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Indira D Adapa, MD

Psychiatry · Fresno

NPI 1588776918

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
3

Offices

3 locations · Mental Health Systems Inc · Bio-Behavioral Medical Clinics, Inc

Looking this up.

Hospitals listed: Community Regional Medical Center · Saint Agnes Medical Center. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Adapa’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A86927 · Current

Licensed to practise in California · since 2004 · expires 2027-11-30 · University of Health Sciences, Vijayawada, Guntur Medical College.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Community Regional Medical CenterFresno, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Community Medical Centers, which runs 4 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 1 of 5 starsWorse than the national rate — Death rate among surgical inpatients with serious treatable complications: 211.21 (174.88 to 247.54) · 239 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.705, Oct 2024 – Sep 2025
  • Saint Agnes Medical CenterFresno, CAAcute Care Hospital · Voluntary non-profit - Church · Has an emergency department · Birthing-friendlyPart of Trinity Health, which runs 105 hospitals in 16 statesPatients rate it 3 of 5 · 76% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.274, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.312, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.141, Oct 2024 – Sep 2025
See every measure and the patient survey for Community Regional Medical Center

Behind the star rating — Deaths: 0 better, 7 the same, 1 worse of 8 measures. Safety: 0 better, 7 the same, 0 worse of 7 measures. Readmissions: 0 better, 7 the same, 3 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Community Regional Medical Center
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths211.21 (174.88 to 247.54) · 239 casesWorseJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.705BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.13 (0.29 to 1.96) · 2,304 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.09 (0.87 to 1.3)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.2 · 187 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.6 · 116 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.7 · 187 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.6 · 445 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.2 · 399 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 582 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.2 · 3,744 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.31 (0.12 to 0.5) · 11,052 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.1 to 0.45) · 11,566 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.33 (1.64 to 5.01) · 3,139 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.08 (0 to 2.3) · 1,423 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.7 (0.52 to 2.88) · 3,084 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.85 (8.11 to 15.6) · 1,481 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.4 (3.81 to 8.98) · 1,404 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.35 (0.95 to 3.76) · 760 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.64 (0.16 to 1.11) · 10,254 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.817No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.031No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.837No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.81No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.853No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 258 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22 · 689 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits37.4 · 202 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits35.2 · 543 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits39.2 · 434 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19.3 · 552 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.4 (3.6 to 7.9) · 169 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.4 (8.3 to 15.4) · 169 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits12.4 · 189 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.6 · 248 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.9 (9.5 to 14.9) · 2,590 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 310 casesNo differentJan 2024 – Dec 2024

What patients said (421 patients answered, 26% of those asked)

Patient survey stars by topic at Community Regional Medical Center
Cleanliness4
Nurse communication2
Doctor communication3
Communication about medicines2
Discharge information4
Overall hospital rating3
Quietness1
Recommend hospital3
Share of patients giving the best answer at Community Regional Medical Center
Room was "always" clean74%
Nurses "always" communicated well74%
Doctors "always" communicated well77%
Staff "always" explained55%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)66%
Staff "always" explained new medications69%
Nurses "always" explained things so they could understand70%
Nurses "always" listened carefully70%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects41%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Saint Agnes Medical Center

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 6 the same, 0 worse of 8 measures. Readmissions: 0 better, 6 the same, 3 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Saint Agnes Medical Center
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.274BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.312BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.141BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.18 to 1.94) · 2,342 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.76 to 1.27)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths197.82 (152.64 to 243.01) · 103 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.9 · 105 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.3 · 300 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.9 · 295 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.8 · 768 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.8 · 969 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.2 · 304 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.7 · 4,305 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.06 to 0.42) · 11,641 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.07 to 0.43) · 12,213 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.76 (2.91 to 6.61) · 2,466 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.09 (0 to 2.49) · 864 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.61 (0.26 to 2.96) · 2,362 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.1 (5.39 to 14.81) · 900 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.4 (1.2 to 7.59) · 882 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.84 (0.41 to 3.27) · 541 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.67 (0.14 to 1.19) · 9,626 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.9 · 58 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections0.835No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections1.182No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.004No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 412 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.6 · 1,002 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits28.8 · 296 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits25.5 · 894 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits17.8 · 981 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.1 · 1,061 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5 · 56 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits13.4 · 150 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 412 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.3 (9.6 to 15.9) · 1,324 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.1) · 863 casesNo differentJan 2024 – Dec 2024

What patients said (812 patients answered, 32% of those asked)

