Nalini Agarwal, MD
Psychiatry · Southgate, MINPI 1073603213
Payments from drug & device makers
Across 51 payments — averaging $27.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axsome Therapeutics, Inc.$278
- Johnson & Johnson$192
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$184
- Otsuka America Pharmaceutical, Inc.$131
- Alkermes, Inc.$114
- Neurocrine Biosciences, Inc.$101
- plus $400 from 13 others
What the payments were for
- Food & beverage$1,32495%
- Education$755%
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 |
|---|---|---|
| Axsome Therapeutics, Inc. | 4 | $278 |
| Johnson & Johnson | 4 | $192 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $184 |
| Otsuka America Pharmaceutical, Inc. | 7 | $131 |
| Alkermes, Inc. | 6 | $114 |
| Neurocrine Biosciences, Inc. | 7 | $101 |
| Teva Pharmaceuticals USA, Inc. | 4 | $69 |
| E.r. Squibb & Sons, L.L.C. | 1 | $64 |
| AbbVie(2 entities) | 3 | $52 |
| Indivior Inc. | 2 | $29 |
| Avanir Pharmaceuticals, Inc. | 2 | $29 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $28 |
| Sage Therapeutics, LLC | 1 | $27 |
| Supernus Pharmaceuticals, Inc. | 1 | $23 |
| Corium, LLC | 1 | $21 |
| Noven Therapeutics, LLC | 1 | $17 |
| Lundbeck LLC | 1 | $16 |
| Tris Pharma Inc | 1 | $13 |
| Shire North American Group Inc | 1 | $11 |
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
$1,399 in reported general payments places this provider in the 80th percentile of 1,166 psychiatry providers in Michigan.
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 | 74 | $240,833 |
| Invega TrinzaPaliperidone Palmitate | 13 | $112,791 |
| RexultiBrexpiprazole | 37 | $52,418 |
| VraylarCariprazine Hcl | 13 | $17,669 |
| Chlorpromazine Hcl | 62 | $14,666 |
| TrintellixVortioxetine Hydrobromide | 26 | $13,822 |
| Aripiprazole | 60 | $10,102 |
| Clozapine OdtClozapine | 12 | $9,335 |
| Lurasidone Hcl | 44 | $6,178 |
| Clozapine | 92 | $6,090 |
| Divalproex Sodium ErDivalproex Sodium | 108 | $5,894 |
| Paliperidone ErPaliperidone | 37 | $5,303 |
| Adderall XrDextroamphetamine/Amphetamine | 23 | $5,160 |
| Quetiapine Fumarate | 107 | $3,511 |
| Haloperidol | 67 | $3,042 |
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, Invega Trinza | $192 | $353,62487 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $131 | $52,41837 claims |
| AbbVieVraylar | $52 | $17,66913 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $28 | $13,82226 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 1,166 psychiatry providers in Michigan.
Other psychiatry in Southgate
- Andreas SidiropoulasDetroit$2.8M
- Joel YoungRochester Hills$1.9M
- Welton WashingtonYpsilanti$1.4M
- Rajaprabhakaran RajarethinamAnn Arbor$1.2M
- Eric AchtyesGrand Rapids$705K
- Manzar RajputMonroe$612K
- William GuySouthfield$562K
- Brian MickeyAnn Arbor$490K
- Sagar ParikhAnn Arbor$331K
- Robert LagrouClarkston$267K
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.