| Category: ORTHOPEDIC | ||||||
| 11/17/2022 | Bioventus LLC | GELSYN-3 (Device) | Food and Beverage | In-kind items and services | $22.14 | General |
| Category: Not Applicable | ||||||
| 07/09/2022 | Medtronic, Inc. | AQUAMANTYS(TM) (Device) | Travel and Lodging | In-kind items and services | $259.00 | General |
| Category: Advanced Energy Hemostatic Device | ||||||
| 07/09/2022 | Medtronic, Inc. | AQUAMANTYS(TM) (Device) | Food and Beverage | In-kind items and services | $64.14 | General |
| Category: Advanced Energy Hemostatic Device | ||||||
| 07/09/2022 | Medtronic, Inc. | AQUAMANTYS(TM) (Device) | Food and Beverage | In-kind items and services | $62.92 | General |
| Category: Advanced Energy Hemostatic Device | ||||||
| 07/09/2022 | Medtronic, Inc. | AQUAMANTYS(TM) (Device) | Food and Beverage | In-kind items and services | $60.13 | General |
| Category: Advanced Energy Hemostatic Device | ||||||
| 07/09/2022 | Medtronic, Inc. | AQUAMANTYS(TM) (Device) | Travel and Lodging | In-kind items and services | $42.61 | General |
| Category: Advanced Energy Hemostatic Device | ||||||
| 07/09/2022 | Medtronic, Inc. | AQUAMANTYS(TM) (Device) | Food and Beverage | In-kind items and services | $9.35 | General |
| Category: Advanced Energy Hemostatic Device | ||||||
| 07/08/2022 | Medtronic, Inc. | AQUAMANTYS(TM) (Device) | Travel and Lodging | In-kind items and services | $48.70 | General |
| Category: Advanced Energy Hemostatic Device | ||||||
| 06/27/2022 | Endo Pharmaceuticals Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $13.24 | General |
| Category: ORTHOPEDIC | ||||||
| 06/14/2022 | Medtronic, Inc. | AQUAMANTYS(TM) (Device) | Travel and Lodging | In-kind items and services | $506.16 | General |
| Category: Advanced Energy Hemostatic Device | ||||||
| 06/14/2022 | Medtronic, Inc. | AQUAMANTYS(TM) (Device) | Travel and Lodging | In-kind items and services | $30.00 | General |
| Category: Advanced Energy Hemostatic Device | ||||||
| 04/13/2022 | Zimmer Biomet Holdings, Inc. | ROSA (Device) | Food and Beverage | In-kind items and services | $68.18 | General |
| Category: Knees | ||||||
| 04/13/2022 | Zimmer Biomet Holdings, Inc. | ROSA (Device) | Food and Beverage | In-kind items and services | $68.18 | General |
| Category: Knees | ||||||
| 03/02/2022 | Zimmer Biomet Holdings, Inc. | Avenir (Device) | Food and Beverage | In-kind items and services | $84.85 | General |
| Category: Hips | ||||||
| 03/02/2022 | Zimmer Biomet Holdings, Inc. | Avenir (Device) | Travel and Lodging | In-kind items and services | $25.00 | General |
| Category: Hips | ||||||
| 03/01/2022 | Zimmer Biomet Holdings, Inc. | Avenir (Device) | Travel and Lodging | In-kind items and services | $189.00 | General |
| Category: Hips | ||||||
| 01/27/2022 | Cumberland Pharmaceuticals, Inc. | CALDOLOR (Drug) | Food and Beverage | In-kind items and services | $17.37 | General |
| Category: ANESTHESIOLOGY PAIN MANAGEMENT | ||||||
| 09/16/2021 | Zimmer Biomet Holdings, Inc. | ROSA-Knee (Device) | Food and Beverage | In-kind items and services | $27.99 | General |
| Category: Knees | ||||||
| 02/12/2021 | Arthrex, Inc. | — | Food and Beverage | In-kind items and services | $47.33 | General |
| 02/06/2021 | Arthrex, Inc. | — | Education | In-kind items and services | $1,200.00 | General |
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 11 | 276 | 320 | $88,860 | $28,388 |
| 2022 | 8 | 244 | 279 | $47,626 | $15,571 |
| 2021 | 10 | 281 | 309 | $55,536 | $18,854 |
| 2020 | 14 | 405 | 470 | $108,823 | $33,711 |
All Medicare Procedures & Services
43 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | Office | 2023 | 11 | 11 | $37,554 | $10,833 | 28.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 53 | 59 | $13,688 | $4,975 | 36.3% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 57 | 65 | $12,025 | $4,121 | 34.3% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 47 | 47 | $10,810 | $3,538 | 32.7% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 14 | 14 | $4,718 | $1,414 | 30.0% |
