Marianne Alfaro
Psychiatric/Mental Health · Spring Hill, FLNPI 1558949990
Payments from drug & device makers
Across 371 payments — averaging $19.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vanda Pharmaceuticals Inc.$1K
- AbbVie$1K
- Otsuka America Pharmaceutical, Inc.$843
- Neurocrine Biosciences, Inc.$453
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$425
- Johnson & Johnson$398
- plus $3K from 21 others
What the payments were for
- Food & beverage$7,194100%
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 |
|---|---|---|
| Vanda Pharmaceuticals Inc. | 45 | $1,270 |
| AbbVie | 75 | $1,015 |
| Otsuka America Pharmaceutical, Inc. | 54 | $843 |
| Neurocrine Biosciences, Inc. | 22 | $453 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 21 | $425 |
| Johnson & Johnson | 16 | $398 |
| Alkermes, Inc. | 22 | $384 |
| Teva Pharmaceuticals USA, Inc. | 17 | $381 |
| Noven Therapeutics, LLC | 13 | $296 |
| Corium, LLC | 12 | $217 |
| Lundbeck LLC | 8 | $182 |
| Bausch Health US, LLC | 8 | $164 |
| Urovant Sciences Inc | 4 | $157 |
| Avanir Pharmaceuticals, Inc. | 11 | $142 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $132 |
| Neos Therapeutics, LP | 8 | $130 |
| Axsome Therapeutics, Inc. | 5 | $125 |
| Tris Pharma Inc | 5 | $97 |
| Ironshore Pharmaceuticals Inc. | 3 | $60 |
| Sunovion Pharmaceuticals Inc. | 2 | $50 |
| Almatica Pharma LLC | 3 | $49 |
| Merck | 3 | $48 |
| Acadia Pharmaceuticals Inc | 3 | $48 |
| E.r. Squibb & Sons, L.L.C. | 2 | $37 |
| Collegium Pharmaceutical, Inc. | 2 | $35 |
| Idorsia Pharmaceuticals US Inc | 2 | $34 |
| Indivior Inc. | 1 | $23 |
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.
- GEMTESA$121
How this compares
$7,194 in reported general payments places this provider in the 90th percentile of 3,096 psychiatric/mental health providers in Florida.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| NuplazidPimavanserin Tartrate | 25 | $133,941 |
| VraylarCariprazine Hcl | 12 | $17,077 |
| Aripiprazole | 41 | $1,298 |
| Trazodone Hcl | 78 | $917 |
| Lamotrigine | 93 | $649 |
| Duloxetine Hcl | 48 | $639 |
| Divalproex Sodium | 18 | $534 |
| Alprazolam | 89 | $426 |
| Clonazepam | 82 | $360 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 20 | $303 |
| Bupropion XlBupropion Hcl | 43 | $293 |
| Temazepam | 26 | $275 |
| Buspirone Hcl | 45 | $265 |
| Fluoxetine Hcl | 69 | $250 |
| Fluvoxamine Maleate | 12 | $245 |
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 |
|---|---|---|
| Acadia Pharmaceuticals IncNuplazid | $48 | $133,94125 claims |
| AbbVieVraylar | $1,015 | $17,07712 claims |
| Almatica Pharma LLCSertraline Hcl | $49 | $24032 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 90th percentile of 3,096 psychiatric/mental health providers in Florida.
Other psychiatric/mental health in Spring Hill
- Roger RiveraKissimmee$1.6M
- Bethanie Simmons BecilJacksonville$782K
- Hannah PhillipsMaitland$455K
- Cheedy JajaTampa$266K
- Scott DurrancePensacola$224K
- Eudaldo AponteHialeah$214K
- Heather WarrenTallahassee$172K
- Angela DavenportAlachua$83K
- Natalie MoodyWinter Haven$75K
- Kelli BridgmanNew Smyrna Beach$66K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.