Patient survey stars by topic at Saint Agnes Medical Center
Cleanliness4
Nurse communication3
Doctor communication2
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital4
Share of patients giving the best answer at Saint Agnes Medical Center
Room was "always" clean73%
Nurses "always" communicated well73%
Doctors "always" communicated well74%
Staff "always" explained61%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand70%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect80%
Patients who gave a rating of "9" or "10" (high)71%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand68%
Nurses "always" listened carefully70%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night50%
"YES", patients would definitely recommend the hospital76%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms87%

Original Medicare doctor bills

$43,314

Medicare paid this office $43,314 for 100 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)31$13,807$92
Psychotherapy with evaluation and management visit, 45 minutes13$6,234$70
Initial hospital care with moderate level of medical decision making at least 75 minutes41$5,397$132
Psychotherapy with evaluation and management visit, 45 minutes40$4,739$63
New patient visit (60+ min)24$3,487$145
See all 7 services
Every Original Medicare service billed
Return visit (30+ min)31$13,807$92
Psychotherapy with evaluation and management visit, 45 minutes13$6,234$70
Initial hospital care with moderate level of medical decision making at least 75 minutes41$5,397$132
Psychotherapy with evaluation and management visit, 45 minutes40$4,739$63
New patient visit (60+ min)24$3,487$145
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes21$3,241$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,965$61

Who their Medicare patients are

100 Original Medicare patients in 2024. Average age 66 · Under 65 36% · Women 45% · Also on Medicaid 73% · Health risk score 2.07. Above the middle of the specialty; the typical psychiatry clinician is at 1.35.

Conditions among them: High blood pressure 75% · Diabetes 55% · Depression 53% · Coronary heart disease 38% · Chronic kidney disease 33% · Heart failure 31% · Dementia 30% · Atrial fibrillation 24% · COPD 22% · Stroke 15% · Cancer 12%.

The office billed $83,816, Medicare allowed $57,339 and paid $43,314; for 505 services of 12 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024100505662.07$83,816$43,314
202379442641.44$66,390$33,342
2022120601641.65$93,794$47,716
2021142708672.06$119,300$60,814
2020171698682.17$117,768$59,355
2019137455671.95$62,985$36,885
2018130516652.54$55,838$37,872
2017119631652.00$65,860$43,560
2016152578602.09$62,756$41,732
2015106528621.98$56,865$38,538
2014132530652.03$59,950$42,667
2013122415611.92$46,543$30,416

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 6 services

Original Medicare services billed in 2023
Return visit (30+ min)26$10,032$97
Psychotherapy with evaluation and management visit, 45 minutes16$5,268$70
Psychotherapy with evaluation and management visit, 45 minutes27$4,313$63
Initial hospital care with moderate level of medical decision making at least 75 minutes30$4,062$131
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$3,887$95
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes20$2,962$63

2022: 6 services

Original Medicare services billed in 2022
Return visit (30+ min)24$13,139$98
Initial hospital care with moderate level of medical decision making at least 75 minutes52$8,567$159
Psychotherapy with evaluation and management visit, 45 minutes20$8,366$70
Psychotherapy with evaluation and management visit, 45 minutes52$6,466$64
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes29$3,940$80
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes30$3,892$57

2021: 6 services

Original Medicare services billed in 2021
Return visit (30+ min)28$13,388$98
Initial hospital care with moderate level of medical decision making at least 75 minutes78$13,281$162
Psychotherapy with evaluation and management visit, 45 minutes81$10,296$65
Psychotherapy with evaluation and management visit, 45 minutes20$8,448$72
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes42$6,720$82
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes29$4,034$57

2020: 6 services

Original Medicare services billed in 2020
Initial hospital care with moderate level of medical decision making at least 75 minutes111$18,496$155
Psychotherapy with evaluation and management visit, 45 minutes111$12,299$68
Return visit (30+ min)22$8,715$85
Psychotherapy with evaluation and management visit, 45 minutes22$7,535$72
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes39$5,582$85
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes34$3,459$59

2019: 8 services

Original Medicare services billed in 2019
Initial hospital care with moderate level of medical decision making at least 75 minutes62$10,778$159
Return visit (30+ min)22$5,954$82
Psychotherapy with evaluation and management visit, 45 minutes62$4,853$55
Psychotherapy with evaluation and management visit, 45 minutes33$4,496$53
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$2,932$59
New patient visit (60+ min)12$2,014$168
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$1,872$78
Psychiatric diagnostic evaluation with medical services11$1,379$125

