Covered recipient · General Payments record

ARIKA N COUCH

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1679045470
CMS profile: 10514099
Location: KNOXVILLE, TN

General Payments · PY2021–2024

$11,148.10

Reported across 508 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,546.72

137 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	$2,639.81	128
Long term medical supply or device loan	$697.90	7
Education	$209.01	2

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
NOVARTIS PHARMACEUTICALS CORPORATION	$1,183.14	30
Daiichi Sankyo Inc.	$248.37	12
Merck Sharp & Dohme Corporation	$220.48	10
Janssen Biotech, Inc.	$204.59	8
Lilly USA, LLC	$186.68	6
PFIZER INC.	$170.96	8
Regeneron Healthcare Solutions, Inc.	$126.68	4
Acerta Pharma LLC	$95.48	5
E.R. Squibb & Sons, L.L.C.	$94.32	5
Astellas Pharma US Inc	$68.75	3
Myriad Genetic Laboratories, Inc.	$68.51	4
Gilead Sciences, Inc.	$68.10	4
TerSera Therapeutics LLC	$66.56	3
Mirati Therapeutics, Inc.	$62.51	2
Incyte Corporation	$60.37	3
GlaxoSmithKline, LLC.	$53.95	3
ABBVIE INC.	$53.30	3
GENZYME CORPORATION	$50.49	2
ADC Therapeutics America, Inc.	$50.32	2
Celgene Corporation	$40.88	2
Takeda Pharmaceuticals U.S.A., Inc.	$39.35	2
Novocure Inc.	$35.75	2
Genentech USA, Inc.	$29.23	1
Kite Pharma, Inc.	$27.95	1
EISAI INC.	$24.36	1
SpringWorks Therapeutics, Inc.	$23.99	1
BeiGene USA, Inc.	$22.39	1
ARRAY BIOPHARMA INC	$22.37	1
EMD Serono, Inc.	$22.07	1
pharmaand GmbH	$21.02	1
Exelixis Inc.	$19.76	1
Bayer HealthCare Pharmaceuticals Inc.	$18.82	1
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.46	1
Agios Pharmaceuticals, Inc.	$16.50	1
JAZZ PHARMACEUTICALS INC.	$15.63	1
Kyowa Kirin, Inc.	$14.63	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$2,349.14	112
PY2022	$2,596.44	131
PY2023	$2,655.80	128
PY2024	$3,546.72	137

Payment records · PY2024 (137)

