Sally Szymanski, DO
Psychiatry · Ann Arbor, MINPI 1306838404
Payments from drug & device makers
Across 24 payments — averaging $18.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alkermes, Inc.$66
- Indivior Inc.$53
- Vanda Pharmaceuticals Inc.$52
- Avanir Pharmaceuticals, Inc.$32
- Shire North American Group Inc$31
- Sage Therapeutics, LLC$27
- plus $185 from 10 others
What the payments were for
- Food & beverage$446100%
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 |
|---|---|---|
| Alkermes, Inc. | 4 | $66 |
| Indivior Inc. | 3 | $53 |
| Vanda Pharmaceuticals Inc. | 2 | $52 |
| Avanir Pharmaceuticals, Inc. | 2 | $32 |
| Shire North American Group Inc | 2 | $31 |
| Sage Therapeutics, LLC | 1 | $27 |
| Axsome Therapeutics, Inc. | 1 | $25 |
| Acadia Pharmaceuticals Inc | 1 | $23 |
| AbbVie | 1 | $23 |
| Otsuka America Pharmaceutical, Inc. | 1 | $21 |
| E.r. Squibb & Sons, L.L.C. | 1 | $18 |
| Luye Pharma (USA) Ltd. | 1 | $18 |
| Noven Therapeutics, LLC | 1 | $17 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $16 |
| Tris Pharma Inc | 1 | $13 |
| Teva Pharmaceuticals USA, Inc. | 1 | $11 |
How this compares
$446 in reported general payments places this provider in the 60th percentile of 1,166 psychiatry providers in Michigan.
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 |
|---|---|---|
| AustedoDeutetrabenazine | 13 | $177,024 |
| Invega SustennaPaliperidone Palmitate | 54 | $168,215 |
| Abilify MaintenaAripiprazole | 49 | $131,775 |
| IngrezzaValbenazine Tosylate | 13 | $101,100 |
| VraylarCariprazine Hcl | 34 | $49,363 |
| Aripiprazole | 182 | $31,534 |
| CaplytaLumateperone Tosylate | 14 | $23,075 |
| Fluphenazine Hcl | 82 | $21,219 |
| Lurasidone Hcl | 91 | $17,849 |
| Paliperidone ErPaliperidone | 51 | $17,803 |
| FanaptIloperidone | 12 | $10,044 |
| AuvelityDextromethorphan Hbr/Bupropion | 19 | $10,037 |
| Clozapine OdtClozapine | 12 | $7,467 |
| VyvanseLisdexamfetamine Dimesylate | 17 | $7,140 |
| TrintellixVortioxetine Hydrobromide | 15 | $6,873 |
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 |
|---|---|---|
| Teva Pharmaceuticals USA, Inc.Austedo | $11 | $177,02413 claims |
| Otsuka America Pharmaceutical, Inc.Abilify Maintena | $21 | $131,77549 claims |
| AbbVieVraylar | $23 | $49,36334 claims |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta | $16 | $23,07514 claims |
| Vanda Pharmaceuticals Inc.Fanapt | $52 | $10,04412 claims |
| Axsome Therapeutics, Inc.Auvelity | $25 | $10,03719 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 60th percentile of 1,166 psychiatry providers in Michigan.
Other psychiatry in Ann Arbor
- Rajaprabhakaran RajarethinamAnn Arbor$1.2M
- Brian MickeyAnn Arbor$490K
- Sagar ParikhAnn Arbor$331K
- Melvin McInnisAnn Arbor$133K
- Stephan TaylorAnn Arbor$94K
- James SwainAnn Arbor$49K
- Juan LopezAnn Arbor$21K
- Sara BobakAnn Arbor$13K
- Andreas SidiropoulasDetroit$2.8M
- Joel YoungRochester Hills$1.9M
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.