2018: 6 services

Original Medicare services billed in 2018
Initial hospital care with moderate level of medical decision making at least 75 minutes70$11,507$155
Return visit (30+ min)20$9,539$82
Psychotherapy with evaluation and management visit, 45 minutes28$5,301$42
Psychotherapy with evaluation and management visit, 45 minutes68$3,757$43
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes30$3,054$57
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$1,703$74

2017: 6 services

Original Medicare services billed in 2017
Return visit (30+ min)25$14,646$80
Initial hospital care with moderate level of medical decision making at least 75 minutes61$10,075$157
Psychotherapy with evaluation and management visit, 45 minutes28$7,903$40
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes32$3,358$55
Psychotherapy with evaluation and management visit, 45 minutes58$3,339$42
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$1,387$73

2016: 6 services

Original Medicare services billed in 2016
Initial hospital care with moderate level of medical decision making at least 75 minutes72$12,212$161
Return visit (30+ min)21$10,141$80
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes59$6,849$54
Psychotherapy with evaluation and management visit, 45 minutes31$5,898$41
Psychotherapy with evaluation and management visit, 45 minutes54$2,846$43
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$1,642$103

2015: 7 services

Original Medicare services billed in 2015
Return visit (30+ min)21$10,728$81
Initial hospital care with moderate level of medical decision making at least 75 minutes59$10,635$159
Psychotherapy with evaluation and management visit, 45 minutes23$6,042$41
Psychotherapy with evaluation and management visit, 45 minutes55$3,881$43
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes24$2,349$57
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$1,936$74
New patient visit (60+ min)12$1,896$158

2014: 7 services

Original Medicare services billed in 2014
Initial hospital care with moderate level of medical decision making at least 75 minutes99$17,840$161
Psychotherapy with evaluation and management visit, 45 minutes97$6,296$43
Return visit (30+ min)13$6,149$83
Psychotherapy with evaluation and management visit, 45 minutes17$3,556$42
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes27$2,979$74
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes21$2,211$55
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,661$111

2013: 7 services

Original Medicare services billed in 2013
Initial hospital care with moderate level of medical decision making at least 75 minutes77$12,019$154
Return visit (30+ min)11$3,661$70
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes33$3,563$56
Psychotherapy with evaluation and management visit, 45 minutes48$2,896$43
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes21$2,316$75
Psychotherapy with evaluation and management visit, 45 minutes16$1,946$34
Psychotherapy with evaluation and management visit, 1 hour21$1,409$67

Drugs they prescribed that Part D paid

$211,291

Pharmacies billed $211,291 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 414) in 2024. At or below the middle of the specialty; the typical psychiatry clinician is at 0%.

317 generic and 97 brand-name prescriptions · $211,291 in drug cost · 55 antipsychotic prescriptions to people over 65.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Invega Sustenna41$111,612$2,722
Abilify Maintena28$61,659$2,202
Trintellix14$9,637$688
Lurasidone11$3,197$291
Aripiprazole24$897$37
See all 15 drugs
Every Part D drug this clinician prescribed
Invega Sustenna41$111,612$2,722
Abilify Maintena28$61,659$2,202
Trintellix14$9,637$688
Lurasidone11$3,197$291
Aripiprazole24$897$37
Olanzapine34$506$15
Sertraline72$497$7
Divalproex19$343$18
Mirtazapine17$259$15
Escitalopram25$189$8
Buspirone31$176$6
Venlafaxine Hcl Er19$172$9
Bupropion Xl11$159$14
Risperidone13$148$11
Trazodone15$133$9

Year by year

Part D prescribing by year
2024414530% (0)23%$211,291
2023397530% (0)12%$114,118
2022497610% (0)8%$104,342
2021503600% (0)10%$168,133
2020434620% (0)9%$152,404
2019439680% (0)11%$116,915
2018428630% (0)14%$167,732
2017402440% (0)10%$79,715
2016355360% (0)14%$41,934
201526241None23%$26,628
2014188240% (0)28%$18,648
201377180% (0)31%$6,260

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 13 drugs

Part D drugs prescribed in 2023
Abilify Maintena21$49,211$2,343
Invega Sustenna14$27,351$1,954
Aripiprazole22$2,282$104
Sertraline91$1,212$13
Mirtazapine23$942$41
Risperidone37$648$18
Olanzapine20$575$29
Fluoxetine22$419$19
Divalproex16$401$25
Buspirone20$366$18
Venlafaxine Hcl Er28$333$12
Escitalopram20$251$13
Bupropion Xl18$181$10

