Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

DEBBIE A KOCH

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI
1649430190
CMS profile
10604749
Location
FORT SMITH, AR

General Payments · PY2021–2024

$3,967.60

  • Reported across 160 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$580.83

27 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 paymentAmountRecords
Food and Beverage $580.83 27

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
ABBVIE INC. $275.12 17
Axsome Therapeutics, Inc. $143.22 2
Teva Pharmaceuticals USA, Inc. $96.79 5
E.R. Squibb & Sons, L.L.C. $48.53 2
Neurocrine BioSciences, Inc. $17.17 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,129.15 39
PY2022 $1,175.86 46
PY2023 $1,081.76 48
PY2024 $580.83 27

Payment records · PY2024 (27)

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

Program year 2024 202120222023 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
ABBVIE INC. $10.02 01/02/2024 Food and Beverage Undisputed 01/23/2026 1107477139 CMS
ABBVIE INC. $125.00 01/31/2024 Food and Beverage Undisputed 01/23/2026 1107477141 CMS
ABBVIE INC. $8.09 02/01/2024 Food and Beverage Undisputed 01/23/2026 1107477143 CMS
ABBVIE INC. $6.18 02/19/2024 Food and Beverage Undisputed 01/23/2026 1107477145 CMS
ABBVIE INC. $10.68 04/11/2024 Food and Beverage Undisputed 01/23/2026 1107477147 CMS
ABBVIE INC. $9.04 05/01/2024 Food and Beverage Undisputed 01/23/2026 1107477149 CMS
ABBVIE INC. $9.87 05/09/2024 Food and Beverage Undisputed 01/23/2026 1107477151 CMS
ABBVIE INC. $5.28 05/20/2024 Food and Beverage Undisputed 01/23/2026 1107477153 CMS
ABBVIE INC. $10.43 06/06/2024 Food and Beverage Undisputed 01/23/2026 1107477155 CMS
ABBVIE INC. $14.65 06/18/2024 Food and Beverage Undisputed 01/23/2026 1107477157 CMS
ABBVIE INC. $12.68 06/18/2024 Food and Beverage Undisputed 01/23/2026 1107477159 CMS
ABBVIE INC. $7.46 06/26/2024 Food and Beverage Undisputed 01/23/2026 1107477161 CMS
ABBVIE INC. $7.79 07/18/2024 Food and Beverage Undisputed 01/23/2026 1107477163 CMS
ABBVIE INC. $6.34 07/26/2024 Food and Beverage Undisputed 01/23/2026 1107477165 CMS
ABBVIE INC. $18.24 09/16/2024 Food and Beverage Undisputed 01/23/2026 1107477167 CMS
ABBVIE INC. $6.01 11/13/2024 Food and Beverage Undisputed 01/23/2026 1107477169 CMS
ABBVIE INC. $7.36 12/06/2024 Food and Beverage Undisputed 01/23/2026 1107477171 CMS
Axsome Therapeutics, Inc. $19.88 05/15/2024 Food and Beverage Undisputed 01/23/2026 1148353060 CMS
Axsome Therapeutics, Inc. $123.34 10/08/2024 Food and Beverage Undisputed 01/23/2026 1148353062 CMS
E.R. Squibb & Sons, L.L.C. $25.47 11/20/2024 Food and Beverage Undisputed 01/23/2026 1101213780 CMS
E.R. Squibb & Sons, L.L.C. $23.06 12/18/2024 Food and Beverage Undisputed 01/23/2026 1101213784 CMS
Neurocrine Biosciences, Inc. $17.17 10/16/2024 Food and Beverage Undisputed 01/23/2026 1150994010 CMS
Teva Pharmaceuticals USA, Inc. $21.51 01/10/2024 Food and Beverage Undisputed 01/23/2026 1151615160 CMS
Teva Pharmaceuticals USA, Inc. $23.72 04/25/2024 Food and Beverage Undisputed 01/23/2026 1151615186 CMS
Teva Pharmaceuticals USA, Inc. $19.94 08/21/2024 Food and Beverage Undisputed 01/23/2026 1151615370 CMS
Teva Pharmaceuticals USA, Inc. $15.46 10/02/2024 Food and Beverage Undisputed 01/23/2026 1151615386 CMS
Teva Pharmaceuticals USA, Inc. $16.16 11/13/2024 Food and Beverage Undisputed 01/23/2026 1151615398 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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