Steven Pliszka, MD
Child & Adolescent Psychiatry · San Antonio, TXNPI 1245249069
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $41,160 of the $58,767 with a category attached, or 70.0%. Ironshore Pharmaceuticals Inc. accounts for 82.6% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2019 at $33,906 and has fallen 99.8% since, to $56 in 2025. Among child & adolescent psychiatry clinicians in TX 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 59 payments — averaging $996.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ironshore Pharmaceuticals Inc.$49K
- Adlon Therapeutics L.p.$9K
- Supernus Pharmaceuticals, Inc.$957
Across 34 payments — averaging $4073.32 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Otsuka Pharmaceutical Development & Commercialization, Inc.$124K
- Shire North American Group Inc$13K
- Neos Therapeutics, LP$1K
What the payments were for
- Consulting fees$14,09624%
- Speaking & faculty fees$41,16070%
- Food & beverage$3,5116%
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 |
|---|---|---|
| Ironshore Pharmaceuticals Inc. | 52 | $48,514 |
| Adlon Therapeutics L.p. | 2 | $9,296 |
| Supernus Pharmaceuticals, Inc. | 5 | $957 |
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.
- Jornay PM 20mg capsules (Bottle of 100)$33,729
- JORNAY PM$14,520
- ADHANSIA XR$9,296
- QELBREE$845
How this compares
$58,767 in reported general payments places this provider in the 95th percentile of 301 child & adolescent psychiatry providers in Texas.
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 | 12 | $62,927 |
| Aripiprazole | 145 | $9,323 |
| Quetiapine Fumarate | 188 | $5,601 |
| Divalproex Sodium ErDivalproex Sodium | 62 | $4,207 |
| Oxcarbazepine | 33 | $3,132 |
| Memantine Hcl ErMemantine Hcl | 12 | $1,708 |
| Naltrexone Hcl | 12 | $1,515 |
| Sertraline Hcl | 121 | $1,358 |
| Bupropion XlBupropion Hcl | 36 | $1,349 |
| Methylphenidate ErMethylphenidate Hcl | 12 | $1,302 |
| Divalproex Sodium | 29 | $1,282 |
| Risperidone | 73 | $1,273 |
| Olanzapine | 45 | $1,010 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 11 | $925 |
| Citalopram HbrCitalopram Hydrobromide | 64 | $802 |
Paid to pharmacies, not to this prescriber.
Other child & adolescent psychiatry in San Antonio
- Mary Garcia HolguinSan Antonio$24K
- Maria DominguezSan Antonio$7K
- Amber MansoorSan Antonio$6K
- Andrew MartinSan Antonio$6K
- Thomas DemoorSan Antonio$5K
- Vanessa VelaSan Antonio$3K
- Marguerite HoganSan Antonio$3K
- Grace Salinas GarciaSan Antonio$2K
- Hector SamaniegoSan Antonio$2K
- Alain KaticBellaire$106K
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.