Covered recipient · General Payments record

JOSHUA AVERY COUCH-GARNER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1356938534
CMS profile: 10562580
Location: COLUMBIA, SC

General Payments · PY2021–2024

$5,975.35

Reported across 232 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,478.22

94 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated

The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,478.22	94

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
BOSTON SCIENTIFIC CORPORATION	$695.38	9
NOVARTIS PHARMACEUTICALS CORPORATION	$381.03	22
Amgen Inc.	$316.04	15
PFIZER INC.	$190.79	9
Acerta Pharma LLC	$171.20	4
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$114.00	2
E.R. Squibb & Sons, L.L.C.	$97.25	6
Kiniksa Pharmaceuticals International, plc	$91.60	4
Alnylam Pharmaceuticals Inc.	$69.92	3
Janssen Pharmaceuticals, Inc	$62.33	4
Merck Sharp & Dohme Corporation	$58.52	3
Boehringer Ingelheim Pharmaceuticals, Inc.	$52.90	3
ATRICURE, INC.	$46.61	2
SCPHARMACEUTICALS INC.	$44.13	3
Novo Nordisk AS	$37.28	2
Actelion Pharmaceuticals US, Inc.	$18.75	1
Esperion Therapeutics, Inc.	$16.13	1
CHIESI USA, INC.	$14.36	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$274.52	14
PY2022	$1,667.41	47
PY2023	$1,555.20	77
PY2024	$2,478.22	94

