Amy Couch
Psychiatric/Mental Health · Winston Salem, NCNPI 1073297727
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.4% of the total across 433 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 22 manufacturers, the largest accounting for just 17.6% — the pattern of someone who eats at a lot of different presentations. Among psychiatric/mental health clinicians in NC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 433 payments — averaging $17.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alkermes, Inc.$1K
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$815
- Neurocrine Biosciences, Inc.$756
- AbbVie$695
- Otsuka America Pharmaceutical, Inc.$668
- Axsome Therapeutics, Inc.$573
- plus $3K from 16 others
What the payments were for
- Food & beverage$7,69099%
- Education$451%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
How this compares
$7,735 in reported general payments places this provider in the 95th percentile of 947 psychiatric/mental health providers in North Carolina.
See all psychiatric/mental health providers in North Carolina →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| VraylarCariprazine Hcl | 19 | $31,814 |
| Desvenlafaxine Succinate ErDesvenlafaxine Succinate | 15 | $1,144 |
| Bupropion XlBupropion Hcl | 24 | $465 |
| LoxapineLoxapine Succinate | 12 | $368 |
| Risperidone | 27 | $364 |
| Olanzapine | 17 | $279 |
| Trazodone Hcl | 35 | $234 |
| Lithium Carbonate | 13 | $211 |
| Duloxetine Hcl | 16 | $196 |
| Fluoxetine Hcl | 23 | $168 |
| Doxepin Hcl | 20 | $167 |
| Lamotrigine | 17 | $161 |
| Clonazepam | 45 | $140 |
| Hydroxyzine Pamoate | 12 | $133 |
| Divalproex Sodium | 12 | $106 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AbbVieVraylar | $695 | $31,81419 claims |
| Teva Pharmaceuticals USA, Inc.Loxapine | $253 | $36812 claims |
| Almatica Pharma LLCSertraline Hcl | $20 | $812 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 947 psychiatric/mental health providers in North Carolina.
Other psychiatric/mental health in Winston Salem
- William GoldingWinston Salem$7K
- Lillykutty ModoorWinston Salem$7K
- Amy MainWinston Salem$6K
- Desiree MatthewsCharlotte$807K
- Benedetto PalomboCharlotte$671K
- Clarence RunnelsCreedmoor$339K
- Lisa SuddrethGastonia$111K
- April NandigamGreensboro$88K
- Hannah NealeyFuquay Varina$75K
- Jessica StoneRocky Mount$63K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.