Payment overview · 2025
General Payments
$3,970.04
91 reported records · 15 companies
Healthcare provider profile · identity verified
Nelson Handal, M.D.
Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Child & Adolescent Psychiatry · DOTHAN, AL · NPI 1154471548
Verified facts
What the public records show
CMS Open Payments records show Nelson Handal, M.D. received $3,970.04 in general payments during 2025 across 91 reported records.
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) accounted for 54.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 19 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Spravato, Vraylar.
ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported VRAYLAR as an associated drug or biological on 377741 records involving 62704 distinct recipient NPIs. Public Medicare Part D data also shows 42 claims for Vraylar by this doctor in 2024.
Janssen Pharmaceuticals, Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported SPRAVATO as an associated drug or biological on 43813 records involving 17025 distinct recipient NPIs. Public Medicare Part D data also shows 27 claims for Spravato by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $2,172.27 | 54.7% | 11 | 2025 |
| Vanda Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $573.23 | 14.4% | 19 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $261.40 | 6.6% | 14 | 2025 |
| Corium, LLC | Unresolved — no canonical attribution shown | $225.71 | 5.7% | 11 | 2025 |
| Janssen Pharmaceuticals, Inc | Unresolved — no canonical attribution shown | $156.04 | 3.9% | 8 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $121.85 | 3.1% | 5 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $106.55 | 2.7% | 6 | 2025 |
| Almatica Pharma LLC | Unresolved — no canonical attribution shown | $99.79 | 2.5% | 4 | 2025 |
| Alkermes, Inc. | Unresolved — no canonical attribution shown | $90.61 | 2.3% | 4 | 2025 |
| Tris Pharma Inc | Unresolved — no canonical attribution shown | $61.55 | 1.6% | 4 | 2025 |
| Neurocrine BioSciences, Inc. | Unresolved — no canonical attribution shown | $36.48 | 0.9% | 1 | 2025 |
| ACADIA Pharmaceuticals Inc | Unresolved — no canonical attribution shown | $19.77 | 0.5% | 1 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $15.94 | 0.4% | 1 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $15.71 | 0.4% | 1 | 2025 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | Unresolved — no canonical attribution shown | $13.14 | 0.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,990.04 | 90 |
| Consulting Fee | $1,980.00 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $2,172.27 | 11 | 2025 |
Source payment records
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| FANAPT Normalized: fanapt |
Drug | Vanda Pharmaceuticals Inc. | $573.23 | 19 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $261.40 | 14 | 2025 |
Source payment records
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| Azstarys Normalized: azstarys |
Drug | Corium, LLC | $225.71 | 11 | 2025 |
Source payment records
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| LOREEV XR Normalized: loreev xr |
Drug | Almatica Pharma LLC | $99.79 | 4 | 2025 |
Source payment records
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| INVEGA SUSTENNA Normalized: invega sustenna |
Drug | Janssen Pharmaceuticals, Inc | $98.14 | 5 | 2025 |
Source payment records
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| LYBALVI Normalized: lybalvi |
Drug | Alkermes, Inc. | $90.61 | 4 | 2025 |
Source payment records
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| Auvelity Normalized: auvelity |
Drug | Axsome Therapeutics, Inc. | $84.31 | 3 | 2025 |
Source payment records
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| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $68.38 | 4 | 2025 |
Source payment records
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| ARISTADA Normalized: aristada |
Drug | Alkermes, Inc. | $67.32 | 3 | 2025 |
Source payment records
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| Dyanavel XR Normalized: dyanavel xr |
Drug | Tris Pharma Inc | $61.55 | 4 | 2025 |
Source payment records
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| SPRAVATO Normalized: spravato |
Drug | Janssen Pharmaceuticals, Inc | $57.90 | 3 | 2025 |
Source payment records
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| ABILIFY MAINTENA Normalized: abilify maintena |
Drug | Otsuka America Pharmaceutical, Inc. | $38.17 | 2 | 2025 |
Source payment records
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| Sunosi Normalized: sunosi |
Drug | Axsome Therapeutics, Inc. | $37.54 | 2 | 2025 |
Source payment records
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| INGREZZA Normalized: ingrezza |
Drug | Neurocrine BioSciences, Inc. | $36.48 | 1 | 2025 |
Source payment records
