Gerard Balan, APRN
Psychiatric/Mental Health · Minneapolis, MNNPI 1518108455
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $3,600 of the $4,660 with a category attached, or 77.3%. Almatica Pharma LLC accounts for 80.2% of it on its own, with 18 other manufacturers making up the rest. Reporting peaked in 2024 at $4,021 and has fallen 98.8% since, to $49 in 2025. Among psychiatric/mental health clinicians in MN 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 70 payments — averaging $66.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Almatica Pharma LLC$4K
- Neuronetics, Inc.$114
- Ironshore Pharmaceuticals Inc.$114
- Supernus Pharmaceuticals, Inc.$91
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$69
- Alkermes, Inc.$64
- plus $470 from 13 others
What the payments were for
- Speaking & faculty fees$3,60077%
- Food & beverage$1,06023%
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.
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.
- LOREEV XR$3,600
How this compares
$4,660 in reported general payments places this provider in the 95th percentile of 407 psychiatric/mental health providers in Minnesota.
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 | 57 | $78,505 |
| ClozarilClozapine | 13 | $23,991 |
| TrintellixVortioxetine Hydrobromide | 27 | $13,884 |
| ConcertaMethylphenidate Hcl | 12 | $5,538 |
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 111 | $4,752 |
| Methylphenidate ErMethylphenidate Hcl | 56 | $3,702 |
| Olanzapine | 51 | $2,601 |
| Aripiprazole | 80 | $2,534 |
| Desvenlafaxine Succinate ErDesvenlafaxine Succinate | 61 | $1,787 |
| Bupropion XlBupropion Hcl | 76 | $1,390 |
| Trazodone Hcl | 123 | $1,286 |
| Lamotrigine | 88 | $1,127 |
| Sertraline Hcl | 95 | $1,034 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 58 | $1,020 |
| Buspirone Hcl | 70 | $901 |
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $24 | $13,88427 claims |
| Almatica Pharma LLCSertraline Hcl | $3,738 | $1,03495 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 407 psychiatric/mental health providers in Minnesota.
Other psychiatric/mental health in Minneapolis
- Holly WillisMinneapolis$5K
- Shakleen ShakurMinneapolis$2K
- Laurel EdinburghMinneapolis$2K
- Joseph GossmanMinneapolis$805
- Cara MillerMinneapolis$363
- Jacqualine GervaisMoorhead$29K
- Naomi KoenigSandstone$8K
- Dana BageonWayzata$7K
- Jill ScottAnoka$5K
- Hilary BreedonShakopee$3K
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.