Christopher Nemes
Psychiatry · San Francisco, CANPI 1851772719
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 31 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 5 manufacturers reported payments, led by Takeda Pharmaceuticals U.S.A., Inc. at 55.3% of the total. Reporting peaked in 2021 at $348 and has fallen 95.9% since, to $14 in 2023.
Across 31 payments — averaging $22.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$390
- AbbVie$243
- Otsuka America Pharmaceutical, Inc.$35
- Lundbeck LLC$24
- Shire North American Group Inc$14
What the payments were for
- Food & beverage$706100%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 15 | $390 |
| AbbVie | 12 | $243 |
| Otsuka America Pharmaceutical, Inc. | 2 | $35 |
| Lundbeck LLC | 1 | $24 |
| Shire North American Group Inc | 1 | $14 |
How this compares
$706 in reported general payments places this provider in the 70th percentile of 4,954 psychiatry providers in California.
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 |
|---|---|---|
| VraylarCariprazine Hcl | 11 | $31,018 |
| Bupropion XlBupropion Hcl | 125 | $6,757 |
| Lisdexamfetamine Dimesylate | 14 | $3,327 |
| Eszopiclone | 16 | $3,031 |
| Duloxetine Hcl | 62 | $1,913 |
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 35 | $1,689 |
| Clonazepam | 112 | $1,544 |
| Mirtazapine | 50 | $1,409 |
| Clozapine | 54 | $1,320 |
| Quetiapine Fumarate | 53 | $830 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 39 | $786 |
| Trazodone Hcl | 77 | $748 |
| Escitalopram Oxalate | 88 | $725 |
| Gabapentin | 61 | $668 |
| Fluoxetine Hcl | 22 | $631 |
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 | $243 | $31,01811 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 70th percentile of 4,954 psychiatry providers in California.
Other psychiatry in San Francisco
- John KooSan Francisco$3M
- Thomas LewisSan Francisco$135K
- Gustavo AlvaOrange$5.8M
- Jason KelloggIrvine$2.7M
- Jonathan MeyerSan Diego$2.3M
- Charles Tuan-Tu NguyenIrvine$2.1M
- Manoj WaikarLos Gatos$1.9M
- Gerald MaguireSan Juan Capistraco$1.8M
- Salima BrillmanSunnyvale$1.4M
- Bibi DasStanford$1.4M
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.