Ralph Hirschfeld
Family · Putnam, CTNPI 1144523077
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.7% of the total across 1,349 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 25 manufacturers, the largest accounting for just 13.0% — the pattern of someone who eats at a lot of different presentations. Among family clinicians in CT 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 1,349 payments — averaging $19.38 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.)$3K
- AbbVie$2K
- Teva Pharmaceuticals USA, Inc.$2K
- Supernus Pharmaceuticals, Inc.$2K
- Neurocrine Biosciences, Inc.$2K
- Takeda Pharmaceuticals U.S.A., Inc.$2K
- plus $13K from 19 others
What the payments were for
- Food & beverage$25,79599%
- Education$3471%
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 |
|---|---|---|
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 195 | $3,396 |
| AbbVie | 130 | $2,259 |
| Teva Pharmaceuticals USA, Inc. | 97 | $2,104 |
| Supernus Pharmaceuticals, Inc. | 99 | $2,089 |
| Neurocrine Biosciences, Inc. | 102 | $1,908 |
| Takeda Pharmaceuticals U.S.A., Inc. | 85 | $1,703 |
| Axsome Therapeutics, Inc. | 84 | $1,633 |
| Otsuka America Pharmaceutical, Inc. | 66 | $1,611 |
| Alkermes, Inc. | 79 | $1,351 |
| Corium, LLC | 81 | $1,325 |
| Vanda Pharmaceuticals Inc. | 58 | $1,315 |
| Johnson & Johnson | 39 | $1,207 |
| Lundbeck LLC | 59 | $1,110 |
| E.r. Squibb & Sons, L.L.C. | 60 | $958 |
| Sunovion Pharmaceuticals Inc. | 37 | $720 |
| Tris Pharma Inc | 18 | $358 |
| Indivior Inc. | 18 | $352 |
| Idorsia Pharmaceuticals US Inc | 12 | $197 |
| Collegium Pharmaceutical, Inc. | 10 | $176 |
| Merck | 8 | $146 |
| Bausch Health US, LLC | 5 | $94 |
| Almatica Pharma LLC | 4 | $78 |
| Luye Pharma (USA) Ltd. | 1 | $20 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $18 |
| Eisai Inc. | 1 | $14 |
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.
- QELBREE$570
- VRAYLAR$419
- INGREZZA$237
- CAPLYTA$236
- SPRAVATO$224
- Austedo XR$118
- ABILIFY MAINTENA$112
- ABILIFY ASIMTUFII$112
- SUNOSI$111
- INVEGA SUSTENNA$108
- Auvelity$105
How this compares
$26,143 in reported general payments places this provider in the 95th percentile of 1,596 family providers in Connecticut.
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 |
|---|---|---|
| RexultiBrexpiprazole | 140 | $218,143 |
| CaplytaLumateperone Tosylate | 84 | $158,408 |
| Austedo XrDeutetrabenazine | 24 | $151,166 |
| IngrezzaValbenazine Tosylate | 14 | $122,493 |
| Invega SustennaPaliperidone Palmitate | 28 | $99,796 |
| VraylarCariprazine Hcl | 71 | $89,072 |
| AuvelityDextromethorphan Hbr/Bupropion | 24 | $28,579 |
| QelbreeViloxazine Hcl | 61 | $24,735 |
| BelsomraSuvorexant | 43 | $21,361 |
| TrintellixVortioxetine Hydrobromide | 21 | $20,202 |
| ConcertaMethylphenidate Hcl | 21 | $14,173 |
| VyvanseLisdexamfetamine Dimesylate | 26 | $13,661 |
| Lurasidone Hcl | 26 | $6,632 |
| Asenapine Maleate | 50 | $6,216 |
| Lisdexamfetamine Dimesylate | 28 | $5,443 |
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc.Rexulti | $1,611 | $218,143140 claims |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta | $3,396 | $158,40884 claims |
| Teva Pharmaceuticals USA, Inc.Austedo Xr | $2,104 | $151,16624 claims |
| Neurocrine Biosciences, Inc.Ingrezza | $1,908 | $122,49314 claims |
| Johnson & JohnsonInvega Sustenna, Concerta | $1,207 | $113,96949 claims |
| AbbVieVraylar | $2,259 | $89,07271 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix, Vyvanse | $1,703 | $33,86347 claims |
| Axsome Therapeutics, Inc.Auvelity | $1,633 | $28,57924 claims |
| Supernus Pharmaceuticals, Inc.Qelbree | $2,089 | $24,73561 claims |
| MerckBelsomra | $146 | $21,36143 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 1,596 family providers in Connecticut.
Other family in Putnam
- Sara Garcia-GomesPutnam$19K
- Erin GouldsbroughPutnam$12K
- Elisha ChristiansonWaterbury$371K
- Kathryn TierneyNew Britain$140K
- Jennifer SilvaSouth Windsor$91K
- Carli WillardEnfield$74K
- Erin MartinMilford$70K
- Dayna GiordanoNew Haven$65K
- Diana BytyqiDerby$53K
- Farhiya AbdiSouth Windsor$30K
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.