Karen Graves
Psychiatric/Mental Health · Casper, WYNPI 1336237833
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.8% of the total across 121 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Otsuka America Pharmaceutical, Inc. at 45.6% of the total. Among psychiatric/mental health clinicians in WY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 121 payments — averaging $23.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$1K
- Alkermes, Inc.$475
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$444
- Neurocrine Biosciences, Inc.$245
- Teva Pharmaceuticals USA, Inc.$189
- Itamar Medical Inc$102
- plus $91 from 1 others
What the payments were for
- Food & beverage$2,77798%
- Education$642%
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. | 58 | $1,294 |
| Alkermes, Inc. | 16 | $475 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 30 | $444 |
| Neurocrine Biosciences, Inc. | 6 | $245 |
| Teva Pharmaceuticals USA, Inc. | 6 | $189 |
| Itamar Medical Inc | 1 | $102 |
| Vanda Pharmaceuticals Inc. | 4 | $91 |
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.
- INGREZZA$135
- WatchPATONE$102
- REXULTI$100
- ABILIFY MAINTENA$100
- ABILIFY ASIMTUFII$100
How this compares
$2,840 in reported general payments places this provider in the 90th percentile of 76 psychiatric/mental health providers in Wyoming.
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.
Other psychiatric/mental health in Casper
- Jennifer FraustoCasper$8K
- Michelle HipsakCasper$6K
- Rebekah LayherCasper$4K
- Teecee Hailey-FulferCasper$4K
- Jayme DonaldsonCasper$3K
- Sarah BurtCasper$3K
- Carla PootCasper$2K
- Crystal BardgettCasper$2K
- McKenzie FrederickCasper$1K
- Donna NurssCasper$975
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.