Sandra Carrier
Psychiatric/Mental Health · Everett, WANPI 1275724627
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.1% of the total across 432 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 23 manufacturers, the largest accounting for just 20.3% — the pattern of someone who eats at a lot of different presentations. Among psychiatric/mental health 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 432 payments — averaging $15.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$1K
- AbbVie$1K
- Otsuka America Pharmaceutical, Inc.$629
- Teva Pharmaceuticals USA, Inc.$558
- Axsome Therapeutics, Inc.$505
- Sunovion Pharmaceuticals Inc.$493
- plus $2K from 17 others
What the payments were for
- Food & beverage$6,68997%
- Education$1983%
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 |
|---|---|---|
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 99 | $1,395 |
| AbbVie(2 entities) | 100 | $1,267 |
| Otsuka America Pharmaceutical, Inc. | 31 | $629 |
| Teva Pharmaceuticals USA, Inc. | 25 | $558 |
| Axsome Therapeutics, Inc. | 12 | $505 |
| Sunovion Pharmaceuticals Inc. | 72 | $493 |
| Idorsia Pharmaceuticals US Inc | 11 | $417 |
| Alkermes, Inc. | 16 | $355 |
| E.r. Squibb & Sons, L.L.C. | 16 | $308 |
| Johnson & Johnson | 13 | $280 |
| Lundbeck LLC | 10 | $188 |
| Neurocrine Biosciences, Inc. | 6 | $114 |
| Vanda Pharmaceuticals Inc. | 5 | $101 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $84 |
| Avanir Pharmaceuticals, Inc. | 3 | $42 |
| Indivior Inc. | 2 | $38 |
| Bausch Health US, LLC | 1 | $22 |
| Merck | 1 | $18 |
| Jazz Pharmaceuticals Inc. | 1 | $17 |
| Tris Pharma Inc | 1 | $15 |
| Sumitomo Pharma America, Inc. | 1 | $14 |
| Noven Therapeutics, LLC | 1 | $14 |
| Johnson & Johnson Surgical Vision, Inc. | 1 | $12 |
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
$6,887 in reported general payments places this provider in the 95th percentile of 931 psychiatric/mental health 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 |
|---|---|---|
| Invega TrinzaPaliperidone Palmitate | 34 | $337,257 |
| IngrezzaValbenazine Tosylate | 34 | $267,252 |
| VraylarCariprazine Hcl | 155 | $226,460 |
| CaplytaLumateperone Tosylate | 43 | $76,612 |
| BelsomraSuvorexant | 120 | $59,177 |
| NuedextaDextromethorphan Hbr/Quinidine | 26 | $41,366 |
| Abilify MaintenaAripiprazole | 14 | $41,288 |
| SaphrisAsenapine Maleate | 24 | $28,547 |
| RexultiBrexpiprazole | 17 | $26,730 |
| Lurasidone Hcl | 155 | $23,969 |
| Ziprasidone Hcl | 177 | $23,770 |
| Asenapine Maleate | 73 | $16,529 |
| Paliperidone ErPaliperidone | 66 | $14,541 |
| Ramelteon | 89 | $12,828 |
| TrintellixVortioxetine Hydrobromide | 15 | $12,531 |
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 |
|---|---|---|
| Johnson & JohnsonInvega Trinza | $280 | $337,25734 claims |
| Neurocrine Biosciences, Inc.Ingrezza | $114 | $267,25234 claims |
| AbbVieVraylar, Saphris, Fetzima | $1,267 | $265,313199 claims |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta | $1,395 | $76,61243 claims |
| Otsuka America Pharmaceutical, Inc.Abilify Maintena, Rexulti | $629 | $68,01831 claims |
| MerckBelsomra | $18 | $59,177120 claims |
| Avanir Pharmaceuticals, Inc.Nuedexta | $42 | $41,36626 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix, Vyvanse | $84 | $17,67827 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 931 psychiatric/mental health providers in Washington.
Other psychiatric/mental health in Everett
- Angela KokinakosEverett$9K
- Hyesoon ChoiEverett$8K
- Jana RobisonEverett$5K
- Laura PerezEverett$5K
- Isabel Zaragoza-SanchezEverett$4K
- Angela CombsRichland$121K
- Ashley McGinnisAuburn$26K
- Courtney YantPuyallup$26K
- Dawn MasonSpokane$25K
- Jennifer WilsonYakima$23K
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.