Payment overview · 2025
General Payments
$350.58
19 reported records · 9 companies
Healthcare provider profile · identity verified
Sandy Marcus, PMHNP-BC
Nursing Service Providers|Registered Nurse|Psychiatric/Mental Health · LEON, IA · NPI 1316510324
Verified facts
What the public records show
CMS Open Payments records show Sandy Marcus, PMHNP-BC received $350.58 in general payments during 2025 across 19 reported records.
Vanda Pharmaceuticals Inc. accounted for 20.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 15 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Abilify Maintena, Caplyta, Fanapt, Rexulti.
ITI, Inc. (d/b/a Intra-Cellular Therapies, 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 CAPLYTA as an associated drug or biological on 211855 records involving 46143 distinct recipient NPIs. Public Medicare Part D data also shows 18 claims for Caplyta by this doctor in 2024.
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 ABILIFY MAINTENA as an associated drug or biological on 27924 records involving 10497 distinct recipient NPIs. Public Medicare Part D data also shows 17 claims for Abilify Maintena by this doctor in 2024.
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.
Teva Pharmaceuticals USA, 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 AUSTEDO as an associated drug or biological on 28 records involving 15 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Austedo by this doctor in 2024.
Vanda 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 FANAPT as an associated drug or biological on 95605 records involving 21383 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Fanapt 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 | $71.72 | 20.5% | 3 | 2025 |
| Alkermes, Inc. | Unresolved — no canonical attribution shown | $65.87 | 18.8% | 4 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $55.06 | 15.7% | 3 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $51.32 | 14.6% | 3 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $31.47 | 9.0% | 2 | 2025 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $23.95 | 6.8% | 1 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $23.55 | 6.7% | 1 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $14.07 | 4.0% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $13.57 | 3.9% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $350.58 | 19 |
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. | $71.72 | 3 | 2025 |
Source payment records
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| ARISTADA Normalized: aristada |
Drug | Alkermes, Inc. | $65.87 | 4 | 2025 |
Source payment records
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| LYBALVI Normalized: lybalvi |
Drug | Alkermes, Inc. | $65.87 | 4 | 2025 |
Source payment records
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| AUSTEDO XR Normalized: austedo xr |
Drug | Teva Pharmaceuticals USA, Inc. | $51.32 | 3 | 2025 |
Source payment records
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| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $40.74 | 2 | 2025 |
Source payment records
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| COBENFY Normalized: cobenfy |
Drug | E.R. Squibb & Sons, L.L.C. | $31.47 | 2 | 2025 |
Source payment records
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| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $23.95 | 1 | 2025 |
Source payment records
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| CAPVAXIVE Normalized: capvaxive |
Biological | Merck Sharp & Dohme LLC | $23.55 | 1 | 2025 |
Source payment records
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| ENFLONSIA Normalized: enflonsia |
Drug | Merck Sharp & Dohme LLC | $23.55 | 1 | 2025 |
Source payment records
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| GARDASIL 9 Normalized: gardasil 9 |
Biological | Merck Sharp & Dohme LLC | $23.55 | 1 | 2025 |
Source payment records
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| ABILIFY ASIMTUFII Normalized: abilify asimtufii |
Drug | Otsuka America Pharmaceutical, Inc. | $14.32 | 1 | 2025 |
Source payment records
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| ABILIFY MAINTENA Normalized: abilify maintena |
Drug | Otsuka America Pharmaceutical, Inc. | $14.32 | 1 | 2025 |
Source payment records
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| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $14.07 | 1 | 2025 |
Source payment records
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| AREXVY Normalized: arexvy |
Biological | GlaxoSmithKline, LLC. | $13.57 | 1 | 2025 |
Source payment records
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| SHINGRIX Normalized: shingrix |
Biological | GlaxoSmithKline, LLC. | $13.57 | 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 |
|---|---|---|---|---|---|---|
| ABILIFY MAINTENA abilify maintena |
2025 | Abilify Maintena | 2024 | 17 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| CAPLYTA caplyta |
2025 | Caplyta | 2024 | 18 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| FANAPT fanapt |
2025 | Fanapt | 2024 | 12 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| REXULTI rexulti |
