April Couch
Family · Manchester, KYNPI 1053968776
Payments from drug & device makers
Across 147 payments — averaging $18.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Corcept Therapeutics$451
- Medtronic$376
- Novo Nordisk$267
- Lilly USA, LLC$245
- Novartis$204
- AbbVie$158
- plus $1K from 21 others
What the payments were for
- Food & beverage$2,734100%
- Education$80%
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.
| Company | Payments | Total |
|---|---|---|
| Corcept Therapeutics | 16 | $451 |
| Medtronic | 20 | $376 |
| Novo Nordisk | 12 | $267 |
| Lilly USA, LLC | 20 | $245 |
| Novartis | 13 | $204 |
| AbbVie | 9 | $158 |
| Insulet Corporation | 5 | $111 |
| Amgen | 6 | $98 |
| Dexcom, Inc. | 3 | $97 |
| Bayer | 5 | $89 |
| Boehringer Ingelheim | 5 | $75 |
| Astellas Pharma US Inc | 5 | $74 |
| Merck | 4 | $69 |
| Pacira Pharmaceuticals Incorporated | 3 | $54 |
| Xeris Pharmaceuticals, Inc. | 3 | $51 |
| Otsuka America Pharmaceutical, Inc. | 2 | $48 |
| Boston Scientific | 2 | $43 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $29 |
| AstraZeneca | 2 | $29 |
| Nestle Healthcare Nutrition Inc. | 2 | $27 |
| Cequr Corporation | 1 | $27 |
| GSK | 2 | $26 |
| Axsome Therapeutics, Inc. | 1 | $23 |
| Abbott | 1 | $20 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $20 |
| Tandem Diabetes Care, Inc. | 1 | $18 |
| Ardelyx, Inc. | 1 | $15 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Korlym$232
How this compares
$2,742 in reported general payments places this provider in the 80th percentile of 4,374 family providers in Kentucky.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| JardianceEmpagliflozin | 112 | $98,564 |
| MounjaroTirzepatide | 41 | $42,776 |
| OzempicSemaglutide | 44 | $41,399 |
| MyrbetriqMirabegron | 37 | $23,537 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 17 | $13,977 |
| XyostedTestosterone Enanthate | 16 | $9,816 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 38 | $3,774 |
| Tamsulosin Hcl | 265 | $2,862 |
| Testosterone Cypionate | 112 | $2,539 |
| HumalogInsulin Lispro | 14 | $2,445 |
| Humalog Kwikpen U-100Insulin Lispro | 12 | $2,071 |
| Tolterodine Tartrate ErTolterodine Tartrate | 21 | $1,705 |
| Insulin Lispro | 19 | $1,443 |
| Comfort Ez Pen NeedlePen Needle, Diabetic | 14 | $1,210 |
| Ultra-Fine Short Pen NeedlePen Needle, Diabetic | 14 | $855 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $75 | $98,564112 claims |
| Lilly USA, LLCMounjaro, Humalog, Insulin Lispro | $245 | $46,66474 claims |
| Novo NordiskOzempic | $267 | $41,39944 claims |
| Astellas Pharma US IncMyrbetriq | $74 | $23,53737 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 80th percentile of 4,374 family providers in Kentucky.
Other family in Manchester
- Eva EdwardsManchester$14K
- Bonnie HillLouisa$372K
- Ashley SnellenElizabethtown$190K
- Smita RanjanLouisville$92K
- Elizabeth SaltLexington$89K
- Tracey GaslinLouisville$79K
- Kassandra GreenLouisville$69K
- Danielle RevertLouisville$65K
- Lora BrownMonticellow$61K
- Shelley WaldmanLouisville$59K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.