Nicholas Guan, MD
Psychiatry · New York, NYNPI 1558503334
Payments from drug & device makers
Across 519 payments — averaging $38.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Neurocrine Biosciences, Inc.$4K
- AbbVie$3K
- Otsuka America Pharmaceutical, Inc.$3K
- Alkermes, Inc.$2K
- Axsome Therapeutics, Inc.$1K
- Teva Pharmaceuticals USA, Inc.$1K
- plus $4K from 12 others
What the payments were for
- Food & beverage$19,72399%
- Education$1711%
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. | 97 | $4,248 |
| AbbVie(2 entities) | 125 | $3,238 |
| Otsuka America Pharmaceutical, Inc. | 30 | $2,795 |
| Alkermes, Inc. | 72 | $2,404 |
| Axsome Therapeutics, Inc. | 28 | $1,423 |
| Teva Pharmaceuticals USA, Inc. | 20 | $1,355 |
| Johnson & Johnson | 44 | $1,311 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 31 | $949 |
| E.r. Squibb & Sons, L.L.C. | 11 | $521 |
| Idorsia Pharmaceuticals US Inc | 12 | $339 |
| Vanda Pharmaceuticals Inc. | 13 | $295 |
| Almatica Pharma LLC | 12 | $275 |
| Lundbeck LLC | 9 | $197 |
| Takeda Pharmaceuticals U.S.A., Inc. | 7 | $163 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 2 | $145 |
| Gilead | 1 | $125 |
| Bausch Health US, LLC | 4 | $90 |
| Eisai Inc. | 1 | $21 |
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.
- LYBALVI$3,902
- ABILIFY MAINTENA$1,750
- INGREZZA$1,722
- Auvelity$1,009
- ARISTADA$880
- REXULTI$866
- AUSTEDO$736
- VRAYLAR$670
- CAPLYTA$276
- INVEGA SUSTENNA$250
- INVEGA TRINZA$250
- COBENFY$246
- UZEDY$231
- ARISTADA INITIO$220
- Vemlidy$125
- ABILIFY ASIMTUFII$125
- QUVIVIQ$125
How this compares
$19,894 in reported general payments places this provider in the 95th percentile of 3,713 psychiatry providers in New York.
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 |
|---|---|---|
| IngrezzaValbenazine Tosylate | 23 | $220,271 |
| VraylarCariprazine Hcl | 44 | $62,946 |
| RexultiBrexpiprazole | 39 | $55,221 |
| AuvelityDextromethorphan Hbr/Bupropion | 48 | $30,355 |
| NamzaricMemantine Hcl/Donepezil Hcl | 51 | $28,946 |
| CaplytaLumateperone Tosylate | 14 | $23,745 |
| Chlorpromazine Hcl | 38 | $8,685 |
| Quetiapine Fumarate | 544 | $4,920 |
| Rivastigmine | 44 | $4,514 |
| Lamotrigine ErLamotrigine | 31 | $4,501 |
| Trazodone Hcl | 605 | $3,873 |
| Aripiprazole | 147 | $3,153 |
| Bupropion XlBupropion Hcl | 114 | $2,990 |
| Olanzapine | 311 | $2,868 |
| Clozapine | 43 | $2,798 |
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 |
|---|---|---|
| Neurocrine Biosciences, Inc.Ingrezza | $4,248 | $220,27123 claims |
| AbbVieVraylar, Namzaric | $3,238 | $91,89295 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $2,795 | $55,22139 claims |
| Axsome Therapeutics, Inc.Auvelity | $1,423 | $30,35548 claims |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta | $949 | $23,74514 claims |
| Almatica Pharma LLCSertraline Hcl | $275 | $1,090340 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 3,713 psychiatry providers in New York.
Other psychiatry in New York
- Michael LiebowitzNew York$7.1M
- Paul EderNew York$2.7M
- Lenard AdlerNew York$1.8M
- Ram ShrivastavaNew York$1.8M
- Jonathan KaneNew York$1.8M
- Eric HollanderNew York$1.4M
- William HapworthNew York$1.3M
- Manish ZinzuvadiaNew York$1.3M
- Jianping ChenNew York$1.2M
- Anthony ZoghbiNew York$1.1M
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.