Raymond Alderfer
Psychiatry · Harrisonburg, VANPI 1245294362
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.9% of the total across 209 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 15 manufacturers reported payments, led by Sunovion Pharmaceuticals Inc. at 24.5% of the total. Reporting peaked in 2019 at $1,632 and has fallen 99.2% since, to $13 in 2022.
Across 209 payments — averaging $11.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sunovion Pharmaceuticals Inc.$564
- AbbVie$435
- Neurocrine Biosciences, Inc.$311
- Otsuka America Pharmaceutical, Inc.$260
- Lundbeck LLC$195
- Takeda Pharmaceuticals U.S.A., Inc.$143
- plus $393 from 9 others
What the payments were for
- Food & beverage$2,298100%
- Education$20%
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 |
|---|---|---|
| Sunovion Pharmaceuticals Inc. | 80 | $564 |
| AbbVie(2 entities) | 47 | $435 |
| Neurocrine Biosciences, Inc. | 21 | $311 |
| Otsuka America Pharmaceutical, Inc. | 14 | $260 |
| Lundbeck LLC | 12 | $195 |
| Takeda Pharmaceuticals U.S.A., Inc. | 10 | $143 |
| Avanir Pharmaceuticals, Inc. | 9 | $135 |
| Johnson & Johnson | 4 | $90 |
| Shire North American Group Inc | 4 | $64 |
| Ironshore Pharmaceuticals Inc. | 2 | $30 |
| Neuronetics, Inc. | 2 | $20 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $15 |
| Amgen | 1 | $14 |
| Arbor Pharmaceuticals, Inc. | 1 | $13 |
| Merck | 1 | $11 |
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
$2,300 in reported general payments places this provider in the 85th percentile of 884 psychiatry providers in Virginia.
Other psychiatry in Harrisonburg
- Niku SinghFalls Church$2.5M
- David ScheidererRoanoke$2.4M
- Kent McDanielGlen Allen$2.1M
- Jasdeep MiglaniManassas$958K
- David SpiegelNorfolk$565K
- William YetterVirginia Beach$312K
- Anita ClaytonCharlottesville$260K
- Robert GardellaStaunton$201K
- Timothy KaneStaunton$162K
- Ralph McKenzieRoanoke$161K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.