Darrin Coulter, PA
Physician Assistant · Lagrange, GANPI 1932683802
Payments from drug & device makers
Across 209 payments — averaging $18.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$530
- AbbVie$415
- Johnson & Johnson$365
- Corium, LLC$270
- Takeda Pharmaceuticals U.S.A., Inc.$268
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$237
- plus $2K from 21 others
What the payments were for
- Food & beverage$3,89399%
- Education$471%
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 24 | $530 |
| AbbVie | 29 | $415 |
| Johnson & Johnson | 19 | $365 |
| Corium, LLC | 20 | $270 |
| Takeda Pharmaceuticals U.S.A., Inc. | 14 | $268 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 10 | $237 |
| Tris Pharma Inc | 9 | $187 |
| Neos Therapeutics, LP | 9 | $184 |
| Alkermes, Inc. | 10 | $174 |
| Lundbeck LLC | 7 | $157 |
| E.r. Squibb & Sons, L.L.C. | 7 | $156 |
| Almatica Pharma LLC | 7 | $135 |
| Bausch Health US, LLC | 6 | $108 |
| Supernus Pharmaceuticals, Inc. | 5 | $102 |
| Axsome Therapeutics, Inc. | 5 | $99 |
| Ironshore Pharmaceuticals Inc. | 5 | $83 |
| Teva Pharmaceuticals USA, Inc. | 4 | $80 |
| Neurocrine Biosciences, Inc. | 4 | $79 |
| Indivior Inc. | 2 | $59 |
| Collegium Pharmaceutical, Inc. | 3 | $53 |
| Vertical Pharmaceuticals, LLC | 2 | $40 |
| Amgen | 2 | $33 |
| Idorsia Pharmaceuticals US Inc | 2 | $32 |
| Luye Pharma (USA) Ltd. | 1 | $30 |
| Genentech USA, Inc. | 1 | $24 |
| Noven Therapeutics, LLC | 1 | $23 |
| Jazz Pharmaceuticals Inc. | 1 | $17 |
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.
- REXULTI$122
How this compares
$3,940 in reported general payments places this provider in the 85th percentile of 3,581 physician assistant providers in Georgia.
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 | 21 | $43,961 |
| RexultiBrexpiprazole | 12 | $23,664 |
| VyvanseLisdexamfetamine Dimesylate | 31 | $15,216 |
| Aripiprazole | 68 | $12,852 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 206 | $6,686 |
| Bupropion XlBupropion Hcl | 83 | $3,159 |
| Clomipramine Hcl | 26 | $3,073 |
| Desvenlafaxine Succinate ErDesvenlafaxine Succinate | 63 | $2,962 |
| Lisdexamfetamine Dimesylate | 13 | $2,872 |
| Alprazolam | 243 | $2,866 |
| Clonazepam | 262 | $2,230 |
| Divalproex Sodium ErDivalproex Sodium | 18 | $1,886 |
| Duloxetine Hcl | 88 | $1,845 |
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 52 | $1,623 |
| Quetiapine Fumarate | 62 | $1,549 |
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 | $415 | $43,96121 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $530 | $23,66412 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Vyvanse | $268 | $15,21631 claims |
| Almatica Pharma LLCSertraline Hcl | $135 | $58694 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 85th percentile of 3,581 physician assistant providers in Georgia.
Other physician assistant in Lagrange
- Douglas DiruggieroCartersville$1.3M
- Jennifer CobbsAtlanta$1M
- A BrunnerStockbridge$1M
- Joseph LangshawCalhoun$887K
- Alison MoeAtlanta$410K
- Maggie SchreckAtlanta$389K
- Lisa HillMarietta$190K
- Laura BishopBrunswick$103K
- Jaime AckermanAtlanta$84K
- Richard BurrellBrunswick$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.