Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $13,129 | 845 | 78.2% |
| Debt forgiveness | $3,275 | 5 | 19.5% |
| Education | $383.01 | 9 | 2.3% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Alkermes, Inc. | $3,611 | 178 | $0 (2024) |
| Neuronetics, Inc. | $3,304 | 6 | $0 (2024) |
| Otsuka America Pharmaceutical, Inc. | $2,449 | 181 | $0 (2024) |
| Takeda Pharmaceuticals U.S.A., Inc. | $1,174 | 155 | $0 (2024) |
| Janssen Pharmaceuticals, Inc | $1,076 | 46 | $0 (2024) |
| Lundbeck LLC | $1,018 | 62 | $0 (2024) |
| ITI, Inc. | $759.85 | 54 | $0 (2023) |
| Indivior Inc. | $713.76 | 44 | $0 (2024) |
| Teva Pharmaceuticals USA, Inc. | $690.02 | 23 | $0 (2024) |
| Sunovion Pharmaceuticals Inc. | $509.72 | 25 | $0 (2022) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $5,135 | 100 | Neuronetics, Inc. ($3,275) |
| 2023 | $1,701 | 84 | Alkermes, Inc. ($606.90) |
| 2022 | $1,490 | 96 | Alkermes, Inc. ($449.43) |
| 2021 | $1,947 | 132 | Alkermes, Inc. ($556.14) |
| 2020 | $1,509 | 105 | Allergan, Inc. ($243.49) |
| 2019 | $1,604 | 115 | Alkermes, Inc. ($373.63) |
| 2018 | $2,114 | 145 | Otsuka America Pharmaceutical, Inc. ($493.08) |
| 2017 | $1,288 | 82 | Alkermes, Inc. ($376.80) |
All Payment Transactions
859 individual payment records from CMS Open Payments — Page 1 of 35
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/18/2024 | Axsome Therapeutics, Inc. | Auvelity (Drug) | Food and Beverage | In-kind items and services | $32.58 | General |
| Category: Psychology/Psychiatric | ||||||
| 12/18/2024 | Alkermes, Inc. | ARISTADA (Drug), ARISTADA, ARISTADA | Food and Beverage | In-kind items and services | $19.48 | General |
| Category: CNS | ||||||
| 12/13/2024 | Takeda Pharmaceuticals U.S.A., Inc. | TRINTELLIX (Drug) | Food and Beverage | In-kind items and services | $13.93 | General |
| Category: NEUROSCIENCE | ||||||
| 12/13/2024 | Takeda Pharmaceuticals U.S.A., Inc. | TRINTELLIX (Drug) | Food and Beverage | In-kind items and services | $6.50 | General |
| Category: NEUROSCIENCE | ||||||
| 12/10/2024 | Alkermes, Inc. | ARISTADA (Drug), ARISTADA, ARISTADA | Food and Beverage | In-kind items and services | $34.12 | General |
| Category: CNS | ||||||
| 12/03/2024 | Takeda Pharmaceuticals U.S.A., Inc. | TRINTELLIX (Drug) | Food and Beverage | In-kind items and services | $9.33 | General |
| Category: NEUROSCIENCE | ||||||
| 11/27/2024 | Alkermes, Inc. | ARISTADA (Drug), ARISTADA, ARISTADA | Food and Beverage | In-kind items and services | $33.64 | General |
| Category: CNS | ||||||
| 11/20/2024 | E.R. Squibb & Sons, L.L.C. | COBENFY (Drug) | Food and Beverage | Cash or cash equivalent | $28.18 | General |
| Category: Psychiatry/Psychology | ||||||
| 11/14/2024 | Neuronetics, Inc. | NEUROSTAR TMS THERAPY SYSTEM (Device) | Debt forgiveness | Cash or cash equivalent | $875.00 | General |
| Category: NEUROSTAR TMS THERAPY SYSTEM | ||||||
| 11/14/2024 | Neuronetics, Inc. | NEUROSTAR TMS THERAPY SYSTEM (Device) | Debt forgiveness | Cash or cash equivalent | $875.00 | General |
| Category: NEUROSTAR TMS THERAPY SYSTEM | ||||||
| 11/14/2024 | Neuronetics, Inc. | NEUROSTAR TMS THERAPY SYSTEM (Device) | Debt forgiveness | Cash or cash equivalent | $875.00 | General |
| Category: NEUROSTAR TMS THERAPY SYSTEM | ||||||
| 11/14/2024 | Neuronetics, Inc. | NEUROSTAR TMS THERAPY SYSTEM (Device) | Debt forgiveness | Cash or cash equivalent | $325.00 | General |
| Category: NEUROSTAR TMS THERAPY SYSTEM | ||||||
| 11/14/2024 | Neuronetics, Inc. | NEUROSTAR TMS THERAPY SYSTEM (Device) | Debt forgiveness | Cash or cash equivalent | $325.00 | General |
| Category: NEUROSTAR TMS THERAPY SYSTEM | ||||||
| 11/12/2024 | Alkermes, Inc. | ARISTADA (Drug), ARISTADA, ARISTADA | Food and Beverage | In-kind items and services | $33.06 | General |
| Category: CNS | ||||||
| 11/06/2024 | Otsuka America Pharmaceutical, Inc. | ABILIFY MAINTENA (Drug), ABILIFY ASIMTUFII | Food and Beverage | In-kind items and services | $26.10 | General |
| Category: PSYCHIATRY | ||||||
