Thomas Rosko
Psychiatry · Visalia, CANPI 1457335200
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $344,804 of the $389,223 with a category attached, or 88.6%. Johnson & Johnson accounts for 71.6% of it on its own, with 2 other manufacturers making up the rest. Among psychiatry clinicians in CA 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 457 payments — averaging $851.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$279K
- Otsuka America Pharmaceutical, Inc.$110K
- E.r. Squibb & Sons, L.L.C.$98
What the payments were for
- Speaking & faculty fees$344,80489%
- Travel & lodging$34,2829%
- Food & beverage$10,1383%
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 |
|---|---|---|
| Johnson & Johnson | 319 | $278,636 |
| Otsuka America Pharmaceutical, Inc. | 137 | $110,490 |
| E.r. Squibb & Sons, L.L.C. | 1 | $98 |
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.
- INVEGA SUSTENNA$275,593
- INVEGA TRINZA$273,074
- ABILIFY MAINTENA$99,664
- ABILIFY ASIMTUFII$22,792
- REXULTI$9,482
How this compares
$389,223 in reported general payments places this provider in the 95th percentile of 4,954 psychiatry providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Clozapine | 45 | $3,136 |
| Quetiapine Fumarate | 19 | $611 |
| Sertraline Hcl | 15 | $343 |
| Olanzapine | 14 | $334 |
Paid to pharmacies, not to this prescriber.
Other psychiatry in Visalia
- Gustavo AlvaOrange$5.8M
- John KooSan Francisco$3M
- Jason KelloggIrvine$2.7M
- Jonathan MeyerSan Diego$2.3M
- Charles Tuan-Tu NguyenIrvine$2.1M
- Manoj WaikarLos Gatos$1.9M
- Gerald MaguireSan Juan Capistraco$1.8M
- Salima BrillmanSunnyvale$1.4M
- Bibi DasStanford$1.4M
- Konstantinos TripodisBurbank$1M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.