2025 | Rexulti | 2024 | 19 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 |
|---|---|---|---|---|---|---|
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) Exact reporting entity; no affiliate inference |
2025 | CAPLYTA open payments reported associated product |
CMS Open Payments — General Payments 211855 supporting records · 46143 recipient NPIs · example record 1241243071 |
Caplyta · 2024 Exact normalized brand match · 1 Part D row |
18 | suppressed by CMS |
| Otsuka America Pharmaceutical, Inc. Exact reporting entity; no affiliate inference |
2025 | ABILIFY MAINTENA open payments reported associated product |
CMS Open Payments — General Payments 27924 supporting records · 10497 recipient NPIs · example record 1227267721 |
Abilify Maintena · 2024 Exact normalized brand match · 1 Part D row |
17 | suppressed by CMS |
| 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 |
| Teva Pharmaceuticals USA, Inc. Exact reporting entity; no affiliate inference |
2025 | AUSTEDO open payments reported associated product |
CMS Open Payments — General Payments 28 supporting records · 15 recipient NPIs · example record 1247249192 |
Austedo · 2024 Exact normalized brand match · 1 Part D row |
11 | suppressed by CMS |
| Vanda Pharmaceuticals Inc. Exact reporting entity; no affiliate inference |
2025 | FANAPT open payments reported associated product |
CMS Open Payments — General Payments 95605 supporting records · 21383 recipient NPIs · example record 1232940535 |
Fanapt · 2024 Exact normalized brand match · 1 Part D row |
12 | 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 |
|---|---|---|---|
| Buspirone Hcl | Buspirone Hcl | 346 | 73 |
| Bupropion Xl | Bupropion Hcl | 335 | 50 |
| Quetiapine Fumarate | Quetiapine Fumarate | 293 | 34 |
| Trazodone Hcl | Trazodone Hcl | 238 | 49 |
| Aripiprazole | Aripiprazole | 220 | 45 |
| Lamotrigine | Lamotrigine | 180 | 33 |
| Risperidone | Risperidone | 173 | 20 |
| Olanzapine | Olanzapine | 162 | 22 |
| Sertraline Hcl | Sertraline Hcl | 159 | 29 |
| Fluoxetine Hcl | Fluoxetine Hcl | 132 | 24 |
| Mirtazapine | Mirtazapine | 124 | 21 |
| Duloxetine Hcl | Duloxetine Hcl | 114 | 26 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 110 | 28 |
| Prazosin Hcl | Prazosin Hcl | 108 | 22 |
| Escitalopram Oxalate | Escitalopram Oxalate | 102 | 18 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 100 | 14 |
| Divalproex Sodium Er | Divalproex Sodium | 92 | 13 |
| Oxcarbazepine | Oxcarbazepine | 92 | 12 |
| Clonidine Hcl | Clonidine Hcl | 91 | 18 |
| Clonazepam | Clonazepam | 87 | 16 |
| Citalopram Hbr | Citalopram Hydrobromide | 86 | 14 |
| Propranolol Hcl | Propranolol Hcl | 83 | 19 |
| Benztropine Mesylate | Benztropine Mesylate | 78 | suppressed |
| Gabapentin | Gabapentin | 74 | 13 |
| Amitriptyline Hcl | Amitriptyline Hcl | 70 | 11 |
| Lorazepam | Lorazepam | 58 | 14 |
| Alprazolam | Alprazolam | 57 | 12 |
| Zolpidem Tartrate | Zolpidem Tartrate | 53 | suppressed |
| Lurasidone Hcl | Lurasidone Hcl | 41 | suppressed |
| Topiramate | Topiramate | 41 | suppressed |
| Naltrexone Hcl | Naltrexone Hcl | 39 | suppressed |
| Vraylar | Cariprazine Hcl | 37 | suppressed |
| Ziprasidone Hcl | Ziprasidone Hcl | 35 | suppressed |
| Memantine Hcl Er | Memantine Hcl | 31 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 31 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 28 | 11 |
| Paliperidone Er | Paliperidone | 28 | suppressed |
| Atomoxetine Hcl | Atomoxetine Hcl | 27 | suppressed |
| Clozapine | Clozapine | 27 | suppressed |
| Haloperidol | Haloperidol | 26 | suppressed |
| Fetzima | Levomilnacipran Hcl | 25 | suppressed |
| Pregabalin | Pregabalin | 22 | suppressed |
| Diazepam | Diazepam | 20 | suppressed |
| Lisdexamfetamine Dimesylate | Lisdexamfetamine Dimesylate | 20 | suppressed |
| Rexulti | Brexpiprazole | 19 | suppressed |
| Caplyta | Lumateperone Tosylate | 18 | suppressed |
| Abilify Maintena | Aripiprazole | 17 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 17 | suppressed |
| Imipramine Hcl | Imipramine Hcl | 17 | suppressed |
| Lithium Carbonate | Lithium Carbonate | 17 | suppressed |
| Lithium Carbonate Er | Lithium Carbonate | 17 | suppressed |
| Dextroamphetamine-Amphet Er | Dextroamphetamine/Amphetamine | 16 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 14 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 13 | suppressed |
| Buprenorphine-Naloxone | Buprenorphine Hcl/Naloxone Hcl | 12 | suppressed |
| Carbamazepine Er | Carbamazepine | 12 | suppressed |
| Clomipramine Hcl | Clomipramine Hcl | 12 | suppressed |
| Fanapt | Iloperidone | 12 | suppressed |
| Ingrezza | Valbenazine Tosylate | 12 | suppressed |
| Quetiapine Fumarate Er | Quetiapine Fumarate | 12 | suppressed |
| Austedo | Deutetrabenazine | 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 | $350.58 · 19 records | Vanda Pharmaceuticals Inc. | ABILIFY ASIMTUFII, ABILIFY MAINTENA, AREXVY, ARISTADA, AUSTEDO XR, CAPLYTA, CAPVAXIVE, COBENFY, ENFLONSIA, FANAPT, GARDASIL 9, JOURNAVX, LYBALVI, REXULTI, SHINGRIX | 5 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Abilify Maintena play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with ITI, Inc. (d/b/a Intra-Cellular Therapies, 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