2022: 11 drugs

Part D drugs prescribed in 2022
Invega Sustenna12$26,171$2,181
Mirtazapine48$1,135$24
Aripiprazole12$1,061$88
Divalproex Sodium Er16$990$62
Sertraline98$665$7
Venlafaxine Hcl Er24$572$24
Escitalopram33$244$7
Buspirone29$235$8
Fluoxetine49$181$4
Risperidone44$180$4
Hydroxyzine13$68$5

2021: 15 drugs

Part D drugs prescribed in 2021
Ingrezza12$82,823$6,902
Invega Sustenna12$19,896$1,658
Trintellix25$11,197$448
Mirtazapine65$1,478$23
Sertraline93$741$8
Venlafaxine Hcl Er31$622$20
Bupropion Xl12$589$49
Aripiprazole13$350$27
Donepezil14$283$20
Escitalopram38$265$7
Duloxetine24$190$8
Trazodone30$185$6
Buspirone23$165$7
Risperidone25$163$7
Fluoxetine24$91$4

2020: 12 drugs

Part D drugs prescribed in 2020
Ingrezza13$87,053$6,696
Trintellix25$15,618$625
Mirtazapine57$827$15
Sertraline90$699$8
Aripiprazole20$552$28
Venlafaxine Hcl Er32$497$16
Bupropion Xl16$295$18
Risperidone29$208$7
Escitalopram29$192$7
Trazodone30$177$6
Buspirone16$161$10
Lamotrigine17$144$8

2019: 13 drugs

Part D drugs prescribed in 2019
Ingrezza12$78,577$6,548
Latuda12$15,603$1,300
Trintellix17$7,861$462
Sertraline101$646$6
Mirtazapine37$513$14
Venlafaxine Hcl Er25$389$16
Bupropion Xl16$300$19
Risperidone31$199$6
Buspirone30$155$5
Escitalopram22$146$7
Trazodone22$126$6
Quetiapine24$123$5
Citalopram Hbr12$60$5

2018: 10 drugs

Part D drugs prescribed in 2018
Ingrezza13$81,830$6,295
Abilify Maintena12$19,510$1,626
Latuda15$18,612$1,241
Quetiapine Fumarate Er11$1,882$171
Sertraline120$812$7
Risperidone48$650$14
Mirtazapine34$555$16
Bupropion Xl21$485$23
Fluoxetine12$151$13
Buspirone29$127$4

2017: 9 drugs

Part D drugs prescribed in 2017
Seroquel Xr13$8,690$668
Aripiprazole12$2,812$234
Sertraline111$645$6
Risperidone54$438$8
Mirtazapine40$402$10
Bupropion Xl18$359$20
Buspirone26$126$5
Donepezil19$105$6
Hydroxyzine Pamoate11$55$5

2016: 10 drugs

Part D drugs prescribed in 2016
Seroquel Xr22$14,182$645
Aripiprazole19$5,202$274
Sertraline104$538$5
Mirtazapine27$362$13
Risperidone29$230$8
Bupropion Xl12$190$16
Buspirone28$161$6
Donepezil18$87$5
Quetiapine11$71$6
Citalopram Hbr11$51$5

2015: 4 drugs

Part D drugs prescribed in 2015
Pristiq Er11$4,159$378
Sertraline59$267$5
Mirtazapine25$249$10
Risperidone23$125$5

2014: 7 drugs

Part D drugs prescribed in 2014
Abilify11$8,230$748
Seroquel Xr13$4,783$368
Sertraline52$465$9
Mirtazapine21$336$16
Risperidone13$135$10
Buspirone16$116$7
Zolpidem11$103$9

2013: 2 drugs

Part D drugs prescribed in 2013
Sertraline37$496$13
Mirtazapine11$139$13

Money from drug and device companies

$1,563 in 2025

Industry payments by year
20251041None$1,563
2024720None$1,090
2023815None$1,009
2022944None$1,089
2021611None$483
2020613None$359
20191039None$1,344

