Michelle Head
Psychiatric/Mental Health · Little Rock, ARNPI 1568929826
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 312 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 18 manufacturers, the largest accounting for just 16.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $2,087 and has fallen 67.7% since, to $674 in 2025. Among psychiatric/mental health clinicians in AR with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 312 payments — averaging $19.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Johnson & Johnson$749
- Otsuka America Pharmaceutical, Inc.$716
- Teva Pharmaceuticals USA, Inc.$708
- Neuronetics, Inc.$583
- Axsome Therapeutics, Inc.$413
- plus $2K from 12 others
What the payments were for
- Food & beverage$6,225100%
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 |
|---|---|---|
| AbbVie | 87 | $1,018 |
| Johnson & Johnson | 34 | $749 |
| Otsuka America Pharmaceutical, Inc. | 32 | $716 |
| Teva Pharmaceuticals USA, Inc. | 26 | $708 |
| Neuronetics, Inc. | 6 | $583 |
| Axsome Therapeutics, Inc. | 20 | $413 |
| Alkermes, Inc. | 20 | $407 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 17 | $337 |
| Neurocrine Biosciences, Inc. | 17 | $315 |
| Takeda Pharmaceuticals U.S.A., Inc. | 19 | $276 |
| Lundbeck LLC | 10 | $212 |
| E.r. Squibb & Sons, L.L.C. | 3 | $144 |
| Vanda Pharmaceuticals Inc. | 8 | $142 |
| Corium, LLC | 9 | $131 |
| Tris Pharma Inc | 1 | $20 |
| Ironshore Pharmaceuticals Inc. | 1 | $20 |
| Idorsia Pharmaceuticals US Inc | 1 | $18 |
| Noven Therapeutics, LLC | 1 | $16 |
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.
- NEUROSTAR TMS THERAPY SYSTEM$398
- Austedo XR$259
- COBENFY$117
How this compares
$6,225 in reported general payments places this provider in the 90th percentile of 359 psychiatric/mental health providers in Arkansas.
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 |
|---|---|---|
| SpravatoEsketamine Hcl | 39 | $47,418 |
| VraylarCariprazine Hcl | 13 | $18,131 |
| LybalviOlanzapine/Samidorphan Malate | 11 | $17,685 |
| Lurasidone Hcl | 15 | $4,816 |
| Ramelteon | 21 | $1,990 |
| Duloxetine Hcl | 93 | $1,496 |
| Aripiprazole | 72 | $1,296 |
| Bupropion XlBupropion Hcl | 60 | $1,133 |
| Desvenlafaxine Succinate ErDesvenlafaxine Succinate | 34 | $946 |
| Trazodone Hcl | 119 | $795 |
| Divalproex Sodium ErDivalproex Sodium | 27 | $712 |
| Fluoxetine Hcl | 76 | $574 |
| Quetiapine Fumarate | 33 | $514 |
| Hydroxyzine Hcl | 73 | $450 |
| Sertraline Hcl | 90 | $403 |
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 & JohnsonSpravato | $749 | $47,41839 claims |
| AbbVieVraylar | $1,018 | $18,13113 claims |
| Alkermes, Inc.Lybalvi | $407 | $17,68511 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 359 psychiatric/mental health providers in Arkansas.
Other psychiatric/mental health in Little Rock
- Cara MeckfesselLittle Rock$8K
- Stacey HughesLittle Rock$7K
- Sara JonesLittle Rock$6K
- Alicia BarosLittle Rock$6K
- Adrianne FunmakerLittle Rock$5K
- Chloe WardLittle Rock$4K
- Ashley TaylorLittle Rock$4K
- Kizzie HoustonLittle Rock$3K
- Jennifer RawlsLittle Rock$3K
- Stephanie BohannonFayetteville$32K
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.