IndustryPayments
Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

JOHN A MIDDLETON

Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry

NPI
1427160720
CMS profile
155617
Location
FRESNO, CA

General Payments · PY2018–2024

$15,498.95

  • Reported across 777 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$5,134.63

100 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

Related groups: Psychiatry CA All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Debt forgiveness $3,275.00 5
Food and Beverage $1,748.14 94
Education $111.49 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Neuronetics, Inc. $3,275.00 5
Alkermes, Inc. $602.17 21
Otsuka America Pharmaceutical, Inc. $407.10 22
Teva Pharmaceuticals USA, Inc. $227.31 6
Takeda Pharmaceuticals U.S.A., Inc. $190.56 23
ITI, Inc. $164.13 11
ABBVIE INC. $90.55 4
Lundbeck LLC $47.88 2
E.R. Squibb & Sons, L.L.C. $42.71 2
Axsome Therapeutics, Inc. $32.58 1
Indivior Inc. $28.31 2
Janssen Pharmaceuticals, Inc $26.33 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $2,113.86 145
PY2019 $1,603.65 115
PY2020 $1,509.38 105
PY2021 $1,946.84 132
PY2022 $1,489.71 96
PY2023 $1,700.88 84
PY2024 $5,134.63 100

Payment records · PY2024 (100)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $26.06 03/27/2024 Food and Beverage Undisputed 01/23/2026 1105032525 CMS
ABBVIE INC. $21.83 07/31/2024 Food and Beverage Undisputed 01/23/2026 1105032527 CMS
ABBVIE INC. $14.51 09/25/2024 Food and Beverage Undisputed 01/23/2026 1105032529 CMS
ABBVIE INC. $28.15 10/01/2024 Food and Beverage Undisputed 01/23/2026 1105032531 CMS
Alkermes, Inc. $23.76 01/09/2024 Food and Beverage Undisputed 01/23/2026 1120554535 CMS
Alkermes, Inc. $29.23 01/23/2024 Food and Beverage Undisputed 01/23/2026 1120554537 CMS
Alkermes, Inc. $26.89 02/06/2024 Food and Beverage Undisputed 01/23/2026 1120554539 CMS
Alkermes, Inc. $25.74 02/21/2024 Food and Beverage Undisputed 01/23/2026 1120554541 CMS
Alkermes, Inc. $29.19 03/05/2024 Food and Beverage Undisputed 01/23/2026 1120554543 CMS
Alkermes, Inc. $26.43 03/19/2024 Food and Beverage Undisputed 01/23/2026 1120554545 CMS
Alkermes, Inc. $26.90 04/16/2024 Food and Beverage Undisputed 01/23/2026 1120554547 CMS
Alkermes, Inc. $27.27 05/14/2024 Food and Beverage Undisputed 01/23/2026 1120554549 CMS
Alkermes, Inc. $29.58 05/28/2024 Food and Beverage Undisputed 01/23/2026 1120554551 CMS
Alkermes, Inc. $26.62 06/11/2024 Food and Beverage Undisputed 01/23/2026 1120554553 CMS
Alkermes, Inc. $29.99 06/26/2024 Food and Beverage Undisputed 01/23/2026 1120554555 CMS
Alkermes, Inc. $26.09 08/06/2024 Food and Beverage Undisputed 01/23/2026 1120554557 CMS
Alkermes, Inc. $29.09 08/20/2024 Food and Beverage Undisputed 01/23/2026 1120554559 CMS
Alkermes, Inc. $28.49 09/03/2024 Food and Beverage Undisputed 01/23/2026 1120554561 CMS
Alkermes, Inc. $34.32 09/17/2024 Food and Beverage Undisputed 01/23/2026 1120554563 CMS
Alkermes, Inc. $32.91 10/01/2024 Food and Beverage Undisputed 01/23/2026 1120554565 CMS
Alkermes, Inc. $29.37 10/16/2024 Food and Beverage Undisputed 01/23/2026 1120554567 CMS
Alkermes, Inc. $33.06 11/12/2024 Food and Beverage Undisputed 01/23/2026 1120554569 CMS
