Susan Kirkle, NP
Psychiatric/Mental Health · Saint Joseph, MONPI 1003240607
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.6% of the total across 44 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 11 manufacturers reported payments, led by AbbVie at 34.8% of the total. Reporting peaked in 2024 at $363 and has fallen 85.5% since, to $53 in 2025. That places this record below the midpoint for psychiatric/mental health clinicians in MO, where the typical reported total is $817.
Across 44 payments — averaging $17.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$274
- Sunovion Pharmaceuticals Inc.$124
- E.r. Squibb & Sons, L.L.C.$112
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$88
- Teva Pharmaceuticals USA, Inc.$57
- Johnson & Johnson$41
- plus $92 from 5 others
What the payments were for
- Food & beverage$71591%
- Education$749%
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 | 17 | $274 |
| Sunovion Pharmaceuticals Inc. | 8 | $124 |
| E.r. Squibb & Sons, L.L.C. | 6 | $112 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $88 |
| Teva Pharmaceuticals USA, Inc. | 3 | $57 |
| Johnson & Johnson | 2 | $41 |
| Alkermes, Inc. | 1 | $25 |
| Braeburn Inc. | 1 | $23 |
| Supernus Pharmaceuticals, Inc. | 1 | $16 |
| Axsome Therapeutics, Inc. | 1 | $15 |
| Indivior Inc. | 1 | $13 |
How this compares
$790 in reported general payments places this provider in the 45th percentile of 565 psychiatric/mental health providers in Missouri.
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 |
|---|---|---|
| IngrezzaValbenazine Tosylate | 19 | $170,636 |
| Invega SustennaPaliperidone Palmitate | 48 | $165,276 |
| AristadaAripiprazole Lauroxil | 49 | $147,532 |
| Invega TrinzaPaliperidone Palmitate | 12 | $113,947 |
| VraylarCariprazine Hcl | 20 | $30,031 |
| RexultiBrexpiprazole | 16 | $26,043 |
| VivitrolNaltrexone Microspheres | 13 | $21,735 |
| Aripiprazole | 87 | $14,335 |
| TrintellixVortioxetine Hydrobromide | 27 | $11,113 |
| BelsomraSuvorexant | 24 | $11,075 |
| Paliperidone ErPaliperidone | 36 | $9,996 |
| Varenicline Tartrate | 29 | $8,209 |
| Lurasidone Hcl | 72 | $5,026 |
| Divalproex Sodium ErDivalproex Sodium | 56 | $3,921 |
| Clozapine | 52 | $3,561 |
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 Sustenna, Invega Trinza | $41 | $279,22460 claims |
| Alkermes, Inc.Aristada, Vivitrol | $25 | $169,26762 claims |
| AbbVieVraylar | $274 | $30,03120 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 45th percentile of 565 psychiatric/mental health providers in Missouri.
Other psychiatric/mental health in Saint Joseph
- Deena SheltonSaint Joseph$7K
- Amy TallySaint Joseph$6K
- Aldijana SacicSaint Louis$510K
- Erin DuvallSpringfield$275K
- Laurel OwensLees Summit$246K
- Julie WaterburySaint Louis$135K
- Emily WoukSpringfield$90K
- Kristerpher BrimberryPoplar Bluff$74K
- Matthew LindquistSt Louis$42K
- Stacy EmersonKennett$25K
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.