Ammar Alrefai, MD
Psychiatry · Madison, ALNPI 1720044076
Payments from drug & device makers
Across 867 payments — averaging $18.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alkermes, Inc.$2K
- AbbVie$2K
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$1K
- Otsuka America Pharmaceutical, Inc.$1K
- Sunovion Pharmaceuticals Inc.$1K
- Teva Pharmaceuticals USA, Inc.$876
- plus $8K from 32 others
What the payments were for
- Consulting fees$2001%
- Food & beverage$15,54198%
- Education$560%
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.
General payments by program year
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.
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- SPRAVATO$200
How this compares
$15,797 in reported general payments places this provider in the 90th percentile of 400 psychiatry providers in Alabama.
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 |
|---|---|---|
| SpravatoEsketamine Hcl | 52 | $106,107 |
| VraylarCariprazine Hcl | 40 | $56,164 |
| CaplytaLumateperone Tosylate | 31 | $51,663 |
| AustedoDeutetrabenazine | 13 | $33,916 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 118 | $29,026 |
| LybalviOlanzapine/Samidorphan Malate | 14 | $26,769 |
| TrintellixVortioxetine Hydrobromide | 30 | $22,342 |
| BelsomraSuvorexant | 48 | $20,562 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 492 | $15,404 |
| LatudaLurasidone Hcl | 11 | $15,181 |
| VyvanseLisdexamfetamine Dimesylate | 31 | $14,484 |
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 254 | $13,954 |
| Lisdexamfetamine Dimesylate | 50 | $13,488 |
| AuvelityDextromethorphan Hbr/Bupropion | 11 | $11,862 |
| Lurasidone Hcl | 20 | $10,583 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Johnson & JohnsonSpravato | $814 | $106,10752 claims |
| AbbVieVraylar | $1,772 | $56,16440 claims |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta | $1,163 | $51,66331 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix, Vyvanse | $789 | $36,82661 claims |
| Teva Pharmaceuticals USA, Inc.Austedo | $876 | $33,91613 claims |
| Alkermes, Inc.Lybalvi | $1,867 | $26,76914 claims |
| MerckBelsomra | $54 | $20,56248 claims |
| Sunovion Pharmaceuticals Inc.Latuda | $1,002 | $15,18111 claims |
| Axsome Therapeutics, Inc.Auvelity | $459 | $11,86211 claims |
| Idorsia Pharmaceuticals US IncQuviviq | $107 | $6,45012 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 400 psychiatry providers in Alabama.
Other psychiatry in Madison
- Anika WilsonMadison$15K
- Justin ParrottMadison$14K
- Daniel LaeuppleMadison$7K
- Jun LiuMadison$7K
- Matthew MacalusoBirmingham$2.8M
- Richard SheltonBirmingham$2.4M
- Michael FalolaTrussville$2.2M
- Armand SchachterBirmingham$758K
- Stephen HughesBirmingham$683K
- Leesha Ellis CoxBirmingham$653K
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.