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
E.R. Squibb & Sons L.L.C.Cobenfy$354
9 payments
  • Meals for Cobenfy · 2025-11-13 · $20
  • Meals for Cobenfy · 2025-11-13 · $2
  • Meals for Cobenfy · 2025-09-24 · $125
  • Meals for Cobenfy · 2025-08-21 · $1
  • Meals for Cobenfy · 2025-08-21 · $22
  • Meals for Cobenfy · 2025-08-08 · $3
  • Meals for Cobenfy · 2025-08-08 · $20
  • Meals · 2025-03-19 · $36
  • Meals for Cobenfy · 2025-01-16 · $125
ITI Inc. (d/b/a Intra-Cellular Therapies Inc.)Caplyta$324
10 payments
  • Meals for Caplyta · 2025-11-20 · $110
  • Meals for Caplyta · 2025-10-08 · $10
  • Meals for Caplyta · 2025-09-24 · $7
  • Meals for Caplyta · 2025-09-10 · $13
  • Meals for Caplyta · 2025-08-19 · $12
  • Meals for Caplyta · 2025-07-30 · $122
  • Meals for Caplyta · 2025-06-03 · $11
  • Meals for Caplyta · 2025-05-21 · $8
  • Meals for Caplyta · 2025-03-17 · $11
  • Meals for Caplyta · 2025-02-05 · $21
Teva Pharmaceuticals USAUzedy$282
4 payments
  • Meals for Austedo Xr · 2025-09-16 · $122
  • Meals for Uzedy · 2025-07-22 · $2
  • Meals for Uzedy · 2025-07-21 · $36
  • Meals for Uzedy · 2025-05-15 · $122
AlkermesLybalvi$243
9 payments
  • Meals for Aristada · 2025-11-20 · $22
  • Meals for Aristada · 2025-11-13 · $11
  • Meals for Aristada · 2025-10-30 · $7
  • Meals for Aristada · 2025-09-18 · $13
  • Meals for Aristada · 2025-08-21 · $23
  • Meals for Aristada · 2025-07-24 · $14
  • Meals for Aristada · 2025-07-03 · $11
  • Meals for Lybalvi · 2025-03-18 · $130
  • Meals for Aristada · 2025-01-08 · $12
Axsome TherapeuticsAuvelity$219
3 payments
  • Meals for Auvelity · 2025-11-19 · $10
  • Meals for Auvelity · 2025-07-22 · $86
  • Meals for Auvelity · 2025-03-27 · $123
Otsuka America PharmaceuticalRexulti$52
2 payments
  • Meals for Abilify Asimtufii · 2025-04-24 · $25
  • Meals for Rexulti · 2025-03-06 · $27
See all 41 published payments
Every published payment
AlkermesMeals · 2025-11-20Aristada$22
ITI Inc. (d/b/a Intra-Cellular Therapies Inc.)Meals · 2025-11-20Caplyta$110
Axsome TherapeuticsMeals · 2025-11-19Auvelity$10
E.R. Squibb & Sons L.L.C.Meals · 2025-11-13Cobenfy$20
E.R. Squibb & Sons L.L.C.Meals · 2025-11-13Cobenfy$2
AlkermesMeals · 2025-11-13Aristada$11
AlkermesMeals · 2025-10-30Aristada$7
Janssen PharmaceuticalsMeals · 2025-10-23Invega Sustenna$17
ITI Inc. (d/b/a Intra-Cellular Therapies Inc.)Meals · 2025-10-08Caplyta$10
E.R. Squibb & Sons L.L.C.Meals · 2025-09-24Cobenfy$125
ITI Inc. (d/b/a Intra-Cellular Therapies Inc.)Meals · 2025-09-24Caplyta$7
AlkermesMeals · 2025-09-18Aristada$13
Teva Pharmaceuticals USAMeals · 2025-09-16Austedo Xr$122
LundbeckMeals · 2025-09-11Rexulti$29
ITI Inc. (d/b/a Intra-Cellular Therapies Inc.)Meals · 2025-09-10Caplyta$13
E.R. Squibb & Sons L.L.C.Meals · 2025-08-21Cobenfy$1
E.R. Squibb & Sons L.L.C.Meals · 2025-08-21Cobenfy$22
AlkermesMeals · 2025-08-21Aristada$23
ITI Inc. (d/b/a Intra-Cellular Therapies Inc.)Meals · 2025-08-19Caplyta$12
E.R. Squibb & Sons L.L.C.Meals · 2025-08-08Cobenfy$3
E.R. Squibb & Sons L.L.C.Meals · 2025-08-08Cobenfy$20
ITI Inc. (d/b/a Intra-Cellular Therapies Inc.)Meals · 2025-07-30Caplyta$122
AlkermesMeals · 2025-07-24Aristada$14
Axsome TherapeuticsMeals · 2025-07-22Auvelity$86
Teva Pharmaceuticals USAMeals · 2025-07-22Uzedy$2
Teva Pharmaceuticals USAMeals · 2025-07-21Uzedy$36
Vanda PharmaceuticalsMeals · 2025-07-09Fanapt$29
AlkermesMeals · 2025-07-03Aristada$11
ITI Inc. (d/b/a Intra-Cellular Therapies Inc.)Meals · 2025-06-03Caplyta$11
ITI Inc. (d/b/a Intra-Cellular Therapies Inc.)Meals · 2025-05-21Caplyta$8
Teva Pharmaceuticals USAMeals · 2025-05-15Uzedy$122
Otsuka America PharmaceuticalMeals · 2025-04-24Abilify Asimtufii$25
Axsome TherapeuticsMeals · 2025-03-27Auvelity$123
E.R. Squibb & Sons L.L.C.Meals · 2025-03-19None$36
AlkermesMeals · 2025-03-18Lybalvi$130
ITI Inc. (d/b/a Intra-Cellular Therapies Inc.)Meals · 2025-03-17Caplyta$11
Otsuka America PharmaceuticalMeals · 2025-03-06Rexulti$27
Neurocrine BioSciencesMeals · 2025-02-17Ingrezza$15
ITI Inc. (d/b/a Intra-Cellular Therapies Inc.)Meals · 2025-02-05Caplyta$21
E.R. Squibb & Sons L.L.C.Meals · 2025-01-16Cobenfy$125
AlkermesMeals · 2025-01-08Aristada$12
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $1,090