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
ABBVIE INC.	$14.68	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1106957407	CMS
ABBVIE INC.	$14.46	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1106957409	CMS
ABBVIE INC.	$24.16	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1106957411	CMS
ADC Therapeutics America, Inc.	$24.63	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1121188858	CMS
ADC Therapeutics America, Inc.	$25.69	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1121188900	CMS
Agios Pharmaceuticals, Inc.	$16.50	12/26/2024	Food and Beverage	Undisputed	01/23/2026	1149641252	CMS
ARRAY BIOPHARMA INC	$22.37	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1131555150	CMS
Astellas Pharma US Inc	$26.97	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1139465962	CMS
Astellas Pharma US Inc	$17.85	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1139536284	CMS
Astellas Pharma US Inc	$23.93	12/24/2024	Food and Beverage	Undisputed	01/23/2026	1139558829	CMS
AstraZeneca Pharmaceuticals LP	$24.71	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1105335039	CMS
AstraZeneca Pharmaceuticals LP	$17.62	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1105526389	CMS
AstraZeneca Pharmaceuticals LP	$22.70	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1105867302	CMS
AstraZeneca Pharmaceuticals LP	$15.91	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1105580726	CMS
AstraZeneca Pharmaceuticals LP	$14.54	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1105357851	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.82	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1086366799	CMS
BeiGene USA, Inc.	$22.39	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1120846941	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.46	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1118105321	CMS
Celgene Corporation	$15.59	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1101132538	CMS
Celgene Corporation	$25.29	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1101132540	CMS
Daiichi Sankyo Inc.	$19.78	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1089411312	CMS
Daiichi Sankyo Inc.	$16.61	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1089411310	CMS
Daiichi Sankyo Inc.	$16.46	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1089411320	CMS
Daiichi Sankyo Inc.	$13.59	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1089411318	CMS
Daiichi Sankyo Inc.	$22.44	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1089411316	CMS
Daiichi Sankyo Inc.	$22.28	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1089411304	CMS
Daiichi Sankyo Inc.	$23.08	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1089411302	CMS
Daiichi Sankyo Inc.	$25.78	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1089411314	CMS
Daiichi Sankyo Inc.	$20.90	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1089411306	CMS
Daiichi Sankyo Inc.	$25.62	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1089411322	CMS
Daiichi Sankyo Inc.	$20.05	06/08/2024	Food and Beverage	Undisputed	01/23/2026	1089411324	CMS
Daiichi Sankyo Inc.	$21.78	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1089411328	CMS
E.R. Squibb & Sons, L.L.C.	$15.63	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1101416375	CMS
E.R. Squibb & Sons, L.L.C.	$19.94	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1101416379	CMS
E.R. Squibb & Sons, L.L.C.	$20.33	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1101416425	CMS
E.R. Squibb & Sons, L.L.C.	$19.23	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1101416437	CMS
E.R. Squibb & Sons, L.L.C.	$19.19	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1101416447	CMS
Eisai Inc.	$24.36	06/08/2024	Food and Beverage	Undisputed	01/23/2026	1110794371	CMS
EMD Serono, Inc.	$22.07	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1120261772	CMS
Exelixis Inc.	$19.76	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1138568629	CMS
Genentech USA, Inc.	$29.23	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1133143999	CMS
GENZYME CORPORATION	$28.68	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1139959549	CMS
GENZYME CORPORATION	$21.81	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1139959577	CMS
Gilead Sciences, Inc.	$13.91	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1133680246	CMS
Gilead Sciences, Inc.	$23.08	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1133680248	CMS
Gilead Sciences, Inc.	$14.03	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1133680250	CMS
Gilead Sciences, Inc.	$17.08	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1133680252	CMS
GlaxoSmithKline, LLC.	$19.11	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1116344392	CMS
GlaxoSmithKline, LLC.	$18.52	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1116439531	CMS
GlaxoSmithKline, LLC.	$16.32	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1116714381	CMS
Incyte Corporation	$21.55	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1141295726	CMS
Incyte Corporation	$21.08	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1141184166	CMS
Incyte Corporation	$17.74	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1141222158	CMS
Janssen Biotech, Inc.	$18.29	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1078662765	CMS
Janssen Biotech, Inc.	$17.69	06/22/2024	Food and Beverage	Undisputed	01/23/2026	1078661274	CMS
Janssen Biotech, Inc.	$8.90	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1078664698	CMS
Janssen Biotech, Inc.	$21.02	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1078664559	CMS
Janssen Biotech, Inc.	$7.45	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1078662660	CMS
Janssen Biotech, Inc.	$15.47	10/27/2024	Food and Beverage	Undisputed	01/23/2026	1078664046	CMS
Janssen Biotech, Inc.	$19.77	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1078660977	CMS
Janssen Biotech, Inc.	$96.00	11/27/2024	Education	Undisputed	01/23/2026	1078661144	CMS
JAZZ PHARMACEUTICALS INC.	$15.63	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1151311301	CMS
Kite Pharma, Inc.	$27.95	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1128611991	CMS
Kyowa Kirin, Inc.	$14.63	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1127046903	CMS
Lilly USA, LLC	$12.99	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1135567578	CMS
Lilly USA, LLC	$1.92	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1135567580	CMS
Lilly USA, LLC	$12.96	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1135538255	CMS
Lilly USA, LLC	$22.91	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1135538260	CMS
Lilly USA, LLC	$22.89	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1135536512	CMS
Lilly USA, LLC	$113.01	11/20/2024	Education	Undisputed	01/23/2026	1135551251	CMS
Merck Sharp & Dohme LLC	$12.48	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1141717954	CMS
Merck Sharp & Dohme LLC	$21.47	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1141717952	CMS
