Payment overview · 2025
General Payments
$559.18
24 reported records · 11 companies
Healthcare provider profile · identity verified
Grigor Grigoryan, FNP-C
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · FRESNO, CA · NPI 1205382231
Verified facts
What the public records show
CMS Open Payments records show Grigor Grigoryan, FNP-C received $559.18 in general payments during 2025 across 24 reported records.
Vanda Pharmaceuticals Inc. accounted for 25.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 12 associated products.
Otsuka America Pharmaceutical, 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 REXULTI as an associated drug or biological on 160756 records involving 46288 distinct recipient NPIs. Public Medicare Part D data also shows 19 claims for Rexulti 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 |
|---|---|---|---|---|---|
| Vanda Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $141.69 | 25.3% | 4 | 2025 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $135.61 | 24.2% | 7 | 2025 |
| Stemline Therapeutics Inc. | Unresolved — no canonical attribution shown | $65.18 | 11.7% | 2 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $37.09 | 6.6% | 2 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $31.94 | 5.7% | 1 | 2025 |
| RECORDATI_RARE_DISEASES_INC. | Unresolved — no canonical attribution shown | $28.35 | 5.1% | 1 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $28.26 | 5.0% | 1 | 2025 |
| pharmaand GmbH | Unresolved — no canonical attribution shown | $28.00 | 5.0% | 1 | 2025 |
| Neuronetics, Inc. | Unresolved — no canonical attribution shown | $24.26 | 4.3% | 3 | 2025 |
| Supernus Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $19.94 | 3.6% | 1 | 2025 |
| Eisai Inc. | Unresolved — no canonical attribution shown | $18.86 | 3.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $559.18 | 24 |
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 |
|---|---|---|---|---|---|
| FANAPT Normalized: fanapt |
Drug | Vanda Pharmaceuticals Inc. | $141.69 | 4 | 2025 |
Source payment records
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| HETLIOZ Normalized: hetlioz |
Drug | Vanda Pharmaceuticals Inc. | $141.69 | 4 | 2025 |
Source payment records
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| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $135.61 | 7 | 2025 |
Source payment records
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| Orserdu Normalized: orserdu |
Drug | Stemline Therapeutics Inc. | $65.18 | 2 | 2025 |
Source payment records
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| COBENFY Normalized: cobenfy |
Drug | E.R. Squibb & Sons, L.L.C. | $37.09 | 2 | 2025 |
Source payment records
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| KEYTRUDA Normalized: keytruda |
Biological | Merck Sharp & Dohme LLC | $31.94 | 1 | 2025 |
Source payment records
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| WELIREG Normalized: welireg |
Drug | Merck Sharp & Dohme LLC | $31.94 | 1 | 2025 |
Source payment records
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| SYLVANT Normalized: sylvant |
Drug | RECORDATI_RARE_DISEASES_INC. | $28.35 | 1 | 2025 |
Source payment records
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| ABILIFY ASIMTUFII Normalized: abilify asimtufii |
Drug | Otsuka America Pharmaceutical, Inc. | $28.26 | 1 | 2025 |
Source payment records
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| Rubraca Normalized: rubraca |
Drug | pharmaand GmbH | $28.00 | 1 | 2025 |
Source payment records
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| NEUROSTAR TMS THERAPY SYSTEM Normalized: neurostar tms therapy system |
Device | Neuronetics, Inc. | $24.26 | 3 | 2025 |
Source payment records
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| Lenvima Normalized: lenvima |
Drug | Eisai Inc. | $18.86 | 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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 |
|---|---|---|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. Exact reporting entity; no affiliate inference |
2025 | REXULTI open payments reported associated product |
CMS Open Payments — General Payments 160756 supporting records · 46288 recipient NPIs · example record 1227267708 |
Rexulti · 2024 Exact normalized brand match · 1 Part D row |
19 | 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 |
|---|---|---|---|
| Trazodone Hcl | Trazodone Hcl | 139 | 27 |
| Alprazolam | Alprazolam | 133 | 20 |
| Zolpidem Tartrate | Zolpidem Tartrate | 106 | 14 |
| Lamotrigine | Lamotrigine | 99 | 24 |
| Duloxetine Hcl | Duloxetine Hcl | 96 | 12 |
| Clonazepam | Clonazepam | 82 | 18 |
| Quetiapine Fumarate | Quetiapine Fumarate | 67 | 11 |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 63 | 13 |
| Mirtazapine | Mirtazapine | 62 | 17 |
| Sertraline Hcl | Sertraline Hcl | 58 | 13 |
| Lorazepam | Lorazepam | 51 | 11 |
| Escitalopram Oxalate | Escitalopram Oxalate | 49 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 48 | suppressed |
| Aripiprazole | Aripiprazole | 46 | 12 |
| Fluoxetine Hcl | Fluoxetine Hcl | 46 | suppressed |
| Bupropion Xl | Bupropion Hcl | 43 | 14 |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 41 | 11 |
| Bupropion Hcl Sr | Bupropion Hcl | 34 | suppressed |
| Olanzapine | Olanzapine | 34 | suppressed |
| Gabapentin | Gabapentin | 29 | suppressed |
| Dextroamphetamine-Amphet Er | Dextroamphetamine/Amphetamine | 28 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 25 | suppressed |
| Topiramate | Topiramate | 23 | suppressed |
| Lithium Carbonate | Lithium Carbonate | 21 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 21 | suppressed |
| Ziprasidone Hcl | Ziprasidone Hcl | 21 | suppressed |
| Vyvanse | Lisdexamfetamine Dimesylate | 20 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 19 | suppressed |
| Rexulti | Brexpiprazole | 19 | suppressed |
| Temazepam | Temazepam | 15 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 14 | suppressed |
| Armodafinil | Armodafinil | 13 | suppressed |
| Quetiapine Fumarate Er | Quetiapine Fumarate | 13 | suppressed |
| Invega Sustenna | Paliperidone Palmitate | 12 | 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 | $559.18 · 24 records | Vanda Pharmaceuticals Inc. | ABILIFY ASIMTUFII, CAPLYTA, COBENFY, FANAPT, HETLIOZ, KEYTRUDA, Lenvima, NEUROSTAR TMS THERAPY SYSTEM, Orserdu, Rubraca, SYLVANT, WELIREG | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Otsuka America Pharmaceutical, 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