Alexandra Duffy, DO
Neurology · Sacramento, CANPI 1316212814
Payments from drug & device makers
Across 48 payments — averaging $15,854 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sage Therapeutics, LLC$414K
- Genentech, Inc.$346K
- Roche TCRC, Inc.$1K
- Roche Products Limited$185
What the payments were for
- Food & beverage$185100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Sage Therapeutics, LLC | 5 | $413,666 |
| Genentech, Inc. | 41 | $345,766 |
| Roche TCRC, Inc. | 1 | $1,379 |
| Roche Products Limited | 1 | $185 |
How this compares
$760,996 in reported general payments places this provider in the 95th percentile of 1,996 neurology providers in California.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| AustedoDeutetrabenazine | 90 | $731,684 |
| RytaryCarbidopa/Levodopa | 62 | $152,182 |
| Austedo XrDeutetrabenazine | 13 | $61,874 |
| OngentysOpicapone | 50 | $57,463 |
| Carbidopa-LevodopaCarbidopa/Levodopa | 520 | $30,560 |
| Rasagiline Mesylate | 33 | $11,721 |
| Carbidopa-Levodopa ErCarbidopa/Levodopa | 244 | $9,860 |
| Carbidopa-Levodopa-EntacaponeCarbidopa/Levodopa/Entacapone | 28 | $3,719 |
| Entacapone | 33 | $2,805 |
| Olanzapine | 99 | $2,247 |
| RivastigmineRivastigmine Tartrate | 15 | $1,995 |
| Sertraline Hcl | 141 | $1,023 |
| Quetiapine Fumarate | 34 | $987 |
| Clonazepam | 54 | $842 |
| Divalproex Sodium | 14 | $775 |
Paid to pharmacies, not to this prescriber.
Other neurology in Sacramento
- Michelle AppersonSacramento$2.5M
- Timothy CloughesyLos Angeles$33.1M
- Jack FlorinFullerton$13M
- David KudrowSanta Monica$12.8M
- John Ravitsla Jolla$8.4M
- Perminder BhatiaFresno$8.3M
- Perry ShiehLos Angeles$8.2M
- Benjamin FrishbergCarlsbad$8.2M
- Bruce CreeSan Francisco$8M
- Lawrence RechtPalo Alto$6.6M
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.