Payment overview · 2025
General Payments
$1,099.27
35 reported records · 11 companies
Healthcare provider profile · identity verified
Fred Lwakaaka, APRN
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Gerontology · LITTLE EGG HARBOR TWP, NJ · NPI 1588181713
Verified facts
What the public records show
CMS Open Payments records show Fred Lwakaaka, APRN received $1,099.27 in general payments during 2025 across 35 reported records.
Axsome Therapeutics, Inc. accounted for 42.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 10 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Caplyta, 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 15 claims for Caplyta 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 Caplyta as an associated drug or biological on 11 records involving 9 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Caplyta by this doctor in 2024.
Lundbeck LLC 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 71829 records involving 25812 distinct recipient NPIs. Public Medicare Part D data also shows 49 claims for Rexulti 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 49 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 |
|---|---|---|---|---|---|
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $469.97 | 42.8% | 9 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $156.35 | 14.2% | 3 | 2025 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $109.98 | 10.0% | 5 | 2025 |
| Alkermes, Inc. | Unresolved — no canonical attribution shown | $74.57 | 6.8% | 4 | 2025 |
| Medline Industries LP | Unresolved — no canonical attribution shown | $51.62 | 4.7% | 1 | 2025 |
| Indivior Inc. | Unresolved — no canonical attribution shown | $48.99 | 4.5% | 3 | 2025 |
| Janssen Pharmaceuticals, Inc | Unresolved — no canonical attribution shown | $47.76 | 4.3% | 2 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $47.31 | 4.3% | 3 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $35.86 | 3.3% | 2 | 2025 |
| Lundbeck LLC | Unresolved — no canonical attribution shown | $35.07 | 3.2% | 2 | 2025 |
| Bausch Health US, LLC | Unresolved — no canonical attribution shown | $21.79 | 2.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,099.27 | 35 |
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 |
|---|---|---|---|---|---|
| Auvelity Normalized: auvelity |
Drug | Axsome Therapeutics, Inc. | $469.97 | 9 | 2025 |
Source payment records
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| UZEDY Normalized: uzedy |
Drug | Teva Pharmaceuticals USA, Inc. | $156.35 | 3 | 2025 |
Source payment records
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| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $109.98 | 5 | 2025 |
Source payment records
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| VIVITROL Normalized: vivitrol |
Drug | Alkermes, Inc. | $74.57 | 4 | 2025 |
Source payment records
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| REXULTI Normalized: rexulti |
Drug | Lundbeck LLC, Otsuka America Pharmaceutical, Inc. | $70.93 | 4 | 2025 |
Source payment records
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| SUBLOCADE Normalized: sublocade |
Drug | Indivior Inc. | $48.99 | 3 | 2025 |
Source payment records
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| SPRAVATO Normalized: spravato |
Drug | Janssen Pharmaceuticals, Inc | $47.76 | 2 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $47.31 | 3 | 2025 |
Source payment records
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| APLENZIN Normalized: aplenzin |
Drug | Bausch Health US, LLC | $21.79 | 1 | 2025 |
Source payment records
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| WELLBUTRIN Normalized: wellbutrin |
Drug | Bausch Health US, LLC | $21.79 | 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 |
|---|---|---|---|---|---|---|
| CAPLYTA caplyta |
2025 | Caplyta | 2024 | 15 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| REXULTI rexulti |
2025 | Rexulti | 2024 | 49 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 |
15 | suppressed by CMS |
| Janssen Pharmaceuticals, Inc Exact reporting entity; no affiliate inference |
