Brian Howard, DO
Psychiatry · Searcy, ARNPI 1679934871
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 219 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 17 manufacturers reported payments, led by AbbVie at 47.7% of the total. 2025 is the largest year on record at $1,193, more than ten times the $65 reported in 2020.
Across 219 payments — averaging $18.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Otsuka America Pharmaceutical, Inc.$306
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$276
- Vanda Pharmaceuticals Inc.$254
- Neurocrine Biosciences, Inc.$243
- Johnson & Johnson$234
- plus $765 from 11 others
What the payments were for
- Food & beverage$3,972100%
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(2 entities) | 101 | $1,893 |
| Otsuka America Pharmaceutical, Inc. | 21 | $306 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 15 | $276 |
| Vanda Pharmaceuticals Inc. | 14 | $254 |
| Neurocrine Biosciences, Inc. | 12 | $243 |
| Johnson & Johnson | 13 | $234 |
| E.r. Squibb & Sons, L.L.C. | 12 | $218 |
| Supernus Pharmaceuticals, Inc. | 6 | $113 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $96 |
| Alkermes, Inc. | 5 | $92 |
| Teva Pharmaceuticals USA, Inc. | 5 | $78 |
| Lundbeck LLC | 4 | $73 |
| Tris Pharma Inc | 2 | $33 |
| Ironshore Pharmaceuticals Inc. | 1 | $20 |
| Avanir Pharmaceuticals, Inc. | 1 | $15 |
| Idorsia Pharmaceuticals US Inc | 1 | $14 |
| Sunovion Pharmaceuticals Inc. | 1 | $14 |
How this compares
$3,972 in reported general payments places this provider in the 85th percentile of 235 psychiatry providers in Arkansas.
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 | 23 | $192,205 |
| Invega SustennaPaliperidone Palmitate | 25 | $88,673 |
| VraylarCariprazine Hcl | 41 | $79,998 |
| CaplytaLumateperone Tosylate | 12 | $21,381 |
| Aripiprazole | 151 | $5,068 |
| Lurasidone Hcl | 23 | $4,684 |
| Quetiapine Fumarate | 215 | $4,154 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 117 | $3,230 |
| Gabapentin | 184 | $3,112 |
| Paliperidone ErPaliperidone | 17 | $2,741 |
| Olanzapine | 81 | $2,324 |
| Bupropion XlBupropion Hcl | 89 | $2,245 |
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 29 | $2,014 |
| Risperidone | 101 | $1,872 |
| Fluoxetine Hcl | 203 | $1,860 |
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 | $243 | $192,20523 claims |
| Johnson & JohnsonInvega Sustenna | $234 | $88,67325 claims |
| AbbVieVraylar | $1,893 | $79,99841 claims |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta | $276 | $21,38112 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 235 psychiatry providers in Arkansas.
Other psychiatry in Searcy
- Ronald WautersSearcy$204K
- Herman ClementsSearcy$187K
- David DraneySearcy$9K
- Robert StrayhanSearcy$6K
- Jacqueline KoichiSearcy$3K
- Christopher LewisSearcy$1K
- Leslie SmithLittle Rock$766K
- Tad TillemansLittle Rock$656K
- Steven KoryElm Springs$628K
- Randal ScholmaLowell$111K
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.