Roya Karbakhsh, MD
Child & Adolescent Psychiatry · Scottsdale, AZNPI 1992905293
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 145 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 20 manufacturers reported payments, led by Otsuka America Pharmaceutical, Inc. at 26.2% of the total.
Across 145 payments — averaging $40.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$2K
- AbbVie$1K
- Lundbeck LLC$652
- Corium, LLC$597
- Takeda Pharmaceuticals U.S.A., Inc.$496
- Johnson & Johnson$372
- plus $1K from 14 others
What the payments were for
- Food & beverage$5,922100%
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 41 | $1,551 |
| AbbVie(2 entities) | 21 | $1,019 |
| Lundbeck LLC | 24 | $652 |
| Corium, LLC | 10 | $597 |
| Takeda Pharmaceuticals U.S.A., Inc. | 18 | $496 |
| Johnson & Johnson | 8 | $372 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $216 |
| Neurocrine Biosciences, Inc. | 2 | $142 |
| Teva Pharmaceuticals USA, Inc. | 5 | $132 |
| Idorsia Pharmaceuticals US Inc | 2 | $129 |
| E.r. Squibb & Sons, L.L.C. | 1 | $122 |
| Axsome Therapeutics, Inc. | 1 | $122 |
| UCB, Inc. | 1 | $109 |
| Alkermes, Inc. | 1 | $98 |
| Sunovion Pharmaceuticals Inc. | 2 | $52 |
| Alfasigma USA, Inc. | 2 | $30 |
| Arbor Pharmaceuticals, Inc. | 1 | $26 |
| Supernus Pharmaceuticals, Inc. | 1 | $26 |
| Shire North American Group Inc | 1 | $17 |
| Lilly USA, LLC | 1 | $16 |
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
$5,922 in reported general payments places this provider in the 85th percentile of 80 child & adolescent psychiatry providers in Arizona.
See all child & adolescent psychiatry providers in Arizona →
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 |
|---|---|---|
| Buspirone Hcl | 65 | $987 |
| Mirtazapine | 33 | $943 |
| Gabapentin | 56 | $900 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 28 | $815 |
| Dextroamphetamine Sulfate | 11 | $692 |
| Lamotrigine | 43 | $682 |
| Escitalopram Oxalate | 34 | $520 |
| Clonazepam | 53 | $506 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 24 | $357 |
| Zolpidem Tartrate | 21 | $351 |
| Duloxetine Hcl | 12 | $346 |
| Sertraline Hcl | 18 | $288 |
| Bupropion Hcl SrBupropion Hcl | 12 | $254 |
| Trazodone Hcl | 36 | $247 |
| Alprazolam ErAlprazolam | 24 | $227 |
Paid to pharmacies, not to this prescriber.
Other child & adolescent psychiatry in Scottsdale
- Ramiro GuillenScottsdale$31K
- Linda KalivasScottsdale$13K
- Palpu HazelScottsdale$13K
- Kenneth ZwierScottsdale$7K
- Fariba PfitznerScottsdale$5K
- Shaili PatelScottsdale$3K
- Marilyn Pupo GuillenScottsdale$2K
- Lilia Romero-BoschScottsdale$1K
- Patricia Tagle-LevyScottsdale$732
- Sandeep KaurScottsdale$626
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.