2025 | Caplyta open payments reported associated product |
CMS Open Payments — General Payments 11 supporting records · 9 recipient NPIs · example record 1174547314 |
Caplyta · 2024 Exact normalized brand match · 1 Part D row |
15 | suppressed by CMS |
| Lundbeck LLC Exact reporting entity; no affiliate inference |
2025 | REXULTI open payments reported associated product |
CMS Open Payments — General Payments 71829 supporting records · 25812 recipient NPIs · example record 1251759986 |
Rexulti · 2024 Exact normalized brand match · 1 Part D row |
49 | 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 |
49 | 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 |
|---|---|---|---|
| Alprazolam | Alprazolam | 662 | 78 |
| Clonazepam | Clonazepam | 384 | 54 |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 329 | 47 |
| Quetiapine Fumarate | Quetiapine Fumarate | 270 | 35 |
| Zolpidem Tartrate | Zolpidem Tartrate | 218 | 33 |
| Bupropion Xl | Bupropion Hcl | 211 | 36 |
| Trazodone Hcl | Trazodone Hcl | 197 | 31 |
| Aripiprazole | Aripiprazole | 191 | 33 |
| Duloxetine Hcl | Duloxetine Hcl | 171 | 27 |
| Escitalopram Oxalate | Escitalopram Oxalate | 167 | 25 |
| Gabapentin | Gabapentin | 150 | 22 |
| Sertraline Hcl | Sertraline Hcl | 145 | 23 |
| Fluoxetine Hcl | Fluoxetine Hcl | 139 | 21 |
| Lorazepam | Lorazepam | 112 | 20 |
| Olanzapine | Olanzapine | 109 | 13 |
| Diazepam | Diazepam | 104 | 15 |
| Risperidone | Risperidone | 95 | 11 |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 79 | 13 |
| Divalproex Sodium | Divalproex Sodium | 77 | 15 |
| Paroxetine Hcl | Paroxetine Hcl | 74 | suppressed |
| Mirtazapine | Mirtazapine | 73 | 14 |
| Benztropine Mesylate | Benztropine Mesylate | 66 | 12 |
| Prazosin Hcl | Prazosin Hcl | 66 | 11 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 60 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 59 | 12 |
| Divalproex Sodium Er | Divalproex Sodium | 56 | suppressed |
| Lamotrigine | Lamotrigine | 56 | 11 |
| Dextroamphetamine-Amphet Er | Dextroamphetamine/Amphetamine | 50 | 12 |
| Lurasidone Hcl | Lurasidone Hcl | 50 | suppressed |
| Trintellix | Vortioxetine Hydrobromide | 50 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 49 | suppressed |
| Clozapine | Clozapine | 49 | suppressed |
| Rexulti | Brexpiprazole | 49 | suppressed |
| Topiramate | Topiramate | 49 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 45 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 41 | 13 |
| Buprenorphine-Naloxone | Buprenorphine Hcl/Naloxone Hcl | 39 | suppressed |
| Lithium Carbonate | Lithium Carbonate | 39 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 34 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 33 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 32 | suppressed |
| Ziprasidone Hcl | Ziprasidone Hcl | 32 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 26 | suppressed |
| Temazepam | Temazepam | 22 | suppressed |
| Trifluoperazine Hcl | Trifluoperazine Hcl | 22 | suppressed |
| Lithium Carbonate Er | Lithium Carbonate | 20 | suppressed |
| Quetiapine Fumarate Er | Quetiapine Fumarate | 20 | suppressed |
| Haloperidol | Haloperidol | 16 | suppressed |
| Perphenazine | Perphenazine | 16 | suppressed |
| Caplyta | Lumateperone Tosylate | 15 | suppressed |
| Methylphenidate Er | Methylphenidate Hcl | 14 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 14 | suppressed |
| Chlorpromazine Hcl | Chlorpromazine Hcl | 12 | suppressed |
| Fluvoxamine Maleate | Fluvoxamine Maleate | 12 | suppressed |
| Memantine Hcl | Memantine Hcl | 12 | suppressed |
| Modafinil | Modafinil | 12 | suppressed |
| Alprazolam Xr | Alprazolam | 11 | suppressed |
| Buprenorphine Hcl | Buprenorphine Hcl | 11 | suppressed |
| Ropinirole Hcl | Ropinirole 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 | $1,099.27 · 35 records | Axsome Therapeutics, Inc. | APLENZIN, Auvelity, CAPLYTA, REXULTI, SPRAVATO, SUBLOCADE, UZEDY, VIVITROL, VRAYLAR, WELLBUTRIN | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Caplyta 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