Payments by company in 2024
Otsuka America PharmaceuticalAbilify Maintena$515
5 payments
  • Meals for Abilify Asimtufii · 2024-11-21 · $24
  • Meals for Abilify Maintena · 2024-06-05 · $125
  • Meals for Rexulti · 2024-04-10 · $122
  • Meals for Rexulti · 2024-03-12 · $122
  • Meals for Abilify Maintena · 2024-02-06 · $122
AlkermesLybalvi$188
5 payments
  • Meals for Aristada · 2024-12-18 · $15
  • Meals for Aristada · 2024-05-16 · $25
  • Meals for Lybalvi · 2024-03-26 · $120
  • Meals for Aristada · 2024-02-21 · $16
  • Meals for Aristada · 2024-02-06 · $13
ITI Inc. (d/b/a Intra-Cellular Therapies Inc.)Caplyta$152
4 payments
  • Meals for Caplyta · 2024-08-23 · $8
  • Meals for Caplyta · 2024-08-08 · $125
  • Meals for Caplyta · 2024-05-09 · $8
  • Meals for Caplyta · 2024-05-09 · $11
Axsome TherapeuticsAuvelity$143
2 payments
  • Meals for Auvelity · 2024-05-22 · $18
  • Meals for Auvelity · 2024-01-17 · $125
AbbvieVraylar$41
2 payments
  • Meals for Vraylar · 2024-10-10 · $27
  • Meals for Vraylar · 2024-05-01 · $13
IndiviorPerseris$37
1 payment
  • Meals for Perseris · 2024-05-28 · $37
E.R. Squibb & Sons L.L.C.Cobenfy$15
1 payment
  • Meals for Cobenfy · 2024-12-12 · $15

2023: $1,009

Payments by company in 2023
Otsuka America PharmaceuticalAbilify Maintena$395
4 payments
  • Meals for Abilify Asimtufii · 2023-08-29 · $29
  • Meals for Abilify Maintena · 2023-08-24 · $125
  • Meals for Rexulti · 2023-03-15 · $119
  • Meals for Abilify Maintena · 2023-02-23 · $122
Janssen PharmaceuticalsInvega Sustenna$359
4 payments
  • Meals for Invega Sustenna · 2023-11-08 · $125
  • Education for Invega Sustenna · 2023-11-01 · $100
  • Meals for Invega Sustenna · 2023-10-25 · $9
  • Meals for Spravato · 2023-10-25 · $125
BioXcel TherapeuticsIgalmi$125
1 payment
  • Meals for Igalmi · 2023-05-23 · $125
IndiviorPerseris$48
2 payments
  • Meals for Perseris · 2023-09-07 · $26
  • Meals for Perseris · 2023-06-14 · $23
Axsome TherapeuticsAuvelity$28
1 payment
  • Meals for Auvelity · 2023-04-05 · $28
AlkermesAristada$21
1 payment
  • Meals for Aristada · 2023-10-18 · $21
AbbVieVraylar$17
1 payment
  • Meals for Vraylar · 2023-09-06 · $17
ItiCaplyta$14
1 payment
  • Meals for Caplyta · 2023-07-26 · $14

