Pacificah Nyangau
Psychiatric/Mental Health · The Woodlands, TXNPI 1417516519
Payments from drug & device makers
Across 133 payments — averaging $29.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$924
- AbbVie$905
- Neurocrine Biosciences, Inc.$856
- Teva Pharmaceuticals USA, Inc.$432
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$235
- Vanda Pharmaceuticals Inc.$165
- plus $408 from 8 others
What the payments were for
- Food & beverage$3,926100%
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 40 | $924 |
| AbbVie | 33 | $905 |
| Neurocrine Biosciences, Inc. | 27 | $856 |
| Teva Pharmaceuticals USA, Inc. | 10 | $432 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $235 |
| Vanda Pharmaceuticals Inc. | 3 | $165 |
| Supernus Pharmaceuticals, Inc. | 5 | $106 |
| E.r. Squibb & Sons, L.L.C. | 3 | $97 |
| Johnson & Johnson | 3 | $79 |
| Lundbeck LLC | 3 | $55 |
| Corium, LLC | 1 | $23 |
| Axsome Therapeutics, Inc. | 1 | $21 |
| Boston Scientific | 1 | $14 |
| Arbor Pharmaceuticals, Inc. | 1 | $13 |
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
$3,926 in reported general payments places this provider in the 85th percentile of 2,724 psychiatric/mental health providers in Texas.
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 |
|---|---|---|
| Duloxetine Hcl | 25 | $1,878 |
| Desvenlafaxine Succinate ErDesvenlafaxine Succinate | 15 | $914 |
| Mirtazapine | 28 | $912 |
| Desipramine Hcl | 13 | $691 |
| Lurasidone Hcl | 19 | $672 |
| Quetiapine Fumarate | 61 | $583 |
| Lamotrigine | 66 | $389 |
| Divalproex Sodium | 14 | $344 |
| Risperidone | 31 | $215 |
| Alprazolam | 22 | $209 |
| Bupropion XlBupropion Hcl | 24 | $199 |
| Buspirone Hcl | 24 | $197 |
| Trazodone Hcl | 68 | $192 |
| Lithium Carbonate | 19 | $191 |
| Hydroxyzine Hcl | 19 | $190 |
Paid to pharmacies, not to this prescriber.
Other psychiatric/mental health in The Woodlands
- Comfort IbeThe Woodlands$15K
- Tracy HicksLongview$684K
- Natalie TellezHouston$602K
- Karah BrashierRichardson$567K
- Grant DavisRichardson$360K
- Victor IlogEl Paso$167K
- Lisa ShamblinGrapevine$163K
- Monique GonzalezSan Antonio$126K
- Marguerite AddisonWaco$118K
- Komi Kokou-AbiRound Rock$88K
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.