Dr. Richard Couch, D.O

NPI: 1902983711
Total Payments
$5,685
2024 Payments
$16.31
Companies
14
Transactions
57
Medicare Patients
1,206
Medicare Billing
$96,523

Payment Breakdown by Category

Education$2,446 (43.0%)
Travel$2,044 (36.0%)
Food & Beverage$1,195 (21.0%)
Other$0.00 (0.0%)

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
Total Patients
1,206
Total Services
1,378
Medicare Billing
$96,523
Procedure Codes
43

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

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.

Neuromusculoskeletal Medicine, Sports Medicine Doctors in Washington