2022: $1,089

Payments by company in 2022
Neurocrine BiosciencesIngrezza$320
9 payments
  • Meals for Ingrezza · 2022-09-19 · $5
  • Meals for Ingrezza · 2022-08-18 · $25
  • Meals for Ingrezza · 2022-08-18 · $4
  • Meals for Ingrezza · 2022-08-02 · $140
  • Meals for Ingrezza · 2022-07-22 · $7
  • Meals for Ingrezza · 2022-06-21 · $5
  • Meals for Ingrezza · 2022-06-09 · $5
  • Meals for Ingrezza · 2022-04-19 · $5
  • Meals for Ingrezza · 2022-02-24 · $125
AlkermesAristada$251
8 payments
  • Meals for Lybalvi · 2022-06-29 · $120
  • Meals for Aristada · 2022-05-13 · $21
  • Meals for Aristada · 2022-05-12 · $23
  • Meals for Aristada · 2022-04-05 · $14
  • Meals for Aristada · 2022-03-18 · $23
  • Meals for Aristada · 2022-02-08 · $8
  • Meals for Aristada · 2022-01-25 · $22
  • Meals for Aristada · 2022-01-11 · $20
Otsuka America PharmaceuticalRexulti$125
1 payment
  • Meals for Rexulti · 2022-12-06 · $125
Sunovion PharmaceuticalsLatuda$92
10 payments
  • Meals for Latuda · 2022-09-07 · $10
  • Meals for Latuda · 2022-08-24 · $4
  • Meals for Latuda · 2022-08-17 · $11
  • Meals for Latuda · 2022-08-10 · $7
  • Meals for Latuda · 2022-07-27 · $4
  • Meals for Latuda · 2022-07-20 · $4
  • Meals for Latuda · 2022-06-29 · $12
  • Meals for Latuda · 2022-05-18 · $11
  • Meals for Latuda · 2022-04-21 · $12
  • Meals for Latuda · 2022-04-07 · $16
ItiCaplyta$81
5 payments
  • Meals for Caplyta · 2022-07-14 · $19
  • Meals for Caplyta · 2022-06-16 · $16
  • Meals for Caplyta · 2022-05-31 · $14
  • Meals for Caplyta · 2022-04-13 · $14
  • Meals for Caplyta · 2022-01-03 · $18
Janssen PharmaceuticalsInvega Sustenna$76
4 payments
  • Meals for Invega Sustenna · 2022-11-16 · $19
  • Meals for Invega Sustenna · 2022-10-19 · $19
  • Meals for Invega Sustenna · 2022-08-10 · $21
  • Meals for Invega Sustenna · 2022-03-08 · $17
AbbvieVraylar$56
2 payments
  • Meals for Vraylar · 2022-06-09 · $29
  • Meals for Vraylar · 2022-06-01 · $27
Takeda Pharmaceuticals U.S.A.Trintellix$49
3 payments
  • Meals for Trintellix · 2022-07-21 · $12
  • Meals for Trintellix · 2022-04-12 · $18
  • Meals for Trintellix · 2022-01-13 · $18
IndiviorPerseris$39
2 payments
  • Meals for Perseris · 2022-11-29 · $23
  • Meals for Perseris · 2022-11-01 · $16

2021: $483

Payments by company in 2021
ItiCaplyta$152
3 payments
  • Meals for Caplyta · 2021-11-23 · $12
  • Meals for Caplyta · 2021-06-08 · $15
  • Meals for Caplyta · 2021-05-12 · $125
Otsuka America PharmaceuticalAbilify Maintena$122
1 payment
  • Meals for Abilify Maintena · 2021-08-12 · $122
AbbVieVraylar$108
2 payments
  • Meals for Vraylar · 2021-07-23 · $13
  • Meals for Vraylar · 2021-06-30 · $95
AlkermesLybalvi$58
2 payments
  • Meals for Lybalvi · 2021-12-16 · $45
  • Meals for Aristada · 2021-03-18 · $13
Takeda Pharmaceuticals U.S.A.Trintellix$27
2 payments
  • Meals for Trintellix · 2021-08-19 · $15
  • Meals for Trintellix · 2021-05-13 · $12
Janssen PharmaceuticalsInvega Sustenna$17
1 payment
  • Meals for Invega Sustenna · 2021-11-16 · $17

