Medicare Enrolled

Dr. Linda Couch, M.D.

Medical Oncology · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
5206 RESEARCH DR, San Antonio, TX 78240
2105955300
Registered in NPPES since 2006
NPI: 1639113244 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Couch from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Couch? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Couch

Dr. Linda Couch is a medical oncology specialist in San Antonio, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Couch performed 212 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Couch received a total of $6,881 from 50 pharmaceutical and/or device companies across 422 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Couch is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years of NPI registration ▲ 212 Medicare services $6,881 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
212
Medicare services
Bottom 17% in TX for medical oncology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$82
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
125 $71 $145
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
36 $101 $216
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
17 $94 $201
New patient office visit, complex (60-74 min) 17 $139 $273
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
17 $48 $99
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$6,881
Total received (2018-2024)
Avg $983/year across 7 years
Top 42% in TX for medical oncology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
50
Companies
422
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$208
2023
$80
2022
$116
2021
$152
2020
$293
2019
$2,789
2018
$3,244

Payments by company (2024)

Takeda Pharmaceuticals U.S.A., Inc.
$31
AstraZeneca Pharmaceuticals LP
$30
ARRAY BIOPHARMA INC
$26
Novartis Pharmaceuticals Corporation
$21
Blueprint Medicines Corporation
$19
Merck Sharp & Dohme LLC
$18
Genentech USA, Inc.
$17
Incyte Corporation
$16
Pharmacosmos Therapeutics Inc.
$15
Regeneron Healthcare Solutions, Inc.
$13
Top 3 companies account for 42.3% of 2024 payments
All-time payments by company (2018-2024) ›
Novartis Pharmaceuticals Corporation
$906
Takeda Pharmaceuticals U.S.A., Inc.
$520
Genentech USA, Inc.
$491
E.R. Squibb & Sons, L.L.C.
$428
Merck Sharp & Dohme Corporation
$379
PFIZER INC.
$352
Astellas Pharma US Inc
$338
AstraZeneca Pharmaceuticals LP
$305
Amgen Inc.
$300
Janssen Pharmaceuticals, Inc
$250
Janssen Biotech, Inc.
$218
Seattle Genetics, Inc.
$205
Exelixis Inc.
$195
Ipsen Biopharmaceuticals, Inc
$164
TESARO, Inc.
$138
Bayer HealthCare Pharmaceuticals Inc.
$134
GENZYME CORPORATION
$126
PUMA BIOTECHNOLOGY, INC.
$125
Celgene Corporation
$122
Puma Biotechnology, Inc.
$108
Boehringer Ingelheim Pharmaceuticals, Inc.
$103
Incyte Corporation
$98
Daiichi Sankyo Inc.
$69
AbbVie, Inc.
$68
Jazz Pharmaceuticals Inc.
$60
JAZZ PHARMACEUTICALS INC.
$59
Taiho Oncology, Inc.
$53
Eisai Inc.
$52
Lilly USA, LLC
$49
ARRAY BIOPHARMA INC
$48
Alexion Pharmaceuticals, Inc.
$42
Merck Sharp & Dohme LLC
$35
Regeneron Healthcare Solutions, Inc.
$34
Pharmacosmos Therapeutics Inc.
$32
Array BioPharma Inc.
$29
Pharmacyclics LLC, An AbbVie Company
$28
Spectrum Pharmaceuticals Inc.
$23
SANOFI-AVENTIS U.S. LLC
$20
Blueprint Medicines Corporation
$19
Helsinn Therapeutics (U.S.), Inc.
$19
TOLMAR Pharmaceuticals, Inc.
$17
INSYS Therapeutics Inc
$17
Otsuka America Pharmaceutical, Inc.
$16
Medtronic USA, Inc.
$15
Gilead Sciences, Inc.
$13
AMAG Pharmaceuticals, Inc.
$13
EISAI INC.
$12
Foundation Medicine, Inc.
$12
Rigel Pharmaceuticals, Inc.
$11
Teva Pharmaceuticals USA, Inc.
$11
Top 3 companies account for 27.9% of all-time payments
Associated products mentioned in payments ›
ABILIFY · ADCETRIS · AFINITOR · AKYNZEO · AYVAKIT · Abraxane · Alecensa · Avastin · BALVERSA · BENDEKA · BOSULIF · Balversa · Blincyto · Braftovi · CALQUENCE · CYRAMZA · Cabometyx · DARZALEX · ELIGARD · ELIQUIS · ELITEK · EMPLICITI · ENHERTU · ERLEADA · EXKIVITY · Enhertu · Erleada · FERAHEME · FOUNDATIONONE · FRUZAQLA · Folotyn · GAZYVA · GILOTRIF · Halaven · IBRANCE · IMBRUVICA · IMFINZI · INJECTAFER · INLYTA · Imbruvica · JADENU · JAKAFI · JEVTANA · KANJINTI · KEYTRUDA · KISQALI · Kyprolis · LIBTAYO · LYNPARZA · Lenvima · Lonsurf · Lupron Depot · MEKINIST · MONOFERRIC · MVASI · MYLOTARG · NERLYNX · NINLARO · Nerlynx · Neulasta · Nexavar · Nplate · OPDIVO · OSTEOCOOL RF ABLATION · Onivyde · PADCEV · PIQRAY · PROMACTA · Perjeta · RYDAPT · Revlimid · SARCLISA · SOMATULINE DEPOT · SPRYCEL · SUTENT · SYNDROS · Somatuline Depot · Stivarga · TAGRISSO · TALZENNA · TASIGNA · TECENTRIQ · Tavalisse · Tecentriq · ULTOMIRIS · Ultomiris · VENCLEXTA · VOTRIENT · VYXEOS · Venclexta · Vitrakvi · XALKORI · XARELTO · XGEVA · XOSPATA · XTANDI · Xtandi · ZEJULA
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a medical oncology specialist in San Antonio?
Compare medical oncologists in the San Antonio area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Medical oncologists in nearby ZIP areas
38
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
SAN ANTONIO BEHAVIORAL HEALTHCARE HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Couch is a clinical cardiology specialist, with moderate Medicare volume, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Couch experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Couch performed 125 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Couch receive payments from pharmaceutical companies?
Yes. Dr. Couch received a total of $6,881 from 50 companies across 422 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Couch's costs compare to other medical oncologists in San Antonio?
Dr. Couch's average Medicare payment per service is $82. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Couch) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →