Carlos Tirado, MD
Psychiatry · Wimberley, TXNPI 1255388203
Payments from drug & device makers
Across 130 payments — averaging $781.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alkermes, Inc.$59K
- MDD US Operations, LLC$32K
- Gilead$6K
- Pear Therapeutics (US), Inc.$3K
- Boston Scientific$174
- Johnson & Johnson$128
- plus $388 from 6 others
What the payments were for
- Consulting fees$15,40815%
- Speaking & faculty fees$73,94073%
- Travel & lodging$10,00510%
- Food & beverage$2,2712%
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. | 54 | $59,296 |
| MDD US Operations, LLC | 52 | $32,248 |
| Gilead | 12 | $6,012 |
| Pear Therapeutics (US), Inc. | 2 | $3,378 |
| Boston Scientific | 1 | $174 |
| Johnson & Johnson | 3 | $128 |
| Indivior Inc. | 1 | $125 |
| UCB, Inc. | 1 | $104 |
| Braeburn Inc. | 1 | $100 |
| AbbVie | 1 | $22 |
| Otsuka America Pharmaceutical, Inc. | 1 | $19 |
| Biogen | 1 | $18 |
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.
- VIVITROL$58,584
- Lucemyra/Lofexidine$31,116
- WATCHMAN Access System$174
- SUBLOCADE$125
- Bimzelx$104
- Epclusa$102
How this compares
$101,624 in reported general payments places this provider in the 95th percentile of 2,238 psychiatry providers in Texas.
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 |
|---|---|---|
| Naloxone Hcl | 69 | $4,870 |
Paid to pharmacies, not to this prescriber.
Other psychiatry in Wimberley
- Scott BartleyDallas$42.7M
- David BrownAustin$15.8M
- Rajinder ShiwachDesoto$15.4M
- Darin OkudaDallas$14.7M
- Jason MensahBeaumont$10.3M
- Michael DowningDallas$7.6M
- Rakesh JainLake Jackson$7.2M
- Suresh SureddiPlano$5.9M
- Marshall LucasThe Woodlands$4.8M
- Sejal MehtaPlano$3.3M
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.