Brian Koch, MD
Pain Medicine · Marrero, LANPI 1184895476
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 132 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 30 manufacturers reported payments, led by Abbott at 35.7% of the total. Reporting peaked in 2024 at $702 and has fallen 70.3% since, to $209 in 2025. That places this record below the midpoint for pain medicine clinicians in LA, where the typical reported total is $3,650.
Across 132 payments — averaging $18.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$893
- Boston Scientific$237
- Medtronic$223
- AbbVie$207
- UCB, Inc.$161
- Spinal Simplicity, LLC$116
- plus $663 from 24 others
What the payments were for
- Food & beverage$2,499100%
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 |
|---|---|---|
| Abbott | 52 | $893 |
| Boston Scientific | 10 | $237 |
| Medtronic(2 entities) | 5 | $223 |
| AbbVie | 11 | $207 |
| UCB, Inc. | 9 | $161 |
| Spinal Simplicity, LLC | 6 | $116 |
| Virtus Pharmaceuticals LLC | 5 | $95 |
| Nevro Corp. | 3 | $75 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $60 |
| Amgen | 3 | $44 |
| AstraZeneca | 3 | $40 |
| Lundbeck LLC | 2 | $38 |
| MDD US Operations, LLC | 1 | $25 |
| Tersera Therapeutics LLC | 2 | $25 |
| Biotronik NRO, Inc. | 1 | $24 |
| Collegium Pharmaceutical, Inc. | 1 | $19 |
| Nalu Medical, Inc. | 1 | $19 |
| Eisai Inc. | 1 | $18 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $18 |
| Neurocrine Biosciences, Inc. | 1 | $17 |
| Supernus Pharmaceuticals, Inc. | 1 | $17 |
| Scilex Pharmaceuticals Inc. | 1 | $16 |
| Heron Therapeutics, Inc. | 1 | $16 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $16 |
| Teva Pharmaceuticals USA, Inc. | 1 | $15 |
| Assertio Therapeutics, Inc. | 1 | $14 |
| Upsher-smith Laboratories LLC | 1 | $13 |
| Strongbridge US Inc. | 1 | $12 |
| SK Life Science, Inc. | 1 | $12 |
| Zyla Life Sciences, Inc. | 1 | $11 |
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.
- ETERNA$167
- INTELLIS ADAPTIVESTIM$151
How this compares
$2,499 in reported general payments places this provider in the 35th percentile of 97 pain medicine providers in Louisiana.
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 |
|---|---|---|
| Gabapentin | 204 | $2,542 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 129 | $2,277 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 44 | $1,571 |
| Pregabalin | 147 | $1,206 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 60 | $1,161 |
| Tramadol Hcl | 33 | $426 |
| Diclofenac Sodium | 37 | $374 |
| Celecoxib | 13 | $334 |
| Ibuprofen | 22 | $231 |
| Naproxen | 27 | $163 |
| Methylprednisolone | 24 | $153 |
| Meloxicam | 23 | $23 |
| Diazepam | 13 | $20 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Marrero
- Charles SchlosserMarrero$3K
- Thomas MyersMandeville$118K
- Alan KayeNew Orleans$76K
- Derrick DeanTerrytown$68K
- Hazem EissaNew Orleans$50K
- Robert OwensNew Orleans$47K
- Gassan ChaibanLake Charles$30K
- Yashar EshraghiNew Orleans$22K
- Prathima AnandiShreveport$19K
- Jason GremillionBaton Rouge$19K
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.