Melissa Guest
Psychiatric/Mental Health · Provo, UTNPI 1023730165
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.7% of the total across 307 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 17 manufacturers, the largest accounting for just 17.9% — the pattern of someone who eats at a lot of different presentations. Among psychiatric/mental health clinicians in UT 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.
Across 307 payments — averaging $19.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$1K
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$737
- Alkermes, Inc.$671
- AbbVie$637
- Johnson & Johnson$606
- Teva Pharmaceuticals USA, Inc.$484
- plus $2K from 11 others
What the payments were for
- Food & beverage$5,85199%
- Education$781%
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. | 71 | $1,063 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 30 | $737 |
| Alkermes, Inc. | 31 | $671 |
| AbbVie | 38 | $637 |
| Johnson & Johnson | 23 | $606 |
| Teva Pharmaceuticals USA, Inc. | 26 | $484 |
| Neurocrine Biosciences, Inc. | 15 | $323 |
| Vanda Pharmaceuticals Inc. | 9 | $273 |
| E.r. Squibb & Sons, L.L.C. | 13 | $260 |
| Lundbeck LLC | 13 | $211 |
| Supernus Pharmaceuticals, Inc. | 10 | $176 |
| Tris Pharma Inc | 11 | $169 |
| Axsome Therapeutics, Inc. | 8 | $146 |
| Biogen | 4 | $79 |
| Indivior Inc. | 3 | $50 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $24 |
| Ironshore Pharmaceuticals Inc. | 1 | $20 |
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.
- CAPLYTA$246
- REXULTI$235
- INVEGA SUSTENNA$176
- Fanapt$117
- VIVITROL$114
- VRAYLAR$106
- Austedo XR$106
How this compares
$5,929 in reported general payments places this provider in the 95th percentile of 393 psychiatric/mental health providers in Utah.
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 |
|---|---|---|
| Austedo XrDeutetrabenazine | 13 | $105,075 |
| VraylarCariprazine Hcl | 60 | $80,488 |
| CaplytaLumateperone Tosylate | 28 | $41,746 |
| VyvanseLisdexamfetamine Dimesylate | 66 | $25,507 |
| RexultiBrexpiprazole | 18 | $20,534 |
| AuvelityDextromethorphan Hbr/Bupropion | 16 | $13,972 |
| Lurasidone Hcl | 53 | $10,088 |
| Aripiprazole | 112 | $7,260 |
| Divalproex Sodium ErDivalproex Sodium | 70 | $6,009 |
| TrintellixVortioxetine Hydrobromide | 13 | $5,989 |
| Clozapine | 37 | $3,566 |
| Duloxetine Hcl | 54 | $3,504 |
| Paliperidone ErPaliperidone | 18 | $2,716 |
| Dexmethylphenidate Hcl ErDexmethylphenidate Hcl | 18 | $2,474 |
| Atomoxetine Hcl | 15 | $2,447 |
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 |
|---|---|---|
| Teva Pharmaceuticals USA, Inc.Austedo Xr | $484 | $105,07513 claims |
| AbbVieVraylar | $637 | $80,48860 claims |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta | $737 | $41,74628 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Vyvanse, Trintellix | $24 | $31,49679 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $1,063 | $20,53418 claims |
| Axsome Therapeutics, Inc.Auvelity | $146 | $13,97216 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 393 psychiatric/mental health providers in Utah.
Other psychiatric/mental health in Provo
- Lisa O'DonnalProvo$6K
- Gary WebbProvo$6K
- Isaac StrongProvo$6K
- Travis HunterProvo$3K
- Bret HafenLayton$381K
- Alberto SouzaSaint George$114K
- Anthony BrowningOrem$32K
- Debra HainRiverton$29K
- Kristin BarberSalt Lake City$28K
- Briana TerrySalt Lake City$14K
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.