Merck Sharp & Dohme LLC	$20.78	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1141932201	CMS
Merck Sharp & Dohme LLC	$21.71	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1141717956	CMS
Merck Sharp & Dohme LLC	$26.69	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1141717808	CMS
Merck Sharp & Dohme LLC	$22.66	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1141717806	CMS
Merck Sharp & Dohme LLC	$22.76	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1141717958	CMS
Merck Sharp & Dohme LLC	$25.63	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1141875786	CMS
Merck Sharp & Dohme LLC	$22.97	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1141875784	CMS
Merck Sharp & Dohme LLC	$23.33	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1141875788	CMS
Mirati Therapeutics, Inc.	$29.73	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1117168322	CMS
Mirati Therapeutics, Inc.	$32.78	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1117168326	CMS
Myriad Genetic Laboratories, Inc.	$16.88	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1152545114	CMS
Myriad Genetic Laboratories, Inc.	$16.88	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1152545116	CMS
Myriad Genetic Laboratories, Inc.	$17.40	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1152545118	CMS
Myriad Genetic Laboratories, Inc.	$17.35	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1152545120	CMS
Novartis Pharmaceuticals Corporation	$20.99	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1086658327	CMS
Novartis Pharmaceuticals Corporation	$29.73	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1086658331	CMS
Novartis Pharmaceuticals Corporation	$22.10	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1086658333	CMS
Novartis Pharmaceuticals Corporation	$29.23	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1086658337	CMS
Novartis Pharmaceuticals Corporation	$20.08	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1086658335	CMS
Novartis Pharmaceuticals Corporation	$15.32	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1086658341	CMS
Novartis Pharmaceuticals Corporation	$16.54	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1086658351	CMS
Novartis Pharmaceuticals Corporation	$2.99	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1086658343	CMS
Novartis Pharmaceuticals Corporation	$17.56	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1086658345	CMS
Novartis Pharmaceuticals Corporation	$28.20	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1086658339	CMS
Novartis Pharmaceuticals Corporation	$13.38	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1086658361	CMS
Novartis Pharmaceuticals Corporation	$26.37	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1086658359	CMS
Novartis Pharmaceuticals Corporation	$99.70	06/13/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1086658379	CMS
Novartis Pharmaceuticals Corporation	$99.70	07/15/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1086658381	CMS
Novartis Pharmaceuticals Corporation	$22.75	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1086658365	CMS
Novartis Pharmaceuticals Corporation	$26.99	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1086658369	CMS
Novartis Pharmaceuticals Corporation	$19.84	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1086658383	CMS
Novartis Pharmaceuticals Corporation	$99.70	08/23/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1086658375	CMS
Novartis Pharmaceuticals Corporation	$21.78	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1086658371	CMS
Novartis Pharmaceuticals Corporation	$19.92	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1086658367	CMS
Novartis Pharmaceuticals Corporation	$26.09	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1086658395	CMS
Novartis Pharmaceuticals Corporation	$99.70	09/27/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1086658377	CMS
Novartis Pharmaceuticals Corporation	$17.08	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1086658385	CMS
Novartis Pharmaceuticals Corporation	$99.70	10/17/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1086658391	CMS
Novartis Pharmaceuticals Corporation	$26.51	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1086658393	CMS
Novartis Pharmaceuticals Corporation	$99.70	11/14/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1086658389	CMS
Novartis Pharmaceuticals Corporation	$21.13	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1086658399	CMS
Novartis Pharmaceuticals Corporation	$21.08	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1086658397	CMS
Novartis Pharmaceuticals Corporation	$19.58	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1086658403	CMS
Novartis Pharmaceuticals Corporation	$99.70	12/10/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1086658407	CMS
Novocure Inc.	$16.86	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1123334082	CMS
Novocure Inc.	$18.89	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1123334084	CMS
PFIZER INC.	$19.63	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1131292884	CMS
PFIZER INC.	$18.61	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1131285271	CMS
PFIZER INC.	$25.33	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1131407488	CMS
PFIZER INC.	$25.85	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1131317195	CMS
PFIZER INC.	$15.00	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1131680850	CMS
PFIZER INC.	$30.37	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1131402594	CMS
PFIZER INC.	$19.97	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1131365083	CMS
PFIZER INC.	$16.20	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1142664512	CMS
pharmaand GmbH	$21.02	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1116830872	CMS
Regeneron Healthcare Solutions, Inc.	$32.43	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1114287949	CMS
Regeneron Healthcare Solutions, Inc.	$31.28	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1114287951	CMS
Regeneron Healthcare Solutions, Inc.	$33.89	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1114287953	CMS
Regeneron Healthcare Solutions, Inc.	$29.08	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1114287955	CMS
SpringWorks Therapeutics, Inc.	$23.99	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1085809502	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$18.16	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1144973830	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$21.19	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1144973832	CMS
TerSera Therapeutics LLC	$26.82	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1144719969	CMS
TerSera Therapeutics LLC	$19.53	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1144719965	CMS
TerSera Therapeutics LLC	$20.21	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1144719967	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

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.