2020: $359

Payments by company in 2020
Otsuka America PharmaceuticalRexulti$122
1 payment
  • Meals for Rexulti · 2020-03-04 · $122
Takeda Pharmaceuticals U.S.A.Trintellix$60
3 payments
  • Meals for Trintellix · 2020-12-17 · $14
  • Meals for Trintellix · 2020-11-12 · $17
  • Meals for Trintellix · 2020-10-29 · $29
Sunovion PharmaceuticalsLatuda$59
3 payments
  • Meals for Latuda · 2020-11-05 · $24
  • Meals for Latuda · 2020-10-01 · $17
  • Meals for Latuda · 2020-01-30 · $18
LundbeckRexulti$58
3 payments
  • Meals for Rexulti · 2020-11-18 · $17
  • Meals for Brintellix · 2020-10-08 · $21
  • Meals for Rexulti · 2020-01-02 · $21
Janssen PharmaceuticalsInvega Sustenna$42
2 payments
  • Meals for Invega Sustenna · 2020-03-05 · $18
  • Meals for Invega Sustenna · 2020-02-27 · $24
Neurocrine BiosciencesIngrezza$18
1 payment
  • Meals for Ingrezza · 2020-01-23 · $18

2019: $1,344

Payments by company in 2019
Otsuka America PharmaceuticalAbilify Maintena$422
10 payments
  • Meals for Abilify Maintena · 2019-11-13 · $15
  • Meals for Abilify Maintena · 2019-11-06 · $122
  • Meals for Abilify Maintena · 2019-05-30 · $122
  • Meals for Rexulti · 2019-05-22 · $1
  • Meals for Rexulti · 2019-05-22 · $11
  • Meals for Rexulti · 2019-05-02 · $120
  • Meals for Rexulti · 2019-04-04 · $12
  • Meals for Rexulti · 2019-02-28 · $4
  • Meals for Rexulti · 2019-02-27 · $5
  • Meals for Rexulti · 2019-01-23 · $12
Janssen PharmaceuticalsInvega Sustenna$302
7 payments
  • Meals for Invega Sustenna · 2019-08-07 · $29
  • Meals for Invega Sustenna · 2019-06-27 · $106
  • Meals for Invega Sustenna · 2019-06-27 · $15
  • Meals for Spravato · 2019-05-01 · $2
  • Meals for Spravato · 2019-05-01 · $104
  • Meals for Spravato · 2019-04-25 · $17
  • Meals for Invega Sustenna · 2019-02-20 · $28
Neurocrine BiosciencesIngrezza$190
6 payments
  • Meals for Ingrezza · 2019-10-30 · $11
  • Meals for Ingrezza · 2019-10-16 · $16
  • Meals for Ingrezza · 2019-08-21 · $4
  • Meals for Ingrezza · 2019-06-06 · $22
  • Meals for Ingrezza · 2019-04-08 · $124
  • Meals for Ingrezza · 2019-03-27 · $13
Ironshore PharmaceuticalsJornay Pm 20mg Capsules (Bottle of 100)$138
2 payments
  • Meals for Jornay Pm 20mg Capsules (Bottle of 100) · 2019-11-20 · $19
  • Meals for Jornay Pm 20mg Capsules (Bottle of 100) · 2019-10-17 · $119
Takeda Pharmaceuticals U.S.A.Trintellix$119
4 payments
  • Meals for Trintellix · 2019-09-26 · $9
  • Meals for Trintellix · 2019-03-06 · $96
  • Meals for Trintellix · 2019-02-28 · $13
  • Meals for Trintellix · 2019-02-28 · $1
LundbeckRexulti$39
2 payments
  • Meals for Rexulti · 2019-07-17 · $20
  • Meals for Rexulti · 2019-01-03 · $19
AllerganVraylar$36
2 payments
  • Meals for Vraylar · 2019-10-09 · $12
  • Meals for Vraylar · 2019-07-31 · $23
Sunovion PharmaceuticalsLatuda$34
2 payments
  • Meals for Latuda · 2019-06-20 · $17
  • Meals for Latuda · 2019-04-18 · $16
Teva Pharmaceuticals USAAustedo$33
2 payments
  • Meals for Austedo · 2019-05-15 · $14
  • Meals for Austedo · 2019-05-08 · $19
AlkermesAristada$32
2 payments
  • Meals for Aristada · 2019-07-25 · $16
  • Meals for Aristada · 2019-04-24 · $16

Professional record

NPI
1588776918
Licence
CA A86927California A86927: Current · expires 2027-11-30
Group
Mental Health Systems Inc · Bio-Behavioral Medical Clinics, Inc
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 2084P0804X (2084P0804X); Psychiatry (2084P0800X)
Mailing address
10090 N Page Ave, Fresno, CA, 93720
NPI first listed
2006-08-31
NPI last updated
2024-09-10
NPI record certified
2024-09-10

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 1060 W Sierra Ave Ste 105, Fresno, CA, 93711 · 2549 W Shaw Ave, Fresno, CA, 93711

This office lists an electronic records connection.