Arachchige Muthukuda, MD
Child & Adolescent Psychiatry · Baltimore, MDNPI 1073770616
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $485 of the $585 with a category attached, or 82.9%. It is spread thinly across 8 manufacturers, the largest accounting for just 21.5% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $531, more than ten times the $32 reported in 2023.
Across 20 payments — averaging $29.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Neurocrine Biosciences, Inc.$126
- Teva Pharmaceuticals USA, Inc.$120
- Johnson & Johnson$84
- Vanda Pharmaceuticals Inc.$74
- E.r. Squibb & Sons, L.L.C.$65
- Axsome Therapeutics, Inc.$54
- plus $62 from 2 others
What the payments were for
- Food & beverage$48583%
- Education$10017%
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. | 4 | $126 |
| Teva Pharmaceuticals USA, Inc. | 2 | $120 |
| Johnson & Johnson | 3 | $84 |
| Vanda Pharmaceuticals Inc. | 2 | $74 |
| E.r. Squibb & Sons, L.L.C. | 4 | $65 |
| Axsome Therapeutics, Inc. | 2 | $54 |
| Lundbeck LLC | 2 | $37 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $25 |
How this compares
$585 in reported general payments places this provider in the 70th percentile of 98 child & adolescent psychiatry providers in Maryland.
See all child & adolescent psychiatry providers in Maryland →
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 |
|---|---|---|
| RexultiBrexpiprazole | 31 | $44,198 |
| Lurasidone Hcl | 66 | $29,132 |
| VraylarCariprazine Hcl | 16 | $23,094 |
| FanaptIloperidone | 12 | $20,397 |
| Bupropion XlBupropion Hcl | 87 | $7,260 |
| Quetiapine Fumarate | 122 | $2,588 |
| Fluoxetine Hcl | 80 | $1,983 |
| Hydroxyzine Hcl | 77 | $1,886 |
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 36 | $1,789 |
| Alprazolam | 106 | $1,599 |
| Clozapine | 36 | $1,408 |
| Aripiprazole | 34 | $1,285 |
| Buspirone Hcl | 112 | $1,211 |
| Risperidone | 132 | $1,188 |
| Divalproex Sodium ErDivalproex Sodium | 17 | $1,076 |
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 |
|---|---|---|
| Vanda Pharmaceuticals Inc.Fanapt | $74 | $20,39712 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 70th percentile of 98 child & adolescent psychiatry providers in Maryland.
Other child & adolescent psychiatry in Baltimore
- Anna GonzagaBaltimore$180K
- Dejan BudimirovicBaltimore$10K
- Shin-Bey ChangBaltimore$776
- Carolyn HowellBaltimore$635
- Drew PateBaltimore$540
- Janine Fuertes RamirezBaltimore$507
- Azin BekhradBaltimore$464
- Lesia TrickettBaltimore$233
- Manan ShahBaltimore$143
- Thomas BauerBaltimore$125
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.