Jo-Ellyn Ryall
Psychiatry · Saint Louis, MONPI 1659355105
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.6% of the total across 207 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 21 manufacturers, the largest accounting for just 16.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $2,183 and has fallen 98.2% since, to $40 in 2022.
Across 207 payments — averaging $17.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$580
- Teva Pharmaceuticals USA, Inc.$547
- AbbVie$517
- Orexo US, Inc.$411
- Sunovion Pharmaceuticals Inc.$323
- Vanda Pharmaceuticals Inc.$271
- plus $957 from 15 others
What the payments were for
- Food & beverage$3,591100%
- Education$150%
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. | 40 | $580 |
| Teva Pharmaceuticals USA, Inc. | 10 | $547 |
| AbbVie(2 entities) | 36 | $517 |
| Orexo US, Inc. | 20 | $411 |
| Sunovion Pharmaceuticals Inc. | 26 | $323 |
| Vanda Pharmaceuticals Inc. | 19 | $271 |
| Avanir Pharmaceuticals, Inc. | 7 | $240 |
| Lundbeck LLC | 10 | $173 |
| Johnson & Johnson | 7 | $92 |
| Neos Therapeutics, LP | 6 | $89 |
| Eisai Inc. | 6 | $86 |
| Neurocrine Biosciences, Inc. | 4 | $61 |
| Merck | 3 | $45 |
| Indivior Inc. | 2 | $31 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $29 |
| Adlon Therapeutics L.p. | 2 | $26 |
| Bausch Health US, LLC | 1 | $21 |
| Alfasigma USA, Inc. | 1 | $20 |
| Ironshore Pharmaceuticals Inc. | 1 | $18 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $14 |
| Shire North American Group 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.
How this compares
$3,606 in reported general payments places this provider in the 80th percentile of 680 psychiatry providers in Missouri.
Other psychiatry in Saint Louis
- Vadim BaramSaint Louis$1.9M
- Adam SkySaint Louis$1.1M
- Mohd MalikSaint Louis$956K
- George GrossbergSaint Louis$501K
- Christopher LoyndSaint Louis$265K
- Devnandini RastogiSaint Louis$261K
- Michael StotlerSaint Louis$250K
- James ChoSaint Louis$118K
- Steven HarveySaint Louis$90K
- Kevin BlackSaint Louis$77K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.