Carlos Ruiz, MD
Psychiatry · Orlando, FLNPI 1508804766
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $94,179 of the $103,937 with a category attached, or 90.6%. 12 manufacturers reported payments, led by Alkermes, Inc. at 50.9% of the total. Reporting peaked in 2019 at $39,360 and has fallen 77.8% since, to $8,732 in 2025. Among psychiatry clinicians in FL 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 157 payments — averaging $662.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alkermes, Inc.$53K
- Johnson & Johnson$50K
- Otsuka Pharmaceutical Development & Commercialization, Inc.$348
- Otsuka America Pharmaceutical, Inc.$204
- E.r. Squibb & Sons, L.L.C.$158
- AbbVie$154
- plus $414 from 6 others
What the payments were for
- Speaking & faculty fees$94,17991%
- Travel & lodging$4,7445%
- Food & beverage$4,9785%
- Education$360%
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 |
|---|---|---|
| Alkermes, Inc. | 59 | $52,882 |
| Johnson & Johnson | 82 | $49,777 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 2 | $348 |
| Otsuka America Pharmaceutical, Inc. | 2 | $204 |
| E.r. Squibb & Sons, L.L.C. | 3 | $158 |
| AbbVie | 2 | $154 |
| Neurocrine Biosciences, Inc. | 2 | $135 |
| Tris Pharma Inc | 1 | $124 |
| Sage Therapeutics, LLC | 1 | $94 |
| Exact Sciences | 1 | $29 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $18 |
| Sunovion Pharmaceuticals Inc. | 1 | $14 |
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.
- ARISTADA$125,518
- SPRAVATO$48,365
- ARISTADA INITIO$31,380
- VIVITROL$20,750
- VRAYLAR$125
- Quillichew ER$124
- Dyanavel XR$124
- Quillivant$124
- INGREZZA$122
- COBENFY$122
- ABILIFY MAINTENA$118
How this compares
$103,937 in reported general payments places this provider in the 95th percentile of 2,059 psychiatry providers in Florida.
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 |
|---|---|---|
| Clozapine | 13 | $890 |
| Quetiapine Fumarate | 87 | $663 |
| Duloxetine Hcl | 40 | $655 |
| Mirtazapine | 50 | $454 |
| Buspirone Hcl | 35 | $258 |
| Benztropine Mesylate | 19 | $201 |
| Trazodone Hcl | 35 | $189 |
| Desvenlafaxine Succinate ErDesvenlafaxine Succinate | 15 | $175 |
| Doxepin Hcl | 15 | $167 |
| Topiramate | 27 | $165 |
| Oxcarbazepine | 11 | $164 |
| Bupropion XlBupropion Hcl | 11 | $105 |
| Risperidone | 15 | $76 |
| Clonazepam | 20 | $64 |
| Sertraline Hcl | 11 | $59 |
Paid to pharmacies, not to this prescriber.
Other psychiatry in Orlando
- Ramon MartinezOrlando$354K
- David MedinaOrlando$199K
- Morteza NadjafiOrlando$58K
- Andrew CutlerLakewood Ranch$5.7M
- Richard JacksonBoca Raton$3.6M
- Ilan MelnickCoral Gables$2.8M
- Todd BroderSt Augustine$1.6M
- Heather LuingSaint Augustine$1.5M
- Todd GatesWest Melbourne$1.2M
- Lawrence ReccoppaGainesville$968K
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.