John Ruggiano, MD
Psychiatry · Cranston, RINPI 1609844240
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 454 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 21 manufacturers reported payments, led by AbbVie at 32.7% of the total. Reporting peaked in 2024 at $1,903 and has fallen 51.4% since, to $925 in 2025. Among psychiatry clinicians in RI 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 454 payments — averaging $19.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- Vanda Pharmaceuticals Inc.$1K
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$1K
- Sunovion Pharmaceuticals Inc.$772
- Otsuka America Pharmaceutical, Inc.$545
- Supernus Pharmaceuticals, Inc.$425
- plus $2K from 15 others
What the payments were for
- Food & beverage$8,860100%
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 |
|---|---|---|
| AbbVie(2 entities) | 141 | $2,898 |
| Vanda Pharmaceuticals Inc. | 40 | $1,201 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 55 | $1,125 |
| Sunovion Pharmaceuticals Inc. | 63 | $772 |
| Otsuka America Pharmaceutical, Inc. | 39 | $545 |
| Supernus Pharmaceuticals, Inc. | 5 | $425 |
| Neurocrine Biosciences, Inc. | 18 | $368 |
| Lundbeck LLC | 23 | $267 |
| Takeda Pharmaceuticals U.S.A., Inc. | 14 | $256 |
| Teva Pharmaceuticals USA, Inc. | 12 | $194 |
| Corium, LLC | 11 | $180 |
| Jazz Pharmaceuticals Inc. | 6 | $140 |
| Alkermes, Inc. | 5 | $106 |
| Avanir Pharmaceuticals, Inc. | 5 | $103 |
| Collegium Pharmaceutical, Inc. | 3 | $67 |
| Johnson & Johnson | 4 | $58 |
| Axsome Therapeutics, Inc. | 3 | $54 |
| Neuronetics, Inc. | 3 | $36 |
| Idorsia Pharmaceuticals US Inc | 2 | $30 |
| Shire North American Group Inc | 1 | $21 |
| Sage Therapeutics, LLC | 1 | $15 |
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
$8,860 in reported general payments places this provider in the 95th percentile of 209 psychiatry providers in Rhode Island.
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 | 114 | $3,061 |
| Lamotrigine | 129 | $2,135 |
| Bupropion XlBupropion Hcl | 57 | $1,838 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 39 | $1,667 |
| Sertraline Hcl | 66 | $1,100 |
| Buspirone Hcl | 41 | $1,039 |
| Trazodone Hcl | 81 | $813 |
| Divalproex Sodium | 24 | $689 |
| Duloxetine Hcl | 22 | $579 |
| Fluoxetine Hcl | 30 | $495 |
| Mirtazapine | 26 | $425 |
| Gabapentin | 30 | $384 |
| Hydroxyzine Hcl | 11 | $333 |
| Escitalopram Oxalate | 31 | $332 |
| Olanzapine | 23 | $330 |
Paid to pharmacies, not to this prescriber.
Other psychiatry in Cranston
- Richard MillerCranston$864K
- Mark ZimmermanCranston$225K
- Gene JacobsCranston$27K
- Maria GonzalezCranston$4K
- Wajahat FaheemCranston$400
- Warren OngWarwick$807K
- James GreerProvidence$780K
- Liliya KoyfmanWarwick$110K
- Linda CarpenterProvidence$37K
- Terrie MailhotWarwick$26K
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.