Payment overview · 2025
General Payments
$148.59
6 reported records · 4 companies
Healthcare provider profile · identity verified
Michael William Etches, MD
Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Psychiatry · BOLIVAR, MO · NPI 1366962730
Verified facts
What the public records show
CMS Open Payments records show Michael William Etches, MD received $148.59 in general payments during 2025 across 6 reported records.
Alkermes, Inc. accounted for 40.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 6 associated products.
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.
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 |
|---|---|---|---|---|---|
| Alkermes, Inc. | Unresolved — no canonical attribution shown | $59.49 | 40.0% | 2 | 2025 |
| Vanda Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $52.37 | 35.2% | 2 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $18.37 | 12.4% | 1 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $18.36 | 12.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $148.59 | 6 |
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 |
|---|---|---|---|---|---|
| ARISTADA Normalized: aristada |
Drug | Alkermes, Inc. | $59.49 | 2 | 2025 |
Source payment records
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| LYBALVI Normalized: lybalvi |
Drug | Alkermes, Inc. | $59.49 | 2 | 2025 |
Source payment records
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| FANAPT Normalized: fanapt |
Drug | Vanda Pharmaceuticals Inc. | $52.37 | 2 | 2025 |
Source payment records
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| ABILIFY ASIMTUFII Normalized: abilify asimtufii |
Drug | Otsuka America Pharmaceutical, Inc. | $18.37 | 1 | 2025 |
Source payment records
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| ABILIFY MAINTENA Normalized: abilify maintena |
Drug | Otsuka America Pharmaceutical, Inc. | $18.37 | 1 | 2025 |
Source payment records
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| AUSTEDO XR Normalized: austedo xr |
Drug | Teva Pharmaceuticals USA, Inc. | $18.36 | 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 |
|---|---|---|---|---|---|---|
| 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 |
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 | 274 | 42 |
| Trazodone Hcl | Trazodone Hcl | 228 | 38 |
| Quetiapine Fumarate | Quetiapine Fumarate | 218 | 29 |
| Prazosin Hcl | Prazosin Hcl | 187 | 24 |
| Aripiprazole | Aripiprazole | 181 | 36 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 176 | 22 |
| Clonazepam | Clonazepam | 151 | 27 |
| Bupropion Xl | Bupropion Hcl | 146 | 18 |
| Fluoxetine Hcl | Fluoxetine Hcl | 145 | 20 |
| Divalproex Sodium | Divalproex Sodium | 138 | 13 |
| Duloxetine Hcl | Duloxetine Hcl | 129 | 24 |
| Olanzapine | Olanzapine | 128 | 25 |
| Escitalopram Oxalate | Escitalopram Oxalate | 125 | 22 |
| Risperidone | Risperidone | 121 | 19 |
| Clozapine | Clozapine | 117 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 114 | 28 |
| Lamotrigine | Lamotrigine | 103 | 14 |
| Lorazepam | Lorazepam | 101 | 26 |
| Sertraline Hcl | Sertraline Hcl | 97 | 18 |
| Chlorpromazine Hcl | Chlorpromazine Hcl | 73 | suppressed |
| Diazepam | Diazepam | 73 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 71 | 21 |
| Trintellix | Vortioxetine Hydrobromide | 68 | 15 |
| Topiramate | Topiramate | 64 | suppressed |
| Invega Sustenna | Paliperidone Palmitate | 62 | suppressed |
| Mirtazapine | Mirtazapine | 58 | suppressed |
| Ziprasidone Hcl | Ziprasidone Hcl | 56 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 55 | 12 |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 54 | suppressed |
| Gabapentin | Gabapentin | 50 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 48 | suppressed |
| Paliperidone Er | Paliperidone | 45 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 44 | suppressed |
| Alprazolam | Alprazolam | 41 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 41 | 11 |
| Benztropine Mesylate | Benztropine Mesylate | 36 | 11 |
| Lithium Carbonate | Lithium Carbonate | 33 | suppressed |
| Bupropion Hcl | Bupropion Hcl | 32 | suppressed |
| Vraylar | Cariprazine Hcl | 30 | suppressed |
| Carbamazepine Er | Carbamazepine | 26 | suppressed |
| Pregabalin | Pregabalin | 26 | suppressed |
| Quetiapine Fumarate Er | Quetiapine Fumarate | 25 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 22 | suppressed |
| Temazepam | Temazepam | 19 | suppressed |
| Valproic Acid | Valproic Acid (As Sodium Salt) | 19 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 18 | suppressed |
| Trihexyphenidyl Hcl | Trihexyphenidyl Hcl | 18 | suppressed |
| Haloperidol | Haloperidol | 17 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 16 | suppressed |
| Ingrezza | Valbenazine Tosylate | 15 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 15 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 13 | suppressed |
| Haloperidol Decanoate | Haloperidol Decanoate | 13 | suppressed |
| Dextroamphetamine-Amphet Er | Dextroamphetamine/Amphetamine | 12 | suppressed |
| Olanzapine Odt | Olanzapine | 12 | suppressed |
| Zonisamide | Zonisamide | 12 | suppressed |
| Atomoxetine Hcl | Atomoxetine Hcl | 11 | suppressed |
| Austedo | Deutetrabenazine | 11 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 11 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 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 | $148.59 · 6 records | Alkermes, Inc. | ABILIFY ASIMTUFII, ABILIFY MAINTENA, ARISTADA, AUSTEDO XR, FANAPT, LYBALVI | 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 Teva Pharmaceuticals USA, 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