Payment records · PY2024 (94)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2021 2022 2023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Actelion Pharmaceuticals US, Inc.	$18.75	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1078911751	CMS
Alnylam Pharmaceuticals Inc.	$29.32	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1125823273	CMS
Alnylam Pharmaceuticals Inc.	$22.35	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1125823313	CMS
Alnylam Pharmaceuticals Inc.	$18.25	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1125823369	CMS
Amgen Inc.	$19.02	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1117229786	CMS
Amgen Inc.	$17.49	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1117229788	CMS
Amgen Inc.	$83.77	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1117229790	CMS
Amgen Inc.	$7.02	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1117229792	CMS
Amgen Inc.	$7.27	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1117229794	CMS
Amgen Inc.	$21.87	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1117229796	CMS
Amgen Inc.	$16.65	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1117229798	CMS
Amgen Inc.	$19.83	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1117229800	CMS
Amgen Inc.	$18.50	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1117229806	CMS
Amgen Inc.	$15.06	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1117229802	CMS
Amgen Inc.	$14.29	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1117229804	CMS
Amgen Inc.	$13.14	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1117532436	CMS
Amgen Inc.	$24.19	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1117229808	CMS
Amgen Inc.	$16.30	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1117229810	CMS
Amgen Inc.	$21.64	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1117229812	CMS
AstraZeneca Pharmaceuticals LP	$16.27	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1105208205	CMS
AstraZeneca Pharmaceuticals LP	$17.22	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1105790894	CMS
AstraZeneca Pharmaceuticals LP	$121.75	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1104573848	CMS
AstraZeneca Pharmaceuticals LP	$15.96	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1105528700	CMS
ATRICURE, INC.	$22.48	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1132867098	CMS
ATRICURE, INC.	$24.13	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1132900492	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.78	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1117979238	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.40	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1117979234	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.72	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1117979236	CMS
Boston Scientific Corporation	$120.50	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1092376595	CMS
Boston Scientific Corporation	$40.65	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1092376589	CMS
Boston Scientific Corporation	$23.25	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1092376585	CMS
Boston Scientific Corporation	$139.55	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1092376597	CMS
Boston Scientific Corporation	$104.53	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1092376593	CMS
Boston Scientific Corporation	$32.86	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1092376587	CMS
Boston Scientific Corporation	$162.31	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1092376599	CMS
Boston Scientific Corporation	$51.60	09/29/2024	Food and Beverage	Undisputed	01/23/2026	1092376591	CMS
Boston Scientific Corporation	$20.13	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1092376583	CMS
Chiesi USA, Inc.	$14.36	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1151828714	CMS
E.R. Squibb & Sons, L.L.C.	$15.16	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1101200736	CMS
E.R. Squibb & Sons, L.L.C.	$18.96	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1101200748	CMS
E.R. Squibb & Sons, L.L.C.	$14.94	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1101200750	CMS
E.R. Squibb & Sons, L.L.C.	$13.60	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1101200756	CMS
E.R. Squibb & Sons, L.L.C.	$16.19	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1101200760	CMS
E.R. Squibb & Sons, L.L.C.	$18.40	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1101200768	CMS
Esperion Therapeutics, Inc.	$16.13	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1129464566	CMS
Janssen Pharmaceuticals, Inc	$14.05	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1078175509	CMS
Janssen Pharmaceuticals, Inc	$15.31	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1078175069	CMS
Janssen Pharmaceuticals, Inc	$15.33	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1078175351	CMS
Janssen Pharmaceuticals, Inc	$17.64	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1078175829	CMS
Kiniksa Pharmaceuticals International, plc	$26.33	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1154888427	CMS
Kiniksa Pharmaceuticals International, plc	$19.00	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1154888461	CMS
Kiniksa Pharmaceuticals International, plc	$24.08	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1154888479	CMS
Kiniksa Pharmaceuticals International, plc	$22.19	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1154888527	CMS
Merck Sharp & Dohme LLC	$20.77	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1141688554	CMS
Merck Sharp & Dohme LLC	$16.60	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1141866759	CMS
Merck Sharp & Dohme LLC	$21.15	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1141929233	CMS
Novartis Pharmaceuticals Corporation	$14.38	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1086667213	CMS
Novartis Pharmaceuticals Corporation	$25.81	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1086667215	CMS
Novartis Pharmaceuticals Corporation	$27.04	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1086667217	CMS
Novartis Pharmaceuticals Corporation	$23.26	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1086667223	CMS
Novartis Pharmaceuticals Corporation	$23.43	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1086667221	CMS
Novartis Pharmaceuticals Corporation	$12.21	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1086667225	CMS
Novartis Pharmaceuticals Corporation	$5.25	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1086667231	CMS
Novartis Pharmaceuticals Corporation	$23.97	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1086667229	CMS
Novartis Pharmaceuticals Corporation	$18.55	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1086667273	CMS
Novartis Pharmaceuticals Corporation	$8.93	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1086667237	CMS
Novartis Pharmaceuticals Corporation	$13.49	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1086667235	CMS
Novartis Pharmaceuticals Corporation	$4.71	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1086667243	CMS
Novartis Pharmaceuticals Corporation	$22.74	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1086667247	CMS
Novartis Pharmaceuticals Corporation	$13.15	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1086667239	CMS
Novartis Pharmaceuticals Corporation	$14.61	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1086667285	CMS
Novartis Pharmaceuticals Corporation	$23.86	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1086667287	CMS
Novartis Pharmaceuticals Corporation	$4.35	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1086667315	CMS
Novartis Pharmaceuticals Corporation	$22.57	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1086667289	CMS
Novartis Pharmaceuticals Corporation	$21.98	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1086667325	CMS
Novartis Pharmaceuticals Corporation	$11.86	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1086667311	CMS
Novartis Pharmaceuticals Corporation	$22.73	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1086667327	CMS
Novartis Pharmaceuticals Corporation	$22.15	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1086667331	CMS
Novo Nordisk Inc	$19.38	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1100241387	CMS
Novo Nordisk Inc	$17.90	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1100278996	CMS
PFIZER INC.	$21.62	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1131214296	CMS
PFIZER INC.	$16.99	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1131370114	CMS
PFIZER INC.	$21.51	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1131452109	CMS
PFIZER INC.	$21.29	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1131709397	CMS
PFIZER INC.	$21.51	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1131893082	CMS
PFIZER INC.	$18.98	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1131953730	CMS
PFIZER INC.	$21.29	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1130878094	CMS
PFIZER INC.	$22.61	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1131111803	CMS
PFIZER INC.	$24.99	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1131406558	CMS
SCPHARMACEUTICALS INC.	$15.01	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1132265426	CMS
SCPHARMACEUTICALS INC.	$14.32	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1132266681	CMS
SCPHARMACEUTICALS INC.	$14.80	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1132302603	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$98.85	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1080634438	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$15.15	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1080634616	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-01-23
Program years on this page: 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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