Carolyn Pignataro, APRN
Psychiatric/Mental Health · Cheyenne, WYNPI 1780227991
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 42 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 8 manufacturers reported payments, led by Alkermes, Inc. at 38.4% of the total.
Across 42 payments — averaging $36.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alkermes, Inc.$585
- Neurocrine Biosciences, Inc.$375
- Teva Pharmaceuticals USA, Inc.$198
- AbbVie$183
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$119
- Lundbeck LLC$27
- plus $35 from 2 others
What the payments were for
- Food & beverage$1,521100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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. | 13 | $585 |
| Neurocrine Biosciences, Inc. | 11 | $375 |
| Teva Pharmaceuticals USA, Inc. | 5 | $198 |
| AbbVie | 8 | $183 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $119 |
| Lundbeck LLC | 1 | $27 |
| E.r. Squibb & Sons, L.L.C. | 1 | $22 |
| Sunovion Pharmaceuticals Inc. | 1 | $13 |
How this compares
$1,521 in reported general payments places this provider in the 80th percentile of 76 psychiatric/mental health providers in Wyoming.
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 |
|---|---|---|
| FanaptIloperidone | 24 | $63,063 |
| RexultiBrexpiprazole | 34 | $51,733 |
| VraylarCariprazine Hcl | 23 | $35,631 |
| CaplytaLumateperone Tosylate | 20 | $32,921 |
| AristadaAripiprazole Lauroxil | 16 | $29,442 |
| Aripiprazole | 174 | $9,431 |
| Clozapine | 62 | $8,462 |
| VyvanseLisdexamfetamine Dimesylate | 17 | $6,822 |
| QuviviqDaridorexant Hcl | 13 | $6,649 |
| BelsomraSuvorexant | 16 | $6,370 |
| Lurasidone Hcl | 96 | $4,954 |
| VascepaIcosapent Ethyl | 15 | $4,787 |
| Quetiapine Fumarate | 197 | $4,177 |
| Olanzapine | 189 | $3,912 |
| Trazodone Hcl | 264 | $3,031 |
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 |
|---|---|---|
| AbbVieVraylar | $183 | $35,63123 claims |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta | $119 | $32,92120 claims |
| Alkermes, Inc.Aristada | $585 | $29,44216 claims |
| Teva Pharmaceuticals USA, Inc.Loxapine | $198 | $1,94438 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 80th percentile of 76 psychiatric/mental health providers in Wyoming.
Other psychiatric/mental health in Cheyenne
- Janelle HoaglundCheyenne$24K
- Timothy BarnesCheyenne$3K
- Megan WillisCheyenne$930
- Brandon JohnsonCheyenne$582
- Julian GoodCheyenne$363
- Princika KcCheyenne$333
- Ola AnyanwuCheyenne$221
- Victoria HallCheyenne$103
- Michael BrewerCheyenne$92
- Susan BlaneyCheyenne$77
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.