James Rapley, MD
Psychiatry · Norfolk, VANPI 1235399973
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $81,875 of the $98,250 with a category attached, or 83.3%. AbbVie accounts for 97.9% of it on its own, with 14 other manufacturers making up the rest. Among psychiatry clinicians in VA 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 266 payments — averaging $369.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$96K
- Otsuka America Pharmaceutical, Inc.$526
- Eko Health, Inc.$399
- Johnson & Johnson$240
- E.r. Squibb & Sons, L.L.C.$187
- Teva Pharmaceuticals USA, Inc.$176
- plus $555 from 9 others
What the payments were for
- Consulting fees$1,4501%
- Speaking & faculty fees$81,87583%
- Travel & lodging$8,2878%
- Food & beverage$6,1026%
- Education$1370%
- Other$3990%
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 | 211 | $96,167 |
| Otsuka America Pharmaceutical, Inc. | 17 | $526 |
| Eko Health, Inc. | 1 | $399 |
| Johnson & Johnson | 8 | $240 |
| E.r. Squibb & Sons, L.L.C. | 9 | $187 |
| Teva Pharmaceuticals USA, Inc. | 4 | $176 |
| Tris Pharma Inc | 1 | $120 |
| Axsome Therapeutics, Inc. | 1 | $112 |
| Lundbeck LLC | 4 | $82 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $80 |
| Neurocrine Biosciences, Inc. | 3 | $76 |
| Eisai Inc. | 1 | $37 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $19 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $16 |
| Alkermes, Inc. | 1 | $14 |
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.
- VRAYLAR$92,500
- Dyanavel XR$120
- Quillichew ER$120
- Quillivant$120
- ABILIFY MAINTENA$116
- Auvelity$112
How this compares
$98,250 in reported general payments places this provider in the 95th percentile of 884 psychiatry providers in Virginia.
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 |
|---|---|---|
| RexultiBrexpiprazole | 16 | $24,884 |
| VraylarCariprazine Hcl | 13 | $19,177 |
| Aripiprazole | 15 | $1,348 |
| Fluoxetine Hcl | 14 | $1,236 |
| Duloxetine Hcl | 49 | $1,197 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 19 | $938 |
| Mirtazapine | 51 | $749 |
| Quetiapine Fumarate | 20 | $283 |
| Gabapentin | 21 | $267 |
| Methylphenidate Hcl | 11 | $233 |
| Trazodone Hcl | 20 | $201 |
| Lamotrigine | 19 | $189 |
| Hydroxyzine Hcl | 18 | $111 |
| Sertraline Hcl | 14 | $111 |
| Lorazepam | 19 | $19 |
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc.Rexulti | $526 | $24,88416 claims |
| AbbVieVraylar | $96,167 | $19,17713 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 884 psychiatry providers in Virginia.
Other psychiatry in Norfolk
- David SpiegelNorfolk$565K
- Christine TrumanNorfolk$13K
- Niku SinghFalls Church$2.5M
- David ScheidererRoanoke$2.4M
- Kent McDanielGlen Allen$2.1M
- Jasdeep MiglaniManassas$958K
- William YetterVirginia Beach$312K
- Anita ClaytonCharlottesville$260K
- Robert GardellaStaunton$201K
- Timothy KaneStaunton$162K
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.