Michael Zafrani, MD
Psychiatry · Aiea, HINPI 1982780128
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.3% of the total across 1,294 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 22 manufacturers, the largest accounting for just 21.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $5,485, 2.3 times the $2,387 reported in 2019. Among psychiatry clinicians in HI 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 1,294 payments — averaging $22.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Teva Pharmaceuticals USA, Inc.$6K
- AbbVie$6K
- Neurocrine Biosciences, Inc.$3K
- Otsuka America Pharmaceutical, Inc.$3K
- Indivior Inc.$2K
- Takeda Pharmaceuticals U.S.A., Inc.$2K
- plus $7K from 16 others
What the payments were for
- Travel & lodging$120%
- Food & beverage$28,14197%
- Education$7623%
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. | 230 | $6,323 |
| AbbVie(2 entities) | 267 | $6,179 |
| Neurocrine Biosciences, Inc. | 105 | $2,853 |
| Otsuka America Pharmaceutical, Inc. | 110 | $2,592 |
| Indivior Inc. | 81 | $2,455 |
| Takeda Pharmaceuticals U.S.A., Inc. | 111 | $1,724 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 65 | $1,460 |
| Johnson & Johnson | 83 | $1,395 |
| Sunovion Pharmaceuticals Inc. | 134 | $1,356 |
| Lundbeck LLC | 24 | $675 |
| Avanir Pharmaceuticals, Inc. | 31 | $545 |
| E.r. Squibb & Sons, L.L.C. | 17 | $462 |
| Vanda Pharmaceuticals Inc. | 14 | $262 |
| Axsome Therapeutics, Inc. | 7 | $183 |
| Neuronetics, Inc. | 2 | $119 |
| Harmony Biosciences LLC | 3 | $105 |
| Lilly USA, LLC | 3 | $75 |
| Acadia Pharmaceuticals Inc | 3 | $73 |
| Arbor Pharmaceuticals, Inc. | 1 | $26 |
| Eisai Inc. | 1 | $25 |
| Amgen | 1 | $16 |
| Jazz Pharmaceuticals Inc. | 1 | $14 |
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
$28,914 in reported general payments places this provider in the 95th percentile of 183 psychiatry providers in Hawaii.
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 | 33 | $250,281 |
| AustedoDeutetrabenazine | 33 | $230,084 |
| PerserisRisperidone | 79 | $229,635 |
| VraylarCariprazine Hcl | 94 | $147,380 |
| Invega SustennaPaliperidone Palmitate | 38 | $138,374 |
| Abilify MaintenaAripiprazole | 44 | $129,439 |
| RexultiBrexpiprazole | 53 | $90,591 |
| UzedyRisperidone | 25 | $82,701 |
| FanaptIloperidone | 36 | $63,393 |
| Lurasidone Hcl | 27 | $38,533 |
| NuedextaDextromethorphan Hbr/Quinidine | 16 | $24,701 |
| Aripiprazole | 128 | $14,035 |
| TrintellixVortioxetine Hydrobromide | 19 | $10,989 |
| Divalproex Sodium ErDivalproex Sodium | 69 | $10,923 |
| ProzacFluoxetine Hcl | 11 | $8,033 |
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, Austedo, Uzedy | $6,323 | $563,06691 claims |
| Indivior Inc.Perseris | $2,455 | $229,63579 claims |
| Otsuka America Pharmaceutical, Inc.Abilify Maintena, Rexulti | $2,592 | $220,03097 claims |
| AbbVieVraylar | $6,179 | $147,38094 claims |
| Johnson & JohnsonInvega Sustenna | $1,395 | $138,37438 claims |
| Vanda Pharmaceuticals Inc.Fanapt | $262 | $63,39336 claims |
| Avanir Pharmaceuticals, Inc.Nuedexta | $545 | $24,70116 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $1,724 | $10,98919 claims |
| Lilly USA, LLCOlanzapine | $75 | $3,49449 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 183 psychiatry providers in Hawaii.
Other psychiatry in Aiea
- Jon CooneyAiea$21K
- Harry ChingonAiea$15K
- Noelle YuenAiea$1K
- Elena SharipovaAiea$601
- Denis Mee-LeeHonolulu$526K
- David SteinHonolulu$186K
- Edward WuKaneohe$13K
- Peter YamamotoWaianae$13K
- Gregory YuenHonolulu$6K
- Raymond DavidsonHonolulu$6K
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.