Giuliana Altare
Psychiatric/Mental Health · Miami, FLNPI 1053952580
Payments from drug & device makers
Across 32 payments — averaging $36.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axsome Therapeutics, Inc.$498
- AbbVie$331
- Otsuka America Pharmaceutical, Inc.$140
- Neurocrine Biosciences, Inc.$66
- Lundbeck LLC$51
- Takeda Pharmaceuticals U.S.A., Inc.$20
- plus $50 from 3 others
What the payments were for
- Food & beverage$1,156100%
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 |
|---|---|---|
| Axsome Therapeutics, Inc. | 6 | $498 |
| AbbVie | 14 | $331 |
| Otsuka America Pharmaceutical, Inc. | 2 | $140 |
| Neurocrine Biosciences, Inc. | 3 | $66 |
| Lundbeck LLC | 3 | $51 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $20 |
| Alkermes, Inc. | 1 | $20 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $17 |
| Curonix LLC | 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.
- Auvelity$248
- ABILIFY MAINTENA$122
- ABILIFY ASIMTUFII$122
- VRAYLAR$114
How this compares
$1,156 in reported general payments places this provider in the 60th percentile of 3,096 psychiatric/mental health providers in Florida.
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 |
|---|---|---|
| Quetiapine Fumarate | 47 | $945 |
| Bupropion XlBupropion Hcl | 47 | $806 |
| Escitalopram Oxalate | 118 | $761 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 43 | $693 |
| Clonazepam | 84 | $686 |
| Mirtazapine | 41 | $617 |
| Duloxetine Hcl | 38 | $588 |
| Hydroxyzine Hcl | 21 | $471 |
| Aripiprazole | 23 | $459 |
| Hydroxyzine Pamoate | 31 | $299 |
| Trazodone Hcl | 42 | $290 |
| Alprazolam | 57 | $199 |
| Lamotrigine | 15 | $161 |
| Sertraline Hcl | 52 | $126 |
| Zolpidem Tartrate | 11 | $94 |
Paid to pharmacies, not to this prescriber.
Other psychiatric/mental health in Miami
- Carlos LarrauriMiami$23K
- Sandra Pelaez-MurseyMiami$20K
- Rolando Gonzalez AriasMiami$18K
- Roger RiveraKissimmee$1.6M
- Bethanie Simmons BecilJacksonville$782K
- Hannah PhillipsMaitland$455K
- Cheedy JajaTampa$266K
- Scott DurrancePensacola$224K
- Eudaldo AponteHialeah$214K
- Heather WarrenTallahassee$172K
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.