Delisa Guadarrama, MD
Child & Adolescent Psychiatry · Edinburg, TXNPI 1356637227
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 262 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 21 manufacturers, the largest accounting for just 19.6% — the pattern of someone who eats at a lot of different presentations. Among child & adolescent psychiatry clinicians in TX 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 262 payments — averaging $27.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Otsuka America Pharmaceutical, Inc.$1K
- Teva Pharmaceuticals USA, Inc.$909
- Corium, LLC$758
- Alkermes, Inc.$671
- Ironshore Pharmaceuticals Inc.$497
- plus $2K from 15 others
What the payments were for
- Food & beverage$7,313100%
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(2 entities) | 81 | $1,434 |
| Otsuka America Pharmaceutical, Inc. | 32 | $1,020 |
| Teva Pharmaceuticals USA, Inc. | 30 | $909 |
| Corium, LLC | 32 | $758 |
| Alkermes, Inc. | 16 | $671 |
| Ironshore Pharmaceuticals Inc. | 16 | $497 |
| Neurocrine Biosciences, Inc. | 4 | $367 |
| Sunovion Pharmaceuticals Inc. | 3 | $343 |
| Lundbeck LLC | 12 | $298 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 9 | $182 |
| Axsome Therapeutics, Inc. | 4 | $169 |
| Johnson & Johnson | 5 | $160 |
| AstraZeneca | 1 | $112 |
| Tris Pharma Inc | 1 | $99 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $97 |
| Shire North American Group Inc | 3 | $53 |
| E.r. Squibb & Sons, L.L.C. | 3 | $52 |
| Bioxcel Therapeutics, Inc. | 1 | $27 |
| Vanda Pharmaceuticals Inc. | 1 | $26 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $25 |
| Idorsia Pharmaceuticals US Inc | 1 | $13 |
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.
- LYBALVI$980
- ARISTADA$926
- VRAYLAR$487
- REXULTI$360
- LATUDA$343
- UZEDY$244
- Azstarys$239
- ARISTADA INITIO$231
- Auvelity$125
- Austedo XR$122
- JORNAY PM$117
- Jornay PM 20mg capsules (Bottle of 100)$117
- AUSTEDO$114
- INGREZZA$104
How this compares
$7,313 in reported general payments places this provider in the 95th percentile of 301 child & adolescent psychiatry providers in Texas.
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 |
|---|---|---|
| Trazodone Hcl | 30 | $103 |
| Hydroxyzine Pamoate | 11 | $69 |
Paid to pharmacies, not to this prescriber.
Other child & adolescent psychiatry in Edinburg
- Robert MosquedaEdinburg$13K
- Alain KaticBellaire$106K
- Steven PliszkaSan Antonio$59K
- Mary Garcia HolguinSan Antonio$24K
- John SteffekSpring$14K
- Gloria BrunGreenville$10K
- Mudassar TariqSugar Land$9K
- Charles PryzantDallas$9K
- Mehvesh AfrinaPlano$8K
- Kishore SunkaraHurst$8K
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.