| 11/05/2024 | Otsuka America Pharmaceutical, Inc. | REXULTI (Drug) | Food and Beverage | In-kind items and services | $10.00 | General |
| Category: PSYCHIATRY | ||||||
| 10/23/2024 | Lundbeck LLC | REXULTI (Drug) | Food and Beverage | Cash or cash equivalent | $29.79 | General |
| Category: PSYCHIATRY | ||||||
| 10/22/2024 | Takeda Pharmaceuticals U.S.A., Inc. | TRINTELLIX (Drug) | Food and Beverage | In-kind items and services | $4.67 | General |
| Category: NEUROSCIENCE | ||||||
| 10/16/2024 | Alkermes, Inc. | ARISTADA (Drug), ARISTADA, ARISTADA | Food and Beverage | In-kind items and services | $29.37 | General |
| Category: CNS | ||||||
| 10/10/2024 | Teva Pharmaceuticals USA, Inc. | UZEDY (Drug) | Food and Beverage | In-kind items and services | $25.28 | General |
| Category: Neurology | ||||||
| 10/09/2024 | E.R. Squibb & Sons, L.L.C. | — | Food and Beverage | Cash or cash equivalent | $14.53 | General |
| 10/04/2024 | Takeda Pharmaceuticals U.S.A., Inc. | TRINTELLIX (Drug) | Food and Beverage | In-kind items and services | $8.45 | General |
| Category: NEUROSCIENCE | ||||||
| 10/01/2024 | Alkermes, Inc. | ARISTADA (Drug), ARISTADA, ARISTADA | Food and Beverage | In-kind items and services | $32.91 | General |
| Category: CNS | ||||||
| 10/01/2024 | ABBVIE INC. | VRAYLAR (Drug) | Food and Beverage | In-kind items and services | $28.15 | General |
| Category: NEUROSCIENCE | ||||||
| 09/26/2024 | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | CAPLYTA (Drug) | Food and Beverage | In-kind items and services | $13.09 | General |
| Category: PSYCHIATRY | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 2 | 61 | 87 | $13,470 | $6,784 |
| 2022 | 2 | 60 | 99 | $15,300 | $8,022 |
| 2021 | 1 | 47 | 100 | $17,500 | $8,505 |
| 2020 | 1 | 67 | 173 | $22,490 | $8,186 |
All Medicare Procedures & Services
6 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 29 | 48 | $8,400 | $4,153 | 49.4% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 32 | 39 | $5,070 | $2,631 | 51.9% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 31 | 54 | $9,450 | $4,884 | 51.7% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 29 | 45 | $5,850 | $3,138 | 53.6% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 47 | 100 | $17,500 | $8,505 | 48.6% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Office | 2020 | 67 | 173 | $22,490 | $8,186 | 36.4% |
About Dr. John Middleton, M.D
Dr. John Middleton, M.D is a Psychiatry healthcare provider based in Fresno, California. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 08/31/2006. The National Provider Identifier (NPI) number assigned to this provider is 1427160720.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. John Middleton, M.D has received a total of $16,787 in payments from pharmaceutical and medical device companies, with $5,135 received in 2024. These payments were reported across 859 transactions from 21 companies. The most common payment nature is "Food and Beverage" ($13,129).
As a Medicare-enrolled provider, Middleton has provided services to 235 Medicare beneficiaries, totaling 459 services with total Medicare billing of $31,496. Data is available for 4 years (2020–2023), covering 6 distinct procedure/service records.
Practice Information
- Specialty Psychiatry
- Location Fresno, CA
- Active Since 08/31/2006
- Last Updated 11/13/2023
- Taxonomy Code 2084P0800X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1427160720
Products in Payments
- NEUROSTAR TMS THERAPY SYSTEM (Device) $3,275
- ARISTADA (Drug) $2,733
- REXULTI (Drug) $2,100
- TRINTELLIX (Drug) $993.96
- ABILIFY MAINTENA (Drug) $982.91
- INVEGA SUSTENNA (Drug) $928.66
- CAPLYTA (Drug) $923.98
- Aristada 441 mg (Drug) $700.87
- PERSERIS (Drug) $571.29
- VRAYLAR (Drug) $531.33
- LATUDA (Drug) $509.72
- Trintellix (Drug) $408.95
- AUSTEDO (Drug) $211.84
- NUEDEXTA (Drug) $178.00
- INGREZZA (Drug) $171.29
- UZEDY (Drug) $169.70
- ABILIFY ASIMTUFII (Drug) $167.59
- SUBLOCADE (Drug) $142.47
- INVOKANA (Drug) $108.32
- Vivitrol 380 mg (Drug) $105.16
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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