Kristopher Steinke, MD
Psychiatry · San Antonio, TXNPI 1558375642
Payments from drug & device makers
Across 159 payments — averaging $20.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Teva Pharmaceuticals USA, Inc.$1K
- Neurocrine Biosciences, Inc.$555
- Otsuka America Pharmaceutical, Inc.$440
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$358
- AbbVie$241
- Lundbeck LLC$204
- plus $489 from 7 others
What the payments were for
- Food & beverage$3,25799%
- Education$471%
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 |
|---|---|---|
| Teva Pharmaceuticals USA, Inc. | 54 | $1,018 |
| Neurocrine Biosciences, Inc. | 24 | $555 |
| Otsuka America Pharmaceutical, Inc. | 21 | $440 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 11 | $358 |
| AbbVie(2 entities) | 15 | $241 |
| Lundbeck LLC | 10 | $204 |
| Johnson & Johnson | 8 | $167 |
| Vanda Pharmaceuticals Inc. | 6 | $100 |
| Indivior Inc. | 3 | $69 |
| Alkermes, Inc. | 3 | $54 |
| E.r. Squibb & Sons, L.L.C. | 2 | $44 |
| Axsome Therapeutics, Inc. | 1 | $28 |
| Almatica Pharma LLC | 1 | $26 |
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
$3,304 in reported general payments places this provider in the 80th percentile of 2,238 psychiatry providers in Texas.
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 | 19 | $58,799 |
| Risperdal ConstaRisperidone Microspheres | 13 | $33,002 |
| Lisdexamfetamine Dimesylate | 28 | $6,238 |
| VyvanseLisdexamfetamine Dimesylate | 16 | $5,740 |
| Dexmethylphenidate Hcl ErDexmethylphenidate Hcl | 12 | $1,237 |
| Duloxetine Hcl | 42 | $926 |
| Mirtazapine | 73 | $838 |
| Quetiapine Fumarate | 41 | $810 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 26 | $799 |
| Buspirone Hcl | 43 | $781 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 25 | $676 |
| Methylphenidate Hcl | 24 | $621 |
| Hydroxyzine Pamoate | 34 | $610 |
| Divalproex Sodium ErDivalproex Sodium | 21 | $592 |
| Risperidone | 67 | $578 |
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, Risperdal Consta | $167 | $91,80132 claims |
| Almatica Pharma LLCSertraline Hcl | $26 | $49152 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 2,238 psychiatry providers in Texas.
Other psychiatry in San Antonio
- Thomas WeissSan Antonio$1.1M
- Jason MillerSan Antonio$869K
- Nathan JohnstonSan Antonio$435K
- Scott BartleyDallas$42.7M
- David BrownAustin$15.8M
- Rajinder ShiwachDesoto$15.4M
- Darin OkudaDallas$14.7M
- Jason MensahBeaumont$10.3M
- Michael DowningDallas$7.6M
- Rakesh JainLake Jackson$7.2M
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.