Andranik Avakian
Nurse Practitioner · Clovis, CANPI 1528599982
Payments from drug & device makers
Across 620 payments — averaging $14.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$1K
- Otsuka America Pharmaceutical, Inc.$1K
- Takeda Pharmaceuticals U.S.A., Inc.$1K
- Lundbeck LLC$908
- Alkermes, Inc.$626
- plus $3K from 26 others
What the payments were for
- Food & beverage$9,192100%
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.
| Company | Payments | Total |
|---|---|---|
| AbbVie | 132 | $1,687 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 81 | $1,107 |
| Otsuka America Pharmaceutical, Inc. | 75 | $1,090 |
| Takeda Pharmaceuticals U.S.A., Inc. | 109 | $1,075 |
| Lundbeck LLC | 46 | $908 |
| Alkermes, Inc. | 33 | $626 |
| Axsome Therapeutics, Inc. | 25 | $494 |
| Teva Pharmaceuticals USA, Inc. | 19 | $400 |
| Supernus Pharmaceuticals, Inc. | 11 | $232 |
| Vanda Pharmaceuticals Inc. | 12 | $230 |
| Corium, LLC | 12 | $197 |
| Sunovion Pharmaceuticals Inc. | 16 | $183 |
| Ironshore Pharmaceuticals Inc. | 9 | $166 |
| Johnson & Johnson | 6 | $142 |
| Neurocrine Biosciences, Inc. | 6 | $107 |
| E.r. Squibb & Sons, L.L.C. | 4 | $94 |
| Tris Pharma Inc | 3 | $59 |
| Eisai Inc. | 3 | $57 |
| Indivior Inc. | 3 | $56 |
| Collegium Pharmaceutical, Inc. | 2 | $41 |
| Almatica Pharma LLC | 2 | $38 |
| Tempus AI, Inc | 1 | $29 |
| Sage Therapeutics, LLC | 1 | $21 |
| Azurity Pharmaceuticals, Inc. | 1 | $20 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $20 |
| Alfasigma USA, Inc. | 1 | $20 |
| Avanir Pharmaceuticals, Inc. | 1 | $18 |
| Neuronetics, Inc. | 1 | $16 |
| Jazz Pharmaceuticals Inc. | 1 | $16 |
| Merck | 1 | $14 |
| OWP Pharmaceuticals, Inc. | 1 | $13 |
| Idorsia Pharmaceuticals US Inc | 1 | $13 |
How this compares
$9,192 in reported general payments places this provider in the 95th percentile of 6,779 nurse practitioner providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| RexultiBrexpiprazole | 11 | $15,822 |
| Bupropion XlBupropion Hcl | 79 | $2,216 |
| Desvenlafaxine Succinate ErDesvenlafaxine Succinate | 29 | $2,142 |
| Aripiprazole | 22 | $2,007 |
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 12 | $1,443 |
| Paliperidone ErPaliperidone | 17 | $1,390 |
| Ziprasidone Hcl | 24 | $1,143 |
| Lamotrigine | 77 | $1,044 |
| Triazolam | 11 | $951 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 11 | $834 |
| Fluoxetine Hcl | 47 | $731 |
| Olanzapine | 19 | $679 |
| Trazodone Hcl | 45 | $602 |
| Clorazepate Dipotassium | 11 | $559 |
| Duloxetine Hcl | 29 | $548 |
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc.Rexulti | $1,090 | $15,82211 claims |
| Almatica Pharma LLCSertraline Hcl | $38 | $41851 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 95th percentile of 6,779 nurse practitioner providers in California.
Other nurse practitioner in Clovis
- Rhonda HewittStanford$917K
- Linda TrinhIrvine$899K
- Denise SinagaNorthridge$728K
- Debbie TaySanta Monica$642K
- Joe GorelickCampbell$638K
- Lynsey LakinArcadia$540K
- Kelly ChoiRancho Cucamonga$483K
- Hamta ZareStanford$428K
- Shawna ChrismanRoseville$425K
- Angelina CollinsSan Diego$356K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.