Robert Bulten
Developmental - Behavioral Pediatrics · Wyoming, MINPI 1023177268
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.8% of the total across 218 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 14 manufacturers reported payments, led by Ironshore Pharmaceuticals Inc. at 35.2% of the total. Reporting peaked in 2021 at $1,108 and has fallen 84.7% since, to $170 in 2023.
Across 218 payments — averaging $14.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ironshore Pharmaceuticals Inc.$1K
- Takeda Pharmaceuticals U.S.A., Inc.$791
- Supernus Pharmaceuticals, Inc.$376
- Lundbeck LLC$246
- Jazz Pharmaceuticals Inc.$179
- Tris Pharma Inc$177
- plus $240 from 8 others
What the payments were for
- Food & beverage$3,06699%
- Education$371%
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 |
|---|---|---|
| Ironshore Pharmaceuticals Inc. | 88 | $1,094 |
| Takeda Pharmaceuticals U.S.A., Inc. | 44 | $791 |
| Supernus Pharmaceuticals, Inc. | 34 | $376 |
| Lundbeck LLC | 15 | $246 |
| Jazz Pharmaceuticals Inc. | 10 | $179 |
| Tris Pharma Inc | 11 | $177 |
| Neos Therapeutics, LP | 6 | $81 |
| Vertical Pharmaceuticals, LLC | 3 | $45 |
| AbbVie | 1 | $30 |
| Shire North American Group Inc | 2 | $25 |
| Axsome Therapeutics, Inc. | 1 | $16 |
| Otsuka America Pharmaceutical, Inc. | 1 | $15 |
| Corium, LLC | 1 | $14 |
| Arbor 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.
- QELBREE$125
How this compares
Too few developmental - behavioral pediatrics providers in Michiganto place this figure against a meaningful peer group, so we don't.
Other developmental - behavioral pediatrics in Wyoming
- Terry DicksonTraverse City$69K
- Neelkamal SoaresKalamazoo$33K
- Megan PeschAnn Arbor$12K
- Marsha RappleyEast Lansing$12K
- Colleen MieleDetroit$240
- Cheryl HackRoyal Oak$204
- Chioma TorresEast Lansing$86
- Meghan BehrmannGrand Rapids$31
- Barbara FeltAnn Arbor$16
- Julie ZaitunaAnn Arbor$15
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.