Caleb Adler, MD
Psychiatry · Cincinnati, OHNPI 1497827703
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $108,752 of the $143,335 with a category attached, or 75.9%. Johnson & Johnson accounts for 87.7% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2019 at $40,099 and has fallen 71.4% since, to $11,484 in 2025. Among psychiatry clinicians in OH 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 197 payments — averaging $727.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$126K
- Janssen Global Services, LLC$6K
- Otsuka America Pharmaceutical, Inc.$6K
- Otsuka Pharmaceutical Development & Commercialization, Inc.$4K
- Janssen Scientific Affairs, LLC$2K
Across 327 payments — averaging $5696.89 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Janssen Research & Development, LLC$992K
- Teva Pharmaceuticals USA, Inc.$269K
- Otsuka Pharmaceutical Development & Commercialization, Inc.$151K
- Sage Therapeutics, LLC$147K
- E.r. Squibb & Sons, L.L.C.$113K
- Alkermes, Inc.$94K
- plus $97K from 3 others
What the payments were for
- Consulting fees$7,1285%
- Speaking & faculty fees$108,75276%
- Travel & lodging$23,26516%
- Food & beverage$4,1903%
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 | 175 | $125,752 |
| Janssen Global Services, LLC | 11 | $6,182 |
| Otsuka America Pharmaceutical, Inc. | 4 | $5,788 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 6 | $3,663 |
| Janssen Scientific Affairs, LLC | 1 | $1,950 |
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.
- SPRAVATO$125,064
How this compares
$143,335 in reported general payments places this provider in the 95th percentile of 1,119 psychiatry providers in Ohio.
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 Cincinnati
- Henry NasrallahCincinnati$3.8M
- Paul KeckCincinnati$739K
- Tracey SkaleCincinnati$674K
- Helen FarrellCincinnati$277K
- Velissarios KaracostasCincinnati$56K
- Jeffrey StrawnCincinnati$30K
- John HawkinsCincinnati$30K
- Fred RomeoColumbus$2.3M
- Amita PatelDayton$2.1M
- Pradeep ManudhaneCanton$1.5M
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.