Ricardo Osorio, NP
Psychiatric/Mental Health · Sioux City, IANPI 1093272668
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.8% of the total across 551 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 24 manufacturers, the largest accounting for just 14.6% — the pattern of someone who eats at a lot of different presentations. Among psychiatric/mental health clinicians in IA 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 551 payments — averaging $15.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Neurocrine Biosciences, Inc.$1K
- Alkermes, Inc.$1K
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$1K
- Teva Pharmaceuticals USA, Inc.$782
- Johnson & Johnson$533
- plus $2K from 18 others
What the payments were for
- Food & beverage$8,00996%
- Education$3554%
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 |
|---|---|---|
| AbbVie | 99 | $1,224 |
| Neurocrine Biosciences, Inc. | 77 | $1,202 |
| Alkermes, Inc. | 73 | $1,145 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 74 | $1,061 |
| Teva Pharmaceuticals USA, Inc. | 36 | $782 |
| Johnson & Johnson | 39 | $533 |
| Otsuka America Pharmaceutical, Inc. | 30 | $518 |
| Vanda Pharmaceuticals Inc. | 26 | $453 |
| Supernus Pharmaceuticals, Inc. | 26 | $369 |
| Lundbeck LLC | 14 | $228 |
| E.r. Squibb & Sons, L.L.C. | 17 | $227 |
| Corium, LLC | 16 | $169 |
| Insulet Corporation | 2 | $78 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $72 |
| Axsome Therapeutics, Inc. | 3 | $56 |
| Merck | 3 | $43 |
| Novo Nordisk | 1 | $40 |
| Bayer | 1 | $33 |
| Eisai Inc. | 2 | $31 |
| Noven Therapeutics, LLC | 2 | $29 |
| Indivior Inc. | 2 | $25 |
| Almatica Pharma LLC | 1 | $15 |
| Sunovion Pharmaceuticals Inc. | 1 | $15 |
| Ironshore Pharmaceuticals 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.
How this compares
$8,364 in reported general payments places this provider in the 95th percentile of 443 psychiatric/mental health providers in Iowa.
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 | 47 | $169,400 |
| AustedoDeutetrabenazine | 11 | $73,227 |
| IngrezzaValbenazine Tosylate | 14 | $57,004 |
| AristadaAripiprazole Lauroxil | 16 | $53,585 |
| VraylarCariprazine Hcl | 36 | $53,159 |
| RexultiBrexpiprazole | 28 | $26,932 |
| CaplytaLumateperone Tosylate | 13 | $22,240 |
| VyvanseLisdexamfetamine Dimesylate | 26 | $9,772 |
| TrintellixVortioxetine Hydrobromide | 15 | $7,143 |
| Lisdexamfetamine Dimesylate | 15 | $4,486 |
| Aripiprazole | 27 | $3,582 |
| Atomoxetine Hcl | 34 | $3,280 |
| Divalproex Sodium ErDivalproex Sodium | 55 | $3,185 |
| Trazodone Hcl | 162 | $2,333 |
| Olanzapine | 110 | $1,998 |
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 | $533 | $169,40047 claims |
| Teva Pharmaceuticals USA, Inc.Austedo | $782 | $73,22711 claims |
| Neurocrine Biosciences, Inc.Ingrezza | $1,202 | $57,00414 claims |
| Alkermes, Inc.Aristada | $1,145 | $53,58516 claims |
| AbbVieVraylar | $1,224 | $53,15936 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $518 | $26,93228 claims |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta | $1,061 | $22,24013 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Vyvanse, Trintellix | $72 | $16,91541 claims |
| Almatica Pharma LLCSertraline Hcl | $15 | $59060 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 443 psychiatric/mental health providers in Iowa.
Other psychiatric/mental health in Sioux City
- Melissa KonkenSioux City$14K
- Brenda CainSioux City$6K
- Danika HansenSioux City$5K
- Erin HodgsonSioux City$4K
- Joada BestSioux City$4K
- Tyler LeskoSioux City$4K
- Cynthia GuthmillerSioux City$4K
- Monica NuckollsSioux City$4K
- Tarrah HollidayAtlantic$421K
- Kelsie SwisherParkersburg$235K
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.