Heather Luing, MD
Psychiatry · Saint Augustine, FLNPI 1952477366
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $1,097,788 of the $1,457,488 with a category attached, or 75.3%. 21 manufacturers reported payments, led by Alkermes, Inc. at 36.6% of the total. 2025 is the largest year on record at $402,732, 3.3 times the $121,906 reported in 2019. Among psychiatry clinicians in FL 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 2,039 payments — averaging $714.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alkermes, Inc.$534K
- Johnson & Johnson$335K
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$225K
- Axsome Therapeutics, Inc.$183K
- Teva Pharmaceuticals USA, Inc.$59K
- E.r. Squibb & Sons, L.L.C.$55K
- plus $66K from 15 others
Across 220 payments — averaging $2261.52 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Livanova USA, Inc.$451K
- Janssen Research & Development, LLC$47K
What the payments were for
- Consulting fees$158,68211%
- Speaking & faculty fees$1,097,78875%
- Travel & lodging$160,12911%
- Food & beverage$40,8733%
- Education$160%
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 |
|---|---|---|
| Alkermes, Inc. | 691 | $534,147 |
| Johnson & Johnson | 611 | $334,877 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 274 | $225,135 |
| Axsome Therapeutics, Inc. | 203 | $183,499 |
| Teva Pharmaceuticals USA, Inc. | 65 | $59,014 |
| E.r. Squibb & Sons, L.L.C. | 59 | $55,000 |
| Vanda Pharmaceuticals Inc. | 60 | $42,350 |
| Neurocrine Biosciences, Inc. | 27 | $15,513 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 11 | $4,525 |
| Biogen | 2 | $1,535 |
| Livanova USA, Inc. | 11 | $568 |
| AbbVie | 11 | $417 |
| Janssen Scientific Affairs, LLC | 2 | $400 |
| Otsuka America Pharmaceutical, Inc. | 5 | $164 |
| Sunovion Pharmaceuticals Inc. | 1 | $125 |
| Bristol Myers Squibb | 1 | $74 |
| Avanir Pharmaceuticals, Inc. | 1 | $65 |
| Sage Therapeutics, LLC | 1 | $29 |
| Bausch Health US, LLC | 1 | $21 |
| Collegium Pharmaceutical, Inc. | 1 | $18 |
| USWM, LLC | 1 | $12 |
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.
- ARISTADA$862,148
- LYBALVI$779,851
- SPRAVATO$326,953
- CAPLYTA$220,965
- ARISTADA INITIO$196,052
- Auvelity$180,097
- VIVITROL$115,385
- UZEDY$58,061
- Fanapt$41,326
- COBENFY$39,228
- INGREZZA$14,827
- VNS - Symmetry$509
- INVEGA SUSTENNA$391
- VRAYLAR$290
- INVEGA TRINZA$252
- INVEGA$252
- LATUDA$125
How this compares
$1,457,488 in reported general payments places this provider in the 95th percentile of 2,059 psychiatry 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.
Other psychiatry in Saint Augustine
- Andrew CutlerLakewood Ranch$5.7M
- Richard JacksonBoca Raton$3.6M
- Ilan MelnickCoral Gables$2.8M
- Todd BroderSt Augustine$1.6M
- Todd GatesWest Melbourne$1.2M
- Lawrence ReccoppaGainesville$968K
- Thomas ValenteLeesburg$967K
- Michelle ScargleClearwater$926K
- David SheehanTampa$631K
- Jose GamezHialeah$557K
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.