Cory Couch, MD
Adult Reconstructive Orthopaedic Surgery · Houston, TXNPI 1528401064
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $72,410 of the $117,518 with a category attached, or 61.6%. Zimmer Biomet accounts for 62.6% of it on its own, with 13 other manufacturers making up the rest. 2025 is the largest year on record at $100,964, more than ten times the $1,955 reported in 2019.
Across 80 payments — averaging $1468.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$74K
- Medical Device Business Services, Inc.$25K
- Signature Orthopaedics USA Corp$16K
- Stryker$2K
- Onkos Surgical, Inc.$630
- Encore Medical, LP$595
- plus $1K from 8 others
What the payments were for
- Royalty or licence$72,41062%
- Consulting fees$37,61632%
- Travel & lodging$2,8942%
- Food & beverage$4,5994%
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 |
|---|---|---|
| Zimmer Biomet | 17 | $73,604 |
| Medical Device Business Services, Inc. | 24 | $24,606 |
| Signature Orthopaedics USA Corp | 2 | $15,500 |
| Stryker | 13 | $1,553 |
| Onkos Surgical, Inc. | 5 | $630 |
| Encore Medical, LP | 8 | $595 |
| Johnson & Johnson | 3 | $268 |
| Orthalign Inc | 2 | $224 |
| KCI USA, Inc. | 1 | $135 |
| Exactech, Inc. | 1 | $123 |
| Medtronic | 1 | $111 |
| Linkbio Corp | 1 | $97 |
| Carbofix Orthopedics Inc | 1 | $42 |
| Vertex | 1 | $31 |
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.
- Z1 HIP SYSTEM$72,410
- ATTUNE$1,263
- NA$973
- GMRS$689
- ELEOS LIMB SALVAGE SYSTEM$373
- MAKO$318
- ACTIS$249
- DJO Surgical Exprt Revision Hip$248
- DJO Surgical Exprt Revision Knee$248
- Velys$248
- mymobility Platform$235
- Persona$222
- Comprehensive Shoulder System$198
- TRIATHLON$144
- ADAPTIC$135
- PREVENA$135
- VAC ULTA$135
- REUNION$128
- ORTHALIGN PLUS$127
- PINNACLE$125
How this compares
$117,518 in reported general payments places this provider in the 80th percentile of 86 adult reconstructive orthopaedic surgery providers in Texas.
See all adult reconstructive orthopaedic surgery providers in Texas →
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 |
|---|---|---|
| Midodrine Hcl | 15 | $672 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Houston
- Anay PatelHouston$191K
- Catherine CahillHouston$143K
- David MaldonadoHouston$65K
- Robin GoytiaHouston$46K
- Alexander MetoxenHouston$26K
- Nathan RogersHouston$20K
- Clark DormanHouston$15K
- David EdelsteinHouston$13K
- Tyler GoldbergAustin$4.6M
- Antonia ChenDallas$3.8M
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.