Anthony Bisignano
Psychiatric/Mental Health · Arcadia, FLNPI 1467133025
Payments from drug & device makers
Across 7 payments — averaging $21.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Neurocrine Biosciences, Inc.$85
- Otsuka America Pharmaceutical, Inc.$48
- Teva Pharmaceuticals USA, Inc.$20
What the payments were for
- Food & beverage$153100%
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 |
|---|---|---|
| Neurocrine Biosciences, Inc. | 3 | $85 |
| Otsuka America Pharmaceutical, Inc. | 3 | $48 |
| Teva Pharmaceuticals USA, Inc. | 1 | $20 |
How this compares
$153 in reported general payments places this provider in the 20th percentile of 3,096 psychiatric/mental health providers in Florida.
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 |
|---|---|---|
| IngrezzaValbenazine Tosylate | 78 | $565,251 |
| NuedextaDextromethorphan Hbr/Quinidine | 175 | $234,739 |
| NuplazidPimavanserin Tartrate | 36 | $164,076 |
| Divalproex Sodium | 389 | $40,911 |
| RexultiBrexpiprazole | 23 | $19,647 |
| Trazodone Hcl | 662 | $15,296 |
| Oxcarbazepine | 103 | $11,785 |
| Mirtazapine | 127 | $5,868 |
| Lorazepam | 294 | $5,072 |
| Gabapentin | 122 | $3,978 |
| Sertraline Hcl | 192 | $3,666 |
| Memantine Hcl | 58 | $3,663 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 34 | $2,799 |
| Duloxetine Hcl | 86 | $2,760 |
| Risperidone | 50 | $2,670 |
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 |
|---|---|---|
| Neurocrine Biosciences, Inc.Ingrezza | $85 | $565,25178 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $48 | $19,64723 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 20th percentile of 3,096 psychiatric/mental health providers in Florida.
Other psychiatric/mental health in Arcadia
- Roger RiveraKissimmee$1.6M
- Bethanie Simmons BecilJacksonville$782K
- Hannah PhillipsMaitland$455K
- Cheedy JajaTampa$266K
- Scott DurrancePensacola$224K
- Eudaldo AponteHialeah$214K
- Heather WarrenTallahassee$172K
- Angela DavenportAlachua$83K
- Natalie MoodyWinter Haven$75K
- Kelli BridgmanNew Smyrna Beach$66K
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.