RxDoctor Payments Data

Craig Couch, MD

Neurology · Round Rock, TXNPI 1568497733

Payments from drug & device makers

$24,441in general payments, 2019–2025

Across 864 payments — averaging $28.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • TG Therapeutics, Inc.$8K
  • Amgen$2K
  • Genentech USA, Inc.$1K
  • AbbVie$1K
  • Teva Pharmaceuticals USA, Inc.$1K
  • Novartis$1K
  • plus $10K from 52 others

What the payments were for

  • Speaking & faculty fees$1031%
  • Food & beverage$14,91598%
  • Education$2422%

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

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
TG Therapeutics, Inc.7$8,105
Amgen42$1,917
Genentech USA, Inc.82$1,213
AbbVie(2 entities)97$1,152
Teva Pharmaceuticals USA, Inc.58$1,121
Novartis70$1,033
UCB, Inc.48$981
Lilly USA, LLC56$775
Lundbeck LLC34$713
Pfizer55$624
Biogen26$533
Jazz Pharmaceuticals Inc.22$526
Sanofi21$477
Biohaven Pharmaceuticals, Inc.12$410
AstraZeneca16$377
SK Life Science, Inc.17$371
Upsher-smith Laboratories LLC17$361
Acadia Pharmaceuticals Inc21$330
EMD Serono, Inc.17$278
Alnylam Pharmaceuticals Inc.8$275
Octapharma USA, Inc.9$250
Neurocrine Biosciences, Inc.12$220
Biohaven Pharmaceutical Holding Company Ltd.14$186
Argenx US, Inc.7$183
Acorda Therapeutics, Inc7$162
Tanabe Pharma America, Inc.8$161
Eisai Inc.7$152
Avanir Pharmaceuticals, Inc.11$143
Akcea Therapeutics, Inc.2$133
Greenwich Biosciences, Inc.4$125
Currax Pharmaceuticals LLC7$114
Avadel CNS Pharmaceuticals, LLC5$89
Amylyx Pharmaceuticals, Inc.3$84
Averitas Pharma Inc.3$76
MDD US Operations, LLC5$68
Impel Pharmaceuticals Inc.3$61
Amicus Therapeutics, Inc.3$59
Kyowa Kirin, Inc.2$50
Catalyst Pharmaceuticals, Inc.2$41
Johnson & Johnson2$41
Sandoz2$40
Impel Pharmaceuticals LLC2$40
Abbott2$37
Microtransponder, Inc.1$35
Merz Pharmaceuticals, LLC1$34
Axsome Therapeutics, Inc.1$32
Corium, LLC1$32
Vanda Pharmaceuticals Inc.1$27
Merz North America, Inc.1$24
Sumitomo Pharma America, Inc.1$24
Arbor Pharmaceuticals, Inc.2$23
ANI Pharmaceuticals, Inc.1$22
Mallinckrodt Enterprises LLC1$20
Grifols USA, LLC1$20
Idorsia Pharmaceuticals US Inc1$18
Neurelis, Inc.1$15
Shire North American Group Inc1$15
Assertio Therapeutics, Inc.1$13

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.

How this compares

$24,441 in reported general payments places this provider in the 75th percentile of 1,246 neurology providers in Texas.

See all neurology providers in Texas

Medicare billing

Part B allowed, 2024
$338,605
Medicare patients
243
Services billed
20,473

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

DrugClaimsCost to plans & patients
Aimovig AutoinjectorErenumab-Aooe95$92,255
BotoxOnabotulinumtoxina51$63,655
Ajovy AutoinjectorFremanezumab-Vfrm58$59,492
Emgality PenGalcanezumab-Gnlm46$51,152
QuliptaAtogepant41$46,109
UbrelvyUbrogepant21$21,980
Galantamine ErGalantamine Hbr152$13,328
Zolmitriptan18$5,918
Gabapentin207$3,801
Sumatriptan Succinate163$3,758
Memantine Hcl166$3,420
Carbamazepine17$3,099
Carbamazepine ErCarbamazepine14$2,255
Propranolol Hcl ErPropranolol Hcl46$1,876
Butalbital-Acetaminophen-CaffeButalb/Acetaminophen/Caffeine161$1,874

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.

CompanyPaid to this providerPart D cost of their drugs
AbbVieBotox, Qulipta, Ubrelvy$1,152$131,744113 claims
Upsher-smith Laboratories LLCTopiramate$361$1,20488 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 75th percentile of 1,246 neurology providers in Texas.

Other neurology in Round Rock

See the full list for Texas

Where these figures come from

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