Ravdeep Khanuja, MD
Psychiatry · Poplar Bluff, MONPI 1750433256
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $251,155 of the $309,987 with a category attached, or 81.0%. 17 manufacturers reported payments, led by Alkermes, Inc. at 53.0% of the total. 2025 is the largest year on record at $122,396, 3.2 times the $37,959 reported in 2019. Among psychiatry clinicians in MO 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 657 payments — averaging $471.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alkermes, Inc.$164K
- Teva Pharmaceuticals USA, Inc.$70K
- E.r. Squibb & Sons, L.L.C.$39K
- AbbVie$33K
- Johnson & Johnson$913
- Neurocrine Biosciences, Inc.$582
- plus $2K from 11 others
What the payments were for
- Consulting fees$20,7907%
- Speaking & faculty fees$251,15581%
- Travel & lodging$24,4838%
- Food & beverage$13,4894%
- Education$700%
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 |
|---|---|---|
| Alkermes, Inc. | 301 | $164,270 |
| Teva Pharmaceuticals USA, Inc. | 79 | $69,817 |
| E.r. Squibb & Sons, L.L.C. | 50 | $38,869 |
| AbbVie(2 entities) | 69 | $33,490 |
| Johnson & Johnson | 45 | $913 |
| Neurocrine Biosciences, Inc. | 26 | $582 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 15 | $531 |
| Otsuka America Pharmaceutical, Inc. | 17 | $517 |
| Sunovion Pharmaceuticals Inc. | 26 | $488 |
| Indivior Inc. | 10 | $196 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $93 |
| Axsome Therapeutics, Inc. | 4 | $75 |
| Lundbeck LLC | 4 | $74 |
| Merck | 2 | $25 |
| Vanda Pharmaceuticals Inc. | 1 | $21 |
| Ironshore Pharmaceuticals Inc. | 1 | $15 |
| Eisai Inc. | 1 | $12 |
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$372,435
- ARISTADA$265,797
- UZEDY$68,522
- ARISTADA INITIO$66,449
- VRAYLAR$32,624
- COBENFY$20,518
- CAPLYTA$250
- LATUDA$238
- ABILIFY MAINTENA$120
- ABILIFY ASIMTUFII$120
- SPRAVATO$115
- REXULTI$110
How this compares
$309,987 in reported general payments places this provider in the 95th percentile of 680 psychiatry providers in Missouri.
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 |
|---|---|---|
| Invega SustennaPaliperidone Palmitate | 69 | $215,197 |
| VraylarCariprazine Hcl | 140 | $142,771 |
| AristadaAripiprazole Lauroxil | 40 | $126,754 |
| RexultiBrexpiprazole | 57 | $82,633 |
| LybalviOlanzapine/Samidorphan Malate | 54 | $66,255 |
| SpravatoEsketamine Hcl | 40 | $61,790 |
| TrintellixVortioxetine Hydrobromide | 59 | $27,149 |
| ClozarilClozapine | 11 | $26,659 |
| CaplytaLumateperone Tosylate | 15 | $25,101 |
| Aripiprazole | 245 | $12,442 |
| Varenicline Tartrate | 26 | $8,937 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 33 | $7,817 |
| Chlorpromazine Hcl | 32 | $7,057 |
| Clomipramine Hcl | 54 | $6,819 |
| Clozapine | 104 | $6,647 |
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 |
|---|---|---|
| Johnson & JohnsonInvega Sustenna, Spravato | $913 | $276,987109 claims |
| Alkermes, Inc.Aristada, Lybalvi | $164,270 | $193,00994 claims |
| AbbVieVraylar | $33,490 | $142,771140 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $517 | $82,63357 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $93 | $27,14959 claims |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta | $531 | $25,10115 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 680 psychiatry providers in Missouri.
Other psychiatry in Poplar Bluff
- Gregory MattingleySaint Charles$4.7M
- Vadim BaramSaint Louis$1.9M
- Adam SkySaint Louis$1.1M
- Mohd MalikSaint Louis$956K
- Brian BarashKansas City$856K
- Casey ProughLees Summit$615K
- George GrossbergSaint Louis$501K
- Shahid InsafBranson$416K
- Ahmed TaranissiMexico$343K
- Christopher LoyndSaint Louis$265K
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.