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| DAYBUE Normalized: daybue |
Drug | ACADIA Pharmaceuticals Inc | $19.77 | 1 | 2025 |
Source payment records
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| ABILIFY ASIMTUFII Normalized: abilify asimtufii |
Drug | Otsuka America Pharmaceutical, Inc. | $19.14 | 1 | 2025 |
Source payment records
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| AUSTEDO XR Normalized: austedo xr |
Drug | Teva Pharmaceuticals USA, Inc. | $15.94 | 1 | 2025 |
Source payment records
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| COBENFY Normalized: cobenfy |
Drug | E.R. Squibb & Sons, L.L.C. | $15.71 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| SPRAVATO spravato |
2025 | Spravato | 2024 | 27 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| VRAYLAR vraylar |
2025 | Vraylar | 2024 | 42 Beneficiary count suppressed |
exact normalized | Medicare Part D |
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | VRAYLAR open payments reported associated product |
CMS Open Payments — General Payments 377741 supporting records · 62704 recipient NPIs · example record 1201352550 |
Vraylar · 2024 Exact normalized brand match · 1 Part D row |
42 | suppressed by CMS |
| Janssen Pharmaceuticals, Inc Exact reporting entity; no affiliate inference |
2025 | SPRAVATO open payments reported associated product |
CMS Open Payments — General Payments 43813 supporting records · 17025 recipient NPIs · example record 1174223254 |
Spravato · 2024 Exact normalized brand match · 1 Part D row |
27 | suppressed by CMS |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Clonazepam | Clonazepam | 111 | 21 |
| Trazodone Hcl | Trazodone Hcl | 90 | 18 |
| Fluoxetine Hcl | Fluoxetine Hcl | 77 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 75 | 13 |
| Bupropion Xl | Bupropion Hcl | 69 | suppressed |
| Aripiprazole | Aripiprazole | 53 | suppressed |
| Lisdexamfetamine Dimesylate | Lisdexamfetamine Dimesylate | 48 | suppressed |
| Quetiapine Fumarate Er | Quetiapine Fumarate | 47 | suppressed |
| Alprazolam | Alprazolam | 45 | suppressed |
| Modafinil | Modafinil | 45 | suppressed |
| Lamotrigine | Lamotrigine | 44 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 43 | 12 |
| Sertraline Hcl | Sertraline Hcl | 42 | suppressed |
| Vraylar | Cariprazine Hcl | 42 | suppressed |
| Fluvoxamine Maleate | Fluvoxamine Maleate | 40 | suppressed |
| Lorazepam | Lorazepam | 40 | suppressed |
| Dextroamphetamine-Amphet Er | Dextroamphetamine/Amphetamine | 39 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 37 | 12 |
| Vyvanse | Lisdexamfetamine Dimesylate | 36 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 34 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 34 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 32 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 32 | suppressed |
| Risperidone | Risperidone | 29 | suppressed |
| Ziprasidone Hcl | Ziprasidone Hcl | 29 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 28 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 27 | suppressed |
| Lurasidone Hcl | Lurasidone Hcl | 27 | suppressed |
| Spravato | Esketamine Hcl | 27 | suppressed |
| Gabapentin | Gabapentin | 26 | suppressed |
| Quviviq | Daridorexant Hcl | 25 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 24 | suppressed |
| Dextroamphetamine Sulfate | Dextroamphetamine Sulfate | 22 | suppressed |
| Perphenazine | Perphenazine | 22 | suppressed |
| Lamictal | Lamotrigine | 20 | suppressed |
| Temazepam | Temazepam | 18 | suppressed |
| Clomipramine Hcl | Clomipramine Hcl | 16 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 16 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 16 | suppressed |
| Mirtazapine | Mirtazapine | 16 | suppressed |
| Naltrexone Hcl | Naltrexone Hcl | 15 | suppressed |
| Prazosin Hcl | Prazosin Hcl | 15 | suppressed |
| Vilazodone Hcl | Vilazodone Hcl | 14 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 13 | suppressed |
| Desmopressin Acetate | Desmopressin Acetate | 13 | suppressed |
| Jornay Pm | Methylphenidate Hcl | 13 | suppressed |
| Paliperidone Er | Paliperidone | 13 | suppressed |
| Zaleplon | Zaleplon | 13 | suppressed |
| Trihexyphenidyl Hcl | Trihexyphenidyl Hcl | 12 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 12 | suppressed |
| Asenapine Maleate | Asenapine Maleate | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $3,970.04 · 91 records | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | ABILIFY ASIMTUFII, ABILIFY MAINTENA, ARISTADA, AUSTEDO XR, Auvelity, Azstarys, CAPLYTA, COBENFY, DAYBUE, Dyanavel XR, FANAPT, INGREZZA, INVEGA SUSTENNA, LOREEV XR, LYBALVI, REXULTI, SPRAVATO, Sunosi, VRAYLAR | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Spravato play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with ABBVIE INC.?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error