Constance Defreest
Psychiatric/Mental Health · Wappingers Falls, NYNPI 1154550127
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 499 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 22 manufacturers reported payments, led by AbbVie at 27.0% of the total. Among psychiatric/mental health clinicians in NY 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 499 payments — averaging $20.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$1K
- Otsuka America Pharmaceutical, Inc.$1K
- Alkermes, Inc.$771
- Neurocrine Biosciences, Inc.$635
- Axsome Therapeutics, Inc.$635
- plus $3K from 16 others
What the payments were for
- Food & beverage$10,322100%
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 |
|---|---|---|
| AbbVie | 162 | $2,789 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 53 | $1,212 |
| Otsuka America Pharmaceutical, Inc. | 54 | $1,210 |
| Alkermes, Inc. | 34 | $771 |
| Neurocrine Biosciences, Inc. | 23 | $635 |
| Axsome Therapeutics, Inc. | 20 | $635 |
| Lundbeck LLC | 24 | $520 |
| Corium, LLC | 26 | $395 |
| Sunovion Pharmaceuticals Inc. | 17 | $347 |
| Takeda Pharmaceuticals U.S.A., Inc. | 16 | $334 |
| Avanir Pharmaceuticals, Inc. | 10 | $325 |
| Bausch Health US, LLC | 12 | $223 |
| Vanda Pharmaceuticals Inc. | 10 | $209 |
| Teva Pharmaceuticals USA, Inc. | 9 | $158 |
| Johnson & Johnson | 9 | $150 |
| Almatica Pharma LLC | 6 | $135 |
| Neos Therapeutics, LP | 5 | $108 |
| Supernus Pharmaceuticals, Inc. | 2 | $43 |
| Idorsia Pharmaceuticals US Inc | 2 | $39 |
| Eisai Inc. | 2 | $36 |
| E.r. Squibb & Sons, L.L.C. | 2 | $32 |
| Jazz Pharmaceuticals Inc. | 1 | $15 |
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.
How this compares
$10,322 in reported general payments places this provider in the 95th percentile of 2,385 psychiatric/mental health providers in New York.
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 |
|---|---|---|
| RexultiBrexpiprazole | 18 | $27,678 |
| Duloxetine Hcl | 57 | $1,557 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 86 | $1,300 |
| Aripiprazole | 45 | $1,067 |
| Bupropion XlBupropion Hcl | 27 | $1,025 |
| Clonazepam | 92 | $761 |
| Lamotrigine | 48 | $759 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 16 | $598 |
| Escitalopram Oxalate | 50 | $500 |
| Fluoxetine Hcl | 21 | $340 |
| Propranolol Hcl | 18 | $281 |
| Quetiapine Fumarate | 22 | $278 |
| Lorazepam | 46 | $242 |
| Methylphenidate Hcl | 12 | $193 |
| Imipramine Hcl | 12 | $175 |
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc.Rexulti | $1,210 | $27,67818 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 2,385 psychiatric/mental health providers in New York.
Other psychiatric/mental health in Wappingers Falls
- Tammy RussoNiskayuna$568K
- Carrie EdickSchenectady$484K
- Eric SpronzCentereach$448K
- Terry Jo Brooks-DevlinTonawanda$176K
- Kevin SiewersStaten Island$155K
- Daniel BreeyearNiskayuna$149K
- Elijah StevensBinghamton$131K
- Kayanna JonasFar Rockaway$93K
- Alexis CrisafiFishkill$70K
- Vera ImperialeAlbany$69K
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.