RxDoctor Payments Data

Mark Chandler, MD

Psychiatry · Durham, NCNPI 1265452270

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 94.6% of the total across 1,050 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 40 manufacturers, the largest accounting for just 14.4% — the pattern of someone who eats at a lot of different presentations. Among psychiatry clinicians in NC 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.

$18,225in general payments, 2019–2025

Across 1,050 payments — averaging $17.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Sunovion Pharmaceuticals Inc.$3K
  • Alkermes, Inc.$2K
  • ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$2K
  • Teva Pharmaceuticals USA, Inc.$1K
  • Otsuka America Pharmaceutical, Inc.$1K
  • Vanda Pharmaceuticals Inc.$1K
  • plus $8K from 34 others
$69,875in research payments, 2019–2025

Across 21 payments — averaging $3327.39 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Otsuka Pharmaceutical Development & Commercialization, Inc.$68K
  • Shire North American Group Inc$2K

What the payments were for

  • Consulting fees$5503%
  • Food & beverage$17,24395%
  • Education$4322%

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

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

$18,225 in reported general payments places this provider in the 95th percentile of 1,108 psychiatry providers in North Carolina.

See all psychiatry providers in North Carolina

Medicare billing

Part B allowed, 2024
$120,194
Medicare patients
497
Services billed
1,546

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
LybalviOlanzapine/Samidorphan Malate201$326,735
RexultiBrexpiprazole89$141,639
VraylarCariprazine Hcl82$109,040
IngrezzaValbenazine Tosylate14$98,438
Invega SustennaPaliperidone Palmitate33$97,913
FanaptIloperidone33$85,664
CaplytaLumateperone Tosylate35$61,542
AristadaAripiprazole Lauroxil14$44,267
NuedextaDextromethorphan Hbr/Quinidine20$32,156
Aripiprazole567$31,538
Lurasidone Hcl155$30,849
QelbreeViloxazine Hcl39$28,500
TrintellixVortioxetine Hydrobromide44$27,599
Fluvoxamine Maleate286$20,918
BelsomraSuvorexant36$16,556

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
Alkermes, Inc.Lybalvi, Aristada$2,218$371,003215 claims
Otsuka America Pharmaceutical, Inc.Rexulti$1,352$141,63989 claims
Johnson & JohnsonInvega Sustenna, Concerta$1,115$109,73062 claims
AbbVieVraylar$860$109,04082 claims
Neurocrine Biosciences, Inc.Ingrezza$657$98,43814 claims
Vanda Pharmaceuticals Inc.Fanapt$1,223$85,66433 claims
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta$1,590$61,54235 claims
Takeda Pharmaceuticals U.S.A., Inc.Trintellix, Vyvanse$846$34,76863 claims
Avanir Pharmaceuticals, Inc.Nuedexta$76$32,15620 claims
Supernus Pharmaceuticals, Inc.Qelbree$420$28,50039 claims
Lilly USA, LLCCymbalta, Olanzapine$63$22,546513 claims
MerckBelsomra$44$16,55636 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 1,108 psychiatry providers in North Carolina.

Other psychiatry in Durham

See the full list for North Carolina

Where these figures come from

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