Messina Michalsky
Psychiatric/Mental Health · Billings, MTNPI 1568867588
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $527 of the $626 with a category attached, or 84.2%. 7 manufacturers reported payments, led by Neurocrine Biosciences, Inc. at 45.2% of the total.
Across 27 payments — averaging $23.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Neurocrine Biosciences, Inc.$283
- Teva Pharmaceuticals USA, Inc.$137
- AbbVie$83
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$63
- Supernus Pharmaceuticals, Inc.$31
- Sunovion Pharmaceuticals Inc.$18
- plus $12 from 1 others
What the payments were for
- Food & beverage$52784%
- Education$9916%
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 |
|---|---|---|
| Neurocrine Biosciences, Inc. | 12 | $283 |
| Teva Pharmaceuticals USA, Inc. | 3 | $137 |
| AbbVie | 4 | $83 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 4 | $63 |
| Supernus Pharmaceuticals, Inc. | 2 | $31 |
| Sunovion Pharmaceuticals Inc. | 1 | $18 |
| Johnson & Johnson | 1 | $12 |
How this compares
$626 in reported general payments places this provider in the 80th percentile of 142 psychiatric/mental health providers in Montana.
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 | 15 | $45,929 |
| RexultiBrexpiprazole | 18 | $27,345 |
| VyvanseLisdexamfetamine Dimesylate | 23 | $8,509 |
| Aripiprazole | 37 | $1,946 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 68 | $1,661 |
| Paliperidone ErPaliperidone | 16 | $1,204 |
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 32 | $1,044 |
| Prazosin Hcl | 42 | $967 |
| Desvenlafaxine Succinate ErDesvenlafaxine Succinate | 24 | $802 |
| Lamotrigine | 48 | $787 |
| Duloxetine Hcl | 52 | $773 |
| Trazodone Hcl | 57 | $657 |
| Clonazepam | 105 | $647 |
| Lurasidone Hcl | 19 | $524 |
| Amitriptyline Hcl | 13 | $521 |
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 | $12 | $45,92915 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 142 psychiatric/mental health providers in Montana.
Other psychiatric/mental health in Billings
- Susan FinnBillings$2K
- Jackie Lave'Billings$417
- Diane QuickBillings$300
- Marcia TaylorBillings$276
- Brittany RichBillings$269
- Diane HurdBillings$252
- Tommie PerusichButte$4K
- Heather BrownKalispell$3K
- Sherry MartinMissoula$3K
- Jill DonaldsonGreat Falls$3K
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.