| 73564 | X-ray of knee, 4 or more views | Office | 2023 | 30 | 40 | $3,600 | $1,293 | 35.9% |
| 73502 | X-ray of hip, 2-3 views | Office | 2023 | 16 | 21 | $2,058 | $645.12 | 31.3% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2023 | 12 | 13 | $2,145 | $644.28 | 30.0% |
| 73030 | X-ray of shoulder, minimum of 2 views | Office | 2023 | 14 | 19 | $1,273 | $475.95 | 37.4% |
| 73560 | X-ray of knee, 1-2 views | Office | 2023 | 11 | 13 | $845.00 | $340.07 | 40.2% |
| J1030 | Injection, methylprednisolone acetate, 40 mg | Office | 2023 | 11 | 18 | $144.00 | $106.97 | 74.3% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 65 | 85 | $15,725 | $5,106 | 32.5% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 44 | 44 | $10,120 | $3,421 | 33.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 38 | 40 | $9,280 | $3,333 | 35.9% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2022 | 15 | 18 | $3,135 | $832.45 | 26.6% |
| 73564 | X-ray of knee, 4 or more views | Office | 2022 | 25 | 26 | $2,610 | $789.52 | 30.2% |
| 73030 | X-ray of shoulder, minimum of 2 views | Office | 2022 | 23 | 29 | $2,010 | $726.19 | 36.1% |
| 73502 | X-ray of hip, 2-3 views | Office | 2022 | 20 | 23 | $2,254 | $694.87 | 30.8% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 14 | 14 | $2,492 | $668.70 | 26.8% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 83 | 97 | $17,945 | $6,144 | 34.2% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 50 | 53 | $12,296 | $4,345 | 35.3% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 24 | 24 | $5,520 | $2,046 | 37.1% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 16 | 16 | $5,712 | $1,838 | 32.2% |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | Facility | 2021 | 16 | 16 | $3,984 | $1,197 | 30.0% |
| 73564 | X-ray of knee, 4 or more views | Office | 2021 | 25 | 25 | $2,340 | $841.43 | 36.0% |
About Dr. Richard Couch, D.O
Dr. Richard Couch, D.O is a Neuromusculoskeletal Medicine, Sports Medicine healthcare provider based in Washington, North Carolina. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 11/01/2006. The National Provider Identifier (NPI) number assigned to this provider is 1902983711.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Richard Couch, D.O has received a total of $5,685 in payments from pharmaceutical and medical device companies, with $16.31 received in 2024. These payments were reported across 57 transactions from 14 companies. The most common payment nature is "Education" ($2,446).
As a Medicare-enrolled provider, Couch has provided services to 1,206 Medicare beneficiaries, totaling 1,378 services with total Medicare billing of $96,523. Data is available for 4 years (2020–2023), covering 43 distinct procedure/service records.
Practice Information
- Specialty Neuromusculoskeletal Medicine, Sports Medicine
- Other Specialties Sports Medicine|Orthopaedic Surgery|Orthopaedic Surgery
- Location Washington, NC
- Active Since 11/01/2006
- Last Updated 01/12/2022
- Taxonomy Code 204C00000X
- Entity Type Individual
- NPI Number 1902983711
Products in Payments
- AQUAMANTYS(TM) (Device) $1,083
- Oxford (Device) $428.84
- Avenir (Device) $298.85
- ROSA (Device) $136.36
- CEP Extremities (Device) $117.83
- XIAFLEX (Biological) $96.27
- DERMABOND Portfolio (Device) $38.85
- EVENITY (Biological) $38.38
- Reunion (Device) $36.17
- EUFLEXXA (Device) $35.30
- ACUMED (Device) $31.32
- SURGIFLO Hemostatic Matrix Family of Products (Device) $30.29
- SURGICAL PAIN REGIONAL ANESTHESIA (Device) $29.59
- ROSA-Knee (Device) $27.99
- GELSYN 3 (Device) $26.32
- GELSYN-3 (Device) $22.14
- ON-Q* PUMP AND ACCESSORIES (Device) $20.95
- Durolane (Device) $20.39
- ON-Q PUMP AND ACCESSORIES (Device) $19.60
- CALDOLOR (Drug) $17.37
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.