RxDoctor Payments Data

Jose Igoa, MD

Psychiatry · McAllen, TXNPI 1780615732

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $699,605 of the $820,852 with a category attached, or 85.2%. 34 manufacturers reported payments, led by AbbVie at 45.8% of the total. Among psychiatry clinicians in TX 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.

$820,852in general payments, 2019–2025

Across 1,920 payments — averaging $427.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$376K
  • Alkermes, Inc.$101K
  • ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$94K
  • Neurocrine Biosciences, Inc.$59K
  • Supernus Pharmaceuticals, Inc.$58K
  • Otsuka America Pharmaceutical, Inc.$32K
  • plus $101K from 28 others

What the payments were for

  • Consulting fees$43,4255%
  • Speaking & faculty fees$699,60585%
  • Travel & lodging$40,0405%
  • Food & beverage$37,5305%
  • Education$2520%

General payments by program year

19
20
21
22
23
24
25

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.

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

$820,852 in reported general payments places this provider in the 95th percentile of 2,238 psychiatry providers in Texas.

See all psychiatry providers in Texas

Medicare billing

Part B allowed, 2024
$54,229
Medicare patients
149
Services billed
589

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

DrugClaimsCost to plans & patients
VraylarCariprazine Hcl89$126,548
Austedo XrDeutetrabenazine19$125,282
RexultiBrexpiprazole66$92,694
CaplytaLumateperone Tosylate38$62,008
AristadaAripiprazole Lauroxil17$55,636
Invega SustennaPaliperidone Palmitate15$52,347
TrintellixVortioxetine Hydrobromide77$42,335
Lurasidone Hcl130$32,512
VyvanseLisdexamfetamine Dimesylate79$31,472
LybalviOlanzapine/Samidorphan Malate17$26,706
Lisdexamfetamine Dimesylate126$23,416
BelsomraSuvorexant46$22,258
Clozapine207$21,988
Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine200$14,336
ClozarilClozapine11$12,223

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.

CompanyPaid to this providerPart D cost of their drugs
AbbVieVraylar, Savella$376,053$133,789103 claims
Teva Pharmaceuticals USA, Inc.Austedo Xr$19,799$125,28219 claims
Otsuka America Pharmaceutical, Inc.Rexulti$31,930$92,69466 claims
Alkermes, Inc.Aristada, Lybalvi$100,509$82,34234 claims
Takeda Pharmaceuticals U.S.A., Inc.Trintellix, Vyvanse$657$73,808156 claims
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta$94,024$62,00838 claims
Johnson & JohnsonInvega Sustenna$511$52,34715 claims
MerckBelsomra$85$22,25846 claims
Idorsia Pharmaceuticals US IncQuviviq$1,288$5,99112 claims
Almatica Pharma LLCSertraline Hcl$26$2,265279 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 2,238 psychiatry providers in Texas.

Other psychiatry in McAllen

See the full list for Texas

Where these figures come from

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