Carmen Fuentes, MD
Neurology · Norfolk, VANPI 1639361033
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $261,421 of the $338,594 with a category attached, or 77.2%. 24 manufacturers reported payments, led by Teva Pharmaceuticals USA, Inc. at 45.6% of the total. 2025 is the largest year on record at $95,100, 2.4 times the $39,312 reported in 2019. Among neurology clinicians in VA 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 589 payments — averaging $574.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Teva Pharmaceuticals USA, Inc.$155K
- Neurocrine Biosciences, Inc.$127K
- MDD US Operations, LLC$21K
- Acorda Therapeutics, Inc$14K
- Adamas Pharmaceuticals, Inc.$10K
- Amneal Pharmaceuticals LLC$6K
- plus $7K from 18 others
Across 239 payments — averaging $1249.33 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.
- Takeda Pharmaceuticals U.S.A., Inc.$93K
- Eli Lilly$66K
- Roche Products Limited$43K
- MDD US Operations, LLC$31K
- AbbVie$29K
- Acadia Pharmaceuticals Inc$16K
- plus $21K from 3 others
What the payments were for
- Consulting fees$30,1209%
- Speaking & faculty fees$261,42177%
- Travel & lodging$34,34410%
- Food & beverage$11,2583%
- Education$1,4510%
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 |
|---|---|---|
| Teva Pharmaceuticals USA, Inc. | 167 | $154,502 |
| Neurocrine Biosciences, Inc. | 184 | $126,541 |
| MDD US Operations, LLC | 51 | $21,151 |
| Acorda Therapeutics, Inc | 16 | $13,649 |
| Adamas Pharmaceuticals, Inc. | 8 | $9,971 |
| Amneal Pharmaceuticals LLC | 28 | $5,832 |
| Medtronic(2 entities) | 51 | $5,262 |
| AbbVie | 39 | $435 |
| Biogen | 10 | $321 |
| Abbott | 3 | $205 |
| Acadia Pharmaceuticals Inc | 5 | $98 |
| Eisai Inc. | 4 | $88 |
| Averitas Pharma Inc. | 4 | $76 |
| Pfizer | 3 | $76 |
| Lundbeck LLC | 2 | $60 |
| Genentech USA, Inc. | 2 | $59 |
| Kyowa Kirin, Inc. | 3 | $50 |
| Boston Scientific | 1 | $46 |
| TG Therapeutics, Inc. | 1 | $42 |
| Novartis | 2 | $34 |
| Amgen | 2 | $31 |
| Genentech, Inc. | 1 | $26 |
| Johnson & Johnson | 1 | $26 |
| Sanofi | 1 | $13 |
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.
- INGREZZA$118,516
- Austedo XR$87,627
- AUSTEDO$65,099
- GOCOVRI$30,301
- INBRIJA$13,300
- ONGENTYS$8,352
- PERCEPT PC BRAINSENSE$2,230
- ACTIVA$1,075
- RYTARY$700
- ONGENTYS 50MG CAPSULES 30$668
- Percept$579
- TYSABRI$116
How this compares
$338,594 in reported general payments places this provider in the 95th percentile of 474 neurology providers in Virginia.
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 |
|---|---|---|
| AustedoDeutetrabenazine | 80 | $830,428 |
| Austedo XrDeutetrabenazine | 59 | $551,087 |
| NuplazidPimavanserin Tartrate | 40 | $229,129 |
| IngrezzaValbenazine Tosylate | 25 | $194,987 |
| RytaryCarbidopa/Levodopa | 61 | $82,934 |
| NourianzIstradefylline | 24 | $44,653 |
| Carbidopa-Levodopa-EntacaponeCarbidopa/Levodopa/Entacapone | 85 | $33,771 |
| Carbidopa-LevodopaCarbidopa/Levodopa | 610 | $26,606 |
| GocovriAmantadine Hcl | 13 | $21,878 |
| Carbidopa-Levodopa ErCarbidopa/Levodopa | 165 | $19,797 |
| Entacapone | 71 | $14,034 |
| Rasagiline Mesylate | 49 | $7,699 |
| AmantadineAmantadine Hcl | 112 | $7,291 |
| Propranolol Hcl | 187 | $5,528 |
| Primidone | 185 | $3,651 |
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 |
|---|---|---|
| Teva Pharmaceuticals USA, Inc.Austedo, Austedo Xr | $154,502 | $1,381,515139 claims |
| Acadia Pharmaceuticals IncNuplazid | $98 | $229,12940 claims |
| Neurocrine Biosciences, Inc.Ingrezza | $126,541 | $194,98725 claims |
| Amneal Pharmaceuticals LLCRytary | $5,832 | $82,93461 claims |
| Kyowa Kirin, Inc.Nourianz | $50 | $44,65324 claims |
| MDD US Operations, LLCGocovri | $21,151 | $21,87813 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 95th percentile of 474 neurology providers in Virginia.
Other neurology in Norfolk
- Ingrid Loma MillerNorfolk$364K
- Tara KimbasonNorfolk$119K
- Alice EdwardsNorfolk$111K
- Firas BeitinjanehNorfolk$31K
- Ramsey FalconerAlexandria$2M
- Robert ShinCharlottesville$1.7M
- Heidi CraytonVienna$1.5M
- Mark LandrioWinchester$631K
- Catherine HamRichmond$603K
- Jill CramerChristiansburg$598K
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.