Brenda Primero, APRN
Psychiatric/Mental Health · Las Vegas, NVNPI 1831613025
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.8% of the total across 438 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 35 manufacturers, the largest accounting for just 16.5% — the pattern of someone who eats at a lot of different presentations. Among psychiatric/mental health clinicians in NV with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 438 payments — averaging $19.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$1K
- Otsuka America Pharmaceutical, Inc.$1K
- AbbVie$1K
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$805
- Alkermes, Inc.$652
- Supernus Pharmaceuticals, Inc.$640
- plus $3K from 29 others
What the payments were for
- Food & beverage$8,345100%
- Education$150%
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 |
|---|---|---|
| Johnson & Johnson | 64 | $1,378 |
| Otsuka America Pharmaceutical, Inc. | 60 | $1,140 |
| AbbVie | 52 | $1,029 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 42 | $805 |
| Alkermes, Inc. | 35 | $652 |
| Supernus Pharmaceuticals, Inc. | 51 | $640 |
| Neurocrine Biosciences, Inc. | 25 | $540 |
| Lundbeck LLC | 19 | $374 |
| Axsome Therapeutics, Inc. | 10 | $232 |
| Corium, LLC | 9 | $171 |
| Sunovion Pharmaceuticals Inc. | 9 | $162 |
| Almatica Pharma LLC | 10 | $151 |
| E.r. Squibb & Sons, L.L.C. | 10 | $149 |
| Idorsia Pharmaceuticals US Inc | 7 | $126 |
| Teva Pharmaceuticals USA, Inc. | 4 | $105 |
| Neuronetics, Inc. | 2 | $91 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $66 |
| Avanir Pharmaceuticals, Inc. | 3 | $66 |
| Dexcom, Inc. | 3 | $55 |
| Brainsway USA Inc | 1 | $49 |
| Indivior Inc. | 2 | $44 |
| Bayer | 2 | $44 |
| Mannkind Corporation | 2 | $41 |
| Lilly USA, LLC | 1 | $34 |
| Ironshore Pharmaceuticals Inc. | 2 | $34 |
| Merck | 1 | $30 |
| Alfasigma USA, Inc. | 1 | $23 |
| Boehringer Ingelheim | 1 | $23 |
| Novo Nordisk | 1 | $22 |
| Kyowa Kirin, Inc. | 1 | $16 |
| Xeris Pharmaceuticals, Inc. | 1 | $15 |
| Adlon Therapeutics L.p. | 1 | $14 |
| Sage Therapeutics, LLC | 1 | $14 |
| Athena Bioscience, LLC | 1 | $13 |
| Eisai Inc. | 1 | $11 |
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.
How this compares
$8,360 in reported general payments places this provider in the 95th percentile of 362 psychiatric/mental health providers in Nevada.
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 | 15 | $27,692 |
| Lurasidone Hcl | 36 | $13,798 |
| Aripiprazole | 62 | $6,589 |
| Quetiapine Fumarate | 126 | $3,429 |
| Atomoxetine Hcl | 16 | $2,955 |
| Duloxetine Hcl | 116 | $2,220 |
| Buspirone Hcl | 74 | $1,451 |
| Olanzapine | 38 | $1,336 |
| Alprazolam | 134 | $1,269 |
| Hydroxyzine Pamoate | 75 | $1,195 |
| Trazodone Hcl | 120 | $1,177 |
| Clozapine | 12 | $1,051 |
| Risperidone | 56 | $937 |
| Bupropion XlBupropion Hcl | 41 | $935 |
| Clonazepam | 106 | $771 |
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 | $1,140 | $27,69215 claims |
| Lilly USA, LLCOlanzapine | $34 | $1,33638 claims |
| Almatica Pharma LLCSertraline Hcl | $151 | $45464 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 362 psychiatric/mental health providers in Nevada.
Other psychiatric/mental health in Las Vegas
- Michelle GiddingsLas Vegas$131K
- Patrick ApiladoLas Vegas$19K
- Joshua HamiltonLas Vegas$17K
- Sydney EganLas Vegas$14K
- Ma Victoria EscardaLas Vegas$12K
- Carminia SalvacionLas Vegas$12K
- Valentina AkohLas Vegas$12K
- Angela WilsonLas Vegas$11K
- Michael MathisenLas Vegas$10K
- Edina BorosLas Vegas$9K
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.