RxDoctor Payments Data

Deena Shelton

Psychiatric/Mental Health · Saint Joseph, MONPI 1821742503

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 95.2% of the total across 353 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 14 manufacturers, the largest accounting for just 23.8% — the pattern of someone who eats at a lot of different presentations. Among psychiatric/mental health clinicians in MO with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$6,755in general payments, 2019–2025

Across 353 payments — averaging $19.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Teva Pharmaceuticals USA, Inc.$2K
  • Johnson & Johnson$1K
  • Otsuka America Pharmaceutical, Inc.$1K
  • AbbVie$859
  • ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$570
  • Vanda Pharmaceuticals Inc.$380
  • plus $787 from 8 others

What the payments were for

  • Food & beverage$6,43295%
  • Education$3235%

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

22
23
24
25

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.

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

$6,755 in reported general payments places this provider in the 90th percentile of 565 psychiatric/mental health providers in Missouri.

See all psychiatric/mental health providers in Missouri

Medicare billing

Part B allowed, 2024
$6,153
Medicare patients
22
Services billed
78

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

DrugClaimsCost to plans & patients
SpravatoEsketamine Hcl197$248,283
AustedoDeutetrabenazine14$138,257
Abilify MaintenaAripiprazole21$62,291
AristadaAripiprazole Lauroxil13$51,999
VraylarCariprazine Hcl24$39,938
VivitrolNaltrexone Microspheres13$23,004
TrintellixVortioxetine Hydrobromide12$6,427
Aripiprazole40$2,352
Propranolol Hcl98$2,061
Quetiapine Fumarate88$1,615
Atomoxetine Hcl16$1,524
Buspirone Hcl72$1,440
Trazodone Hcl81$1,327
Naltrexone Hcl27$1,273
Hydroxyzine Pamoate68$1,156

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.

CompanyPaid to this providerPart D cost of their drugs
Johnson & JohnsonSpravato$1,412$248,283197 claims
Teva Pharmaceuticals USA, Inc.Austedo$1,607$138,25714 claims
Alkermes, Inc.Aristada, Vivitrol$123$75,00326 claims
Otsuka America Pharmaceutical, Inc.Abilify Maintena$1,141$62,29121 claims
AbbVieVraylar$859$39,93824 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 90th percentile of 565 psychiatric/mental health providers in Missouri.

Other psychiatric/mental health in Saint Joseph

See the full list for Missouri

Where these figures come from

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