RxDoctor Payments Data

Rogerio Ramos, MD

Psychiatry · Mason City, IANPI 1295927291

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 98.3% of the total across 420 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 16 manufacturers reported payments, led by AbbVie at 28.6% of the total. Reporting peaked in 2022 at $1,284 and has fallen 58.3% since, to $536 in 2025. Among psychiatry clinicians in IA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$6,090in general payments, 2019–2025

Across 420 payments — averaging $14.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$2K
  • Sunovion Pharmaceuticals Inc.$851
  • Johnson & Johnson$708
  • Otsuka America Pharmaceutical, Inc.$698
  • ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$688
  • Lundbeck LLC$447
  • plus $957 from 10 others

What the payments were for

  • Food & beverage$5,98898%
  • Education$1022%

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

19
20
21
22
23
24
25

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.

How this compares

$6,090 in reported general payments places this provider in the 90th percentile of 245 psychiatry providers in Iowa.

See all psychiatry providers in Iowa

Medicare billing

Part B allowed, 2024
$178,258
Medicare patients
410
Services billed
1,993

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

DrugClaimsCost to plans & patients
Invega SustennaPaliperidone Palmitate71$186,112
AustedoDeutetrabenazine23$183,837
Risperdal ConstaRisperidone Microspheres42$60,906
VraylarCariprazine Hcl25$59,348
Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl145$32,083
RexultiBrexpiprazole12$17,756
Clozapine135$10,006
Lurasidone Hcl67$8,502
Fluphenazine Hcl39$7,178
Asenapine Maleate19$7,135
Paliperidone ErPaliperidone37$7,014
Chlorpromazine Hcl22$6,808
Aripiprazole92$6,246
Risperidone352$4,590
Trazodone Hcl437$4,470

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.

CompanyPaid to this providerPart D cost of their drugs
Johnson & JohnsonInvega Sustenna, Risperdal Consta$708$247,018113 claims
Teva Pharmaceuticals USA, Inc.Austedo$206$183,83723 claims
AbbVieVraylar$1,741$59,34825 claims
Otsuka America Pharmaceutical, Inc.Rexulti$698$17,75612 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 90th percentile of 245 psychiatry providers in Iowa.

Other psychiatry in Mason City

See the full list for Iowa

Where these figures come from

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