RxDoctor Payments Data

Rolando Larice, MD

Psychiatry · Chesterfield, MONPI 1356324917

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (46.3%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 30 manufacturers reported payments, led by Supernus Pharmaceuticals, Inc. at 56.7% of the total. Reporting peaked in 2021 at $14,490 and has fallen 90.2% since, to $1,414 in 2025. 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.

$20,794in general payments, 2019–2025

Across 351 payments — averaging $59.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Supernus Pharmaceuticals, Inc.$12K
  • Validus Pharmaceuticals LLC$2K
  • Vanda Pharmaceuticals Inc.$1K
  • ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$869
  • Jazz Pharmaceuticals Inc.$708
  • Neos Therapeutics, LP$530
  • plus $4K from 24 others

What the payments were for

  • Speaking & faculty fees$9,61946%
  • Travel & lodging$2,20811%
  • Food & beverage$8,86543%
  • Education$1020%

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.

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

$20,794 in reported general payments places this provider in the 95th percentile of 680 psychiatry providers in Missouri.

See all psychiatry providers in Missouri

Medicare billing

Part B allowed, 2024
$9,474
Medicare patients
43
Services billed
105

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
VraylarCariprazine Hcl28$42,626
RexultiBrexpiprazole22$37,360
Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl43$6,348
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine86$3,736
Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine45$3,369
EquetroCarbamazepine11$2,695
Vilazodone Hcl22$2,482
Lisdexamfetamine Dimesylate11$2,383
Lurasidone Hcl22$2,234
Lamotrigine ErLamotrigine12$1,918
Clonazepam173$1,911
Asenapine Maleate12$1,700
Bupropion XlBupropion Hcl95$1,665
Sertraline Hcl108$1,540
Aripiprazole61$1,524

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
AbbVieVraylar$55$42,62628 claims
Otsuka America Pharmaceutical, Inc.Rexulti$351$37,36022 claims
Validus Pharmaceuticals LLCEquetro$1,695$2,69511 claims
Almatica Pharma LLCSertraline Hcl$20$1,540108 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 Chesterfield

See the full list for Missouri

Where these figures come from

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