Peter Karachunski, MD
Child & Adolescent Psychiatry · Minneapolis, MNNPI 1720176308
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $14,515 of the $21,649 with a category attached, or 67.0%. 5 manufacturers reported payments, led by Sarepta Therapeutics, Inc. at 57.8% of the total. Among child & adolescent psychiatry clinicians in MN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 35 payments — averaging $618.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sarepta Therapeutics, Inc.$13K
- Pfizer$4K
- PTC Therapeutics, Inc.$3K
- Biogen$2K
- Novartis Gene Therapies, Inc. (fka Avexis, Inc.)$135
Across 130 payments — averaging $4771.73 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- PTC Therapeutics, Inc.$370K
- Sarepta Therapeutics, Inc.$75K
- Pfizer$55K
- Novartis$40K
- Harmony Biosciences LLC$35K
- Novartis Gene Therapies, Inc. (fka Avexis, Inc.)$25K
- plus $19K from 1 others
What the payments were for
- Consulting fees$14,51567%
- Speaking & faculty fees$3,33515%
- Travel & lodging$2,74913%
- Food & beverage$1,0505%
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 |
|---|---|---|
| Sarepta Therapeutics, Inc. | 14 | $12,504 |
| Pfizer | 4 | $4,124 |
| PTC Therapeutics, Inc. | 11 | $3,189 |
| Biogen | 4 | $1,697 |
| Novartis Gene Therapies, Inc. (fka Avexis, Inc.) | 2 | $135 |
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
$21,649 in reported general payments places this provider in the 95th percentile of 21 child & adolescent psychiatry providers in Minnesota.
See all child & adolescent psychiatry providers in Minnesota →
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 |
|---|---|---|
| EvrysdiRisdiplam | 90 | $2,566,169 |
| KeveyisDichlorphenamide | 11 | $243,912 |
| NayzilamMidazolam | 23 | $34,720 |
| BriviactBrivaracetam | 13 | $17,979 |
| Pyridostigmine Bromide | 42 | $5,908 |
| Mexiletine Hcl | 24 | $3,660 |
| Azathioprine | 28 | $2,538 |
| Lisdexamfetamine Dimesylate | 11 | $2,225 |
| Acetazolamide | 17 | $2,045 |
| Mycophenolate Mofetil | 15 | $1,972 |
| Divalproex Sodium | 13 | $682 |
| Modafinil | 11 | $563 |
| Lacosamide | 18 | $438 |
| Gabapentin | 30 | $331 |
| Prednisone | 36 | $330 |
Paid to pharmacies, not to this prescriber.
Other child & adolescent psychiatry in Minneapolis
- Jonathan JensenMinneapolis$109
- Suzy PetersonMinneapolis$49
- Phillip EdwardsonMinneapolis$13
- Adam FoxMinneapolis$10
- Kim HoltmeierGolden Valley$5K
- Israel SokeyePlymouth$1K
- Sreelatha SpiekerMankato$854
- Carl HansenSt Louis Park$396
- Travis HansenMankato$358
- Michael AdelmanBaxter$313
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.