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Neil Brickel, MD

Psychiatry · Saint Louis, MONPI 1396716981

Payments from drug & device makers

$16,864in general payments, 2019–2025

Across 901 payments — averaging $18.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$2K
  • Otsuka America Pharmaceutical, Inc.$2K
  • AbbVie$2K
  • Corium, LLC$2K
  • Sunovion Pharmaceuticals Inc.$1K
  • Axsome Therapeutics, Inc.$951
  • plus $7K from 34 others

What the payments were for

  • Food & beverage$16,801100%
  • Education$620%

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

19
20
21
22
23
24
25

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.

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

$16,864 in reported general payments places this provider in the 90th percentile of 680 psychiatry providers in Missouri.

See all psychiatry providers in Missouri

Medicare billing

Part B allowed, 2024
$39,868
Medicare patients
41
Services billed
360

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

DrugClaimsCost to plans & patients
Invega SustennaPaliperidone Palmitate18$44,411
VyvanseLisdexamfetamine Dimesylate77$30,754
VraylarCariprazine Hcl19$27,551
TrintellixVortioxetine Hydrobromide25$14,421
BelsomraSuvorexant11$4,807
CymbaltaDuloxetine Hcl15$4,655
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine116$4,460
Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine57$4,172
Lisdexamfetamine Dimesylate14$3,587
Quetiapine Fumarate ErQuetiapine Fumarate13$2,764
Desvenlafaxine Succinate ErDesvenlafaxine Succinate30$2,132
Bupropion XlBupropion Hcl117$2,105
Duloxetine Hcl54$1,454
Alprazolam203$1,302
Temazepam44$700

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.

CompanyPaid to this providerPart D cost of their drugs
Takeda Pharmaceuticals U.S.A., Inc.Vyvanse, Trintellix$687$45,175102 claims
Johnson & JohnsonInvega Sustenna$354$44,41118 claims
AbbVieVraylar$1,647$27,55119 claims
MerckBelsomra$136$4,80711 claims
Almatica Pharma LLCSertraline Hcl$293$24913 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 680 psychiatry providers in Missouri.

Other psychiatry in Saint Louis

See the full list for Missouri

Where these figures come from

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