Kara Couch, NP
Family · Washington, DCNPI 1972502169
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $93,757 of the $144,100 with a category attached, or 65.1%. 25 manufacturers reported payments, led by Urgo Medical North America, LLC at 31.9% of the total. Reporting peaked in 2024 at $63,132 and has fallen 58.2% since, to $26,368 in 2025. Among family clinicians in DC 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 276 payments — averaging $522.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Urgo Medical North America, LLC$46K
- Solventum Corporation$46K
- KCI USA, Inc.$26K
- Organogenesis Inc.$10K
- Reapplix Inc.$7K
- Boston Scientific$7K
- plus $2K from 19 others
What the payments were for
- Consulting fees$27,02619%
- Speaking & faculty fees$93,75765%
- Travel & lodging$14,01310%
- Food & beverage$9,0376%
- Education$2670%
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 |
|---|---|---|
| Urgo Medical North America, LLC | 47 | $46,036 |
| Solventum Corporation | 51 | $45,602 |
| KCI USA, Inc. | 39 | $25,903 |
| Organogenesis Inc. | 34 | $10,173 |
| Reapplix Inc. | 18 | $7,442 |
| Boston Scientific | 4 | $6,765 |
| Kerecis Limited | 17 | $401 |
| Integra Lifesciences Corporation | 13 | $318 |
| Tactile Systems Technology Inc | 11 | $217 |
| Hartmann USA, Inc. | 5 | $209 |
| Convatec Inc. | 8 | $174 |
| Mimedx Group, Inc. | 4 | $168 |
| Smith+Nephew | 4 | $142 |
| AbbVie | 3 | $72 |
| Polynovo North America LLC | 3 | $68 |
| Next Science LLC | 2 | $67 |
| Molnlycke Health Care US, LLC | 2 | $64 |
| Aroa Biosurgery Incorporated | 2 | $64 |
| Acera Surgical, Inc. | 2 | $52 |
| Hydrofera LLC | 2 | $51 |
| ETS Wound Care LLC | 1 | $27 |
| Vapotherm Inc | 1 | $24 |
| Baxter Healthcare | 1 | $23 |
| Medline Industries LP | 1 | $21 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $17 |
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.
- VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP$45,699
- V.A.C. VERAFLO$37,038
- PREVENA$34,249
- V.A.C. DERMATAC$23,906
- V.A.C. VERAFLO CLEANSE CHOICE$23,109
- 3M Cavilon$20,820
- ACTIV.A.C.$13,196
- V.A.C. ULTA$11,692
- Curos$10,901
- Bair Hugger$9,704
- PROMOGRAN PRISMA$8,409
- Affinity$7,720
- Tegaderm$6,966
- 3C Patch Kit - Box$6,942
- PURAPLY WOUND MATRIX$6,926
- PREVENA RESTOR ARTHROFORM$6,917
- Apligraf$6,720
- NOVACHOR$6,720
- NuShield$6,720
- KERRAMAX CARE$6,056
How this compares
$144,100 in reported general payments places this provider in the 95th percentile of 392 family providers in District of Columbia.
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.
Other family in Washington
- Amy StewartWashington$489K
- Laura XandersWashington$109K
- Laura MackeWashington$39K
- Cassandra ThompsonWashington$11K
- Sharmin DiazWashington$9K
- Emily BertrandWashington$8K
- Ana Carrion-GelabertWashington$7K
- Chanda CopelandWashington$7K
- Suad NsouliWashington$6K
- Mitchell WhartonWashington$6K
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.