Karen Douglas, NP
Psychiatric/Mental Health · Detroit, MINPI 1295988533
Payments from drug & device makers
Across 134 payments — averaging $22.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alkermes, Inc.$661
- Neurocrine Biosciences, Inc.$466
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$407
- Johnson & Johnson$333
- Teva Pharmaceuticals USA, Inc.$267
- Indivior Inc.$199
- plus $646 from 9 others
What the payments were for
- Food & beverage$2,92998%
- Education$492%
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 |
|---|---|---|
| Alkermes, Inc. | 23 | $661 |
| Neurocrine Biosciences, Inc. | 20 | $466 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 18 | $407 |
| Johnson & Johnson | 17 | $333 |
| Teva Pharmaceuticals USA, Inc. | 16 | $267 |
| Indivior Inc. | 9 | $199 |
| Otsuka America Pharmaceutical, Inc. | 11 | $191 |
| Sunovion Pharmaceuticals Inc. | 5 | $101 |
| E.r. Squibb & Sons, L.L.C. | 3 | $82 |
| Luye Pharma (USA) Ltd. | 1 | $71 |
| Axsome Therapeutics, Inc. | 3 | $68 |
| Lundbeck LLC | 4 | $68 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $31 |
| Noven Therapeutics, LLC | 1 | $17 |
| Vanda Pharmaceuticals Inc. | 1 | $17 |
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$490
- INGREZZA$124
- ARISTADA INITIO$122
How this compares
$2,978 in reported general payments places this provider in the 80th percentile of 638 psychiatric/mental health providers in Michigan.
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 |
|---|---|---|
| Invega SustennaPaliperidone Palmitate | 122 | $362,498 |
| Abilify MaintenaAripiprazole | 61 | $172,780 |
| IngrezzaValbenazine Tosylate | 15 | $122,419 |
| AustedoDeutetrabenazine | 16 | $106,378 |
| RexultiBrexpiprazole | 64 | $94,977 |
| VraylarCariprazine Hcl | 56 | $82,592 |
| TrintellixVortioxetine Hydrobromide | 91 | $47,757 |
| Paliperidone ErPaliperidone | 113 | $38,586 |
| Quetiapine Fumarate ErQuetiapine Fumarate | 120 | $27,566 |
| Fluphenazine Hcl | 71 | $18,864 |
| Lurasidone Hcl | 137 | $16,606 |
| Aripiprazole | 212 | $11,189 |
| SuboxoneBuprenorphine Hcl/Naloxone Hcl | 12 | $7,174 |
| Fluphenazine Decanoate | 56 | $6,884 |
| Bupropion XlBupropion Hcl | 83 | $6,304 |
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 |
|---|---|---|
| Johnson & JohnsonInvega Sustenna | $333 | $362,498122 claims |
| Otsuka America Pharmaceutical, Inc.Abilify Maintena, Rexulti | $191 | $267,757125 claims |
| Neurocrine Biosciences, Inc.Ingrezza | $466 | $122,41915 claims |
| Teva Pharmaceuticals USA, Inc.Austedo | $267 | $106,37816 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $31 | $47,75791 claims |
| Indivior Inc.Suboxone | $199 | $7,17412 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 80th percentile of 638 psychiatric/mental health providers in Michigan.
Other psychiatric/mental health in Detroit
- Rhoddy JonesDetroit$10K
- Lacretia FisherDetroit$7K
- Yolanda JamesDetroit$7K
- Duren GutierrezSouthfield$207K
- Tamlynn EvansTraverse City$78K
- Shiba NixonClarkston$60K
- Amy AmesClinton Township$43K
- Cody ShinavierClarkston$41K
- Oksana LidkeBattle Creek$30K
- Jennifer Wims-MaddenPontiac$28K
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.