Bryan West, MD
Psychiatry · Knoxville, TNNPI 1932494093
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $12,360 of the $14,535 with a category attached, or 85.0%. Otsuka America Pharmaceutical, Inc. accounts for 93.0% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2021 at $7,863 and has fallen 94.3% since, to $445 in 2025. Among psychiatry clinicians in TN with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 69 payments — averaging $210.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$14K
- Johnson & Johnson$540
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$123
- Livanova USA, Inc.$123
- Axsome Therapeutics, Inc.$68
- E.r. Squibb & Sons, L.L.C.$61
- plus $106 from 4 others
What the payments were for
- Speaking & faculty fees$12,36085%
- Travel & lodging$1561%
- Food & beverage$2,01914%
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 33 | $13,514 |
| Johnson & Johnson | 24 | $540 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $123 |
| Livanova USA, Inc. | 1 | $123 |
| Axsome Therapeutics, Inc. | 2 | $68 |
| E.r. Squibb & Sons, L.L.C. | 1 | $61 |
| Indivior Inc. | 3 | $46 |
| Teva Pharmaceuticals USA, Inc. | 2 | $27 |
| Alkermes, Inc. | 1 | $17 |
| Janssen Scientific Affairs, LLC | 1 | $16 |
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.
- ABILIFY MAINTENA$12,932
- ABILIFY ASIMTUFII$385
- REXULTI$236
- SPRAVATO$125
- CAPLYTA$123
- VNS - Symmetry$123
How this compares
$14,535 in reported general payments places this provider in the 90th percentile of 503 psychiatry providers in Tennessee.
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.
Other psychiatry in Knoxville
- Karthi NamasivayamKnoxville$225K
- Lane CookKnoxville$53K
- Kelley WalkerKnoxville$17K
- Sharon BurnsideKnoxville$16K
- James KennedyKnoxville$15K
- Kris HouserKnoxville$14K
- Charles MayKnoxville$9K
- Julia WoodKnoxville$6K
- James RigellKnoxville$6K
- Rakesh AminNashville$3M
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.