Elizabeth Shirk
Psychiatric/Mental Health · Talladega, ALNPI 1356069843
Payments from drug & device makers
Across 210 payments — averaging $22.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$1K
- Teva Pharmaceuticals USA, Inc.$936
- Neurocrine Biosciences, Inc.$874
- Vanda Pharmaceuticals Inc.$545
- AbbVie$473
- Johnson & Johnson$241
- plus $574 from 5 others
What the payments were for
- Food & beverage$4,70798%
- Education$1062%
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. | 50 | $1,169 |
| Teva Pharmaceuticals USA, Inc. | 42 | $936 |
| Neurocrine Biosciences, Inc. | 36 | $874 |
| Vanda Pharmaceuticals Inc. | 15 | $545 |
| AbbVie | 33 | $473 |
| Johnson & Johnson | 9 | $241 |
| Lundbeck LLC | 13 | $196 |
| Alkermes, Inc. | 8 | $143 |
| E.r. Squibb & Sons, L.L.C. | 1 | $122 |
| Axsome Therapeutics, Inc. | 2 | $100 |
| Supernus Pharmaceuticals, 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.
- ABILIFY MAINTENA$369
- INGREZZA$330
- Fanapt$250
- ABILIFY ASIMTUFII$247
- UZEDY$237
- VRAYLAR$125
- Austedo XR$124
- COBENFY$122
- REXULTI$122
- INVEGA SUSTENNA$120
How this compares
$4,813 in reported general payments places this provider in the 80th percentile of 378 psychiatric/mental health providers in Alabama.
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 |
|---|---|---|
| Invega SustennaPaliperidone Palmitate | 179 | $551,683 |
| Abilify MaintenaAripiprazole | 123 | $354,584 |
| IngrezzaValbenazine Tosylate | 43 | $337,364 |
| Austedo XrDeutetrabenazine | 27 | $208,625 |
| Invega TrinzaPaliperidone Palmitate | 22 | $194,938 |
| AustedoDeutetrabenazine | 13 | $156,983 |
| RexultiBrexpiprazole | 72 | $115,698 |
| VraylarCariprazine Hcl | 71 | $98,873 |
| UzedyRisperidone | 16 | $53,419 |
| AristadaAripiprazole Lauroxil | 28 | $50,333 |
| TrintellixVortioxetine Hydrobromide | 97 | $48,420 |
| LybalviOlanzapine/Samidorphan Malate | 18 | $29,530 |
| FanaptIloperidone | 11 | $26,013 |
| Fluphenazine Hcl | 111 | $10,628 |
| Paliperidone ErPaliperidone | 54 | $8,890 |
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 |
|---|---|---|
| Johnson & JohnsonInvega Sustenna, Invega Trinza | $241 | $746,621201 claims |
| Otsuka America Pharmaceutical, Inc.Abilify Maintena, Rexulti | $1,169 | $470,282195 claims |
| Teva Pharmaceuticals USA, Inc.Austedo Xr, Austedo, Uzedy | $936 | $419,02656 claims |
| Neurocrine Biosciences, Inc.Ingrezza | $874 | $337,36443 claims |
| AbbVieVraylar | $473 | $98,87371 claims |
| Alkermes, Inc.Aristada, Lybalvi | $143 | $79,86346 claims |
| Vanda Pharmaceuticals Inc.Fanapt | $545 | $26,01311 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 80th percentile of 378 psychiatric/mental health providers in Alabama.
Other psychiatric/mental health in Talladega
- Candance JudkinsTalladega$5K
- Laura GrahamMontgomery$80K
- Yuliya SpencerBirmingham$65K
- Keri BarrBay Minette$35K
- John HayesMobile$30K
- Logan ThrasherHoover$22K
- Anthony PhillipsHelena$15K
- Ian KinzerHuntsville$15K
- Latisha AliHoover$15K
- Taylor BarrettGadsden$15K
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.