Sandra Bremner Dexter, MD
Psychiatry · Spokane, WANPI 1386709012
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.0% of the total across 336 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 20 manufacturers, the largest accounting for just 14.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $1,486 and has fallen 77.6% since, to $332 in 2025. Among psychiatry clinicians in WA 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.
Across 336 payments — averaging $14.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$715
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$658
- Teva Pharmaceuticals USA, Inc.$568
- Otsuka America Pharmaceutical, Inc.$480
- Johnson & Johnson$418
- Sunovion Pharmaceuticals Inc.$352
- plus $2K from 14 others
What the payments were for
- Food & beverage$4,96899%
- Education$501%
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 |
|---|---|---|
| AbbVie(2 entities) | 70 | $715 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 66 | $658 |
| Teva Pharmaceuticals USA, Inc. | 26 | $568 |
| Otsuka America Pharmaceutical, Inc. | 27 | $480 |
| Johnson & Johnson | 26 | $418 |
| Sunovion Pharmaceuticals Inc. | 31 | $352 |
| Lundbeck LLC | 19 | $336 |
| Axsome Therapeutics, Inc. | 9 | $270 |
| Supernus Pharmaceuticals, Inc. | 13 | $208 |
| Alkermes, Inc. | 10 | $206 |
| Corium, LLC | 9 | $189 |
| Neurocrine Biosciences, Inc. | 8 | $173 |
| Takeda Pharmaceuticals U.S.A., Inc. | 9 | $149 |
| Indivior Inc. | 3 | $103 |
| Ironshore Pharmaceuticals Inc. | 3 | $79 |
| E.r. Squibb & Sons, L.L.C. | 3 | $48 |
| OWP Pharmaceuticals, Inc. | 1 | $21 |
| Shire North American Group Inc | 1 | $20 |
| Collegium Pharmaceutical, Inc. | 1 | $15 |
| Vanda Pharmaceuticals Inc. | 1 | $12 |
How this compares
$5,018 in reported general payments places this provider in the 95th percentile of 576 psychiatry providers in Washington.
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 |
|---|---|---|
| CaplytaLumateperone Tosylate | 11 | $26,400 |
| VraylarCariprazine Hcl | 11 | $17,830 |
| BelsomraSuvorexant | 13 | $8,180 |
| Lurasidone Hcl | 30 | $4,503 |
| Aripiprazole | 97 | $4,203 |
| Carbamazepine ErCarbamazepine | 13 | $3,756 |
| Ramelteon | 22 | $2,792 |
| Paliperidone ErPaliperidone | 21 | $2,113 |
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 31 | $2,092 |
| Desvenlafaxine Succinate ErDesvenlafaxine Succinate | 23 | $1,861 |
| Duloxetine Hcl | 147 | $1,845 |
| Ziprasidone Hcl | 33 | $1,793 |
| Divalproex Sodium ErDivalproex Sodium | 46 | $1,773 |
| Bupropion XlBupropion Hcl | 99 | $1,702 |
| Olanzapine | 69 | $1,661 |
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 |
|---|---|---|
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta | $658 | $26,40011 claims |
| AbbVieVraylar | $715 | $17,83011 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 576 psychiatry providers in Washington.
Other psychiatry in Spokane
- John JaccardSpokane$16K
- Carl BaumSpokane$13K
- David BotSpokane$8K
- Jay SchmauchSpokane$3K
- Marietta LariosaSpokane$3K
- Sean ZieglerSpokane$2K
- Minerva ArriendaSpokane$2K
- Jeffrey HansenVancouver$2.8M
- Chester RobachinskiSeattle$1.1M
- Larry BornsteinEverett$663K
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.