Bret Guidry, MD
Psychiatry · Rock Hill, SCNPI 1588634554
Payments from drug & device makers
Across 65 payments — averaging $67.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$3K
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$361
- AbbVie$194
- Takeda Pharmaceuticals U.S.A., Inc.$172
- Otsuka America Pharmaceutical, Inc.$154
- Teva Pharmaceuticals USA, Inc.$124
- plus $381 from 7 others
What the payments were for
- Food & beverage$1,35931%
- Education$271%
- Other$3,00068%
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 |
|---|---|---|
| Intuitive Surgical | 1 | $3,000 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 10 | $361 |
| AbbVie | 11 | $194 |
| Takeda Pharmaceuticals U.S.A., Inc. | 8 | $172 |
| Otsuka America Pharmaceutical, Inc. | 7 | $154 |
| Teva Pharmaceuticals USA, Inc. | 7 | $124 |
| Alkermes, Inc. | 4 | $88 |
| Neurocrine Biosciences, Inc. | 5 | $88 |
| Neos Therapeutics, LP | 5 | $69 |
| Idorsia Pharmaceuticals US Inc | 3 | $61 |
| Lundbeck LLC | 2 | $37 |
| E.r. Squibb & Sons, L.L.C. | 1 | $27 |
| Merck | 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.
- Da Vinci Surgical System$3,000
- CAPLYTA$122
How this compares
$4,386 in reported general payments places this provider in the 85th percentile of 624 psychiatry providers in South Carolina.
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 |
|---|---|---|
| VraylarCariprazine Hcl | 18 | $27,096 |
| RexultiBrexpiprazole | 12 | $17,321 |
| TrintellixVortioxetine Hydrobromide | 25 | $13,189 |
| Lurasidone Hcl | 15 | $9,865 |
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 43 | $2,642 |
| Bupropion XlBupropion Hcl | 76 | $1,874 |
| Trazodone Hcl | 112 | $1,820 |
| Clozapine | 35 | $1,296 |
| Divalproex Sodium ErDivalproex Sodium | 33 | $1,094 |
| Duloxetine Hcl | 70 | $911 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 42 | $879 |
| Fluoxetine Hcl | 106 | $844 |
| Methylphenidate ErMethylphenidate Hcl | 14 | $843 |
| Quetiapine Fumarate | 77 | $842 |
| Paroxetine Hcl | 44 | $742 |
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 |
|---|---|---|
| AbbVieVraylar | $194 | $27,09618 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $154 | $17,32112 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $172 | $13,18925 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 85th percentile of 624 psychiatry providers in South Carolina.
Other psychiatry in Rock Hill
- Jagdish ShahRock Hill$320K
- Brian MikaRock Hill$22K
- Jacobo MintzerCharleston$4.9M
- Paul RobbinsSummerville$1.2M
- Brittany AlbrightMount Pleasant$691K
- Eduardo CifuentesCharleston$675K
- Veronica RidpathFlorence$364K
- Mark GeorgeCharleston$332K
- Ricardo FermoCharleston$262K
- John DewittAiken$221K
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.