Alkermes, Inc. $33.64 11/27/2024 Food and Beverage Undisputed 01/23/2026 1120554571 CMS
Alkermes, Inc. $34.12 12/10/2024 Food and Beverage Undisputed 01/23/2026 1120554573 CMS
Alkermes, Inc. $19.48 12/18/2024 Food and Beverage Undisputed 01/23/2026 1120554575 CMS
Axsome Therapeutics, Inc. $32.58 12/18/2024 Food and Beverage Undisputed 01/23/2026 1148291908 CMS
E.R. Squibb & Sons, L.L.C. $14.53 10/09/2024 Food and Beverage Undisputed 01/23/2026 1101680639 CMS
E.R. Squibb & Sons, L.L.C. $28.18 11/20/2024 Food and Beverage Undisputed 01/23/2026 1101680658 CMS
Indivior Inc. $13.61 01/03/2024 Food and Beverage Undisputed 01/23/2026 1144533543 CMS
Indivior Inc. $14.70 02/28/2024 Food and Beverage Undisputed 01/23/2026 1144533545 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $5.05 01/10/2024 Food and Beverage Undisputed 01/23/2026 1143278483 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $11.53 03/21/2024 Food and Beverage Undisputed 01/23/2026 1143278487 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $17.16 03/25/2024 Food and Beverage Undisputed 01/23/2026 1143278491 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.64 05/30/2024 Food and Beverage Undisputed 01/23/2026 1143278494 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $13.66 07/02/2024 Food and Beverage Undisputed 01/23/2026 1143278498 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $17.30 07/08/2024 Food and Beverage Undisputed 01/23/2026 1143278502 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $22.84 07/24/2024 Food and Beverage Undisputed 01/23/2026 1143278506 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $20.16 08/01/2024 Food and Beverage Undisputed 01/23/2026 1143278510 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $20.96 09/11/2024 Food and Beverage Undisputed 01/23/2026 1143278513 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $13.09 09/26/2024 Food and Beverage Undisputed 01/23/2026 1143278517 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $3.74 09/26/2024 Food and Beverage Undisputed 01/23/2026 1143278521 CMS
Janssen Pharmaceuticals, Inc $26.33 06/12/2024 Food and Beverage Undisputed 01/23/2026 1077924521 CMS
Lundbeck LLC $18.09 07/23/2024 Food and Beverage Undisputed 01/23/2026 1145946342 CMS
Lundbeck LLC $29.79 10/23/2024 Food and Beverage Undisputed 01/23/2026 1145946344 CMS
Neuronetics, Inc. $875.00 11/14/2024 Debt forgiveness Undisputed 01/23/2026 1108466692 CMS
Neuronetics, Inc. $875.00 11/14/2024 Debt forgiveness Undisputed 01/23/2026 1108466694 CMS
Neuronetics, Inc. $875.00 11/14/2024 Debt forgiveness Undisputed 01/23/2026 1108466696 CMS
Neuronetics, Inc. $325.00 11/14/2024 Debt forgiveness Undisputed 01/23/2026 1108466698 CMS
Neuronetics, Inc. $325.00 11/14/2024 Debt forgiveness Undisputed 01/23/2026 1108466700 CMS
Otsuka America Pharmaceutical, Inc. $19.33 01/31/2024 Food and Beverage Undisputed 01/23/2026 1118942695 CMS
Otsuka America Pharmaceutical, Inc. $28.76 02/14/2024 Food and Beverage Undisputed 01/23/2026 1118942697 CMS
Otsuka America Pharmaceutical, Inc. $13.36 02/21/2024 Food and Beverage Undisputed 01/23/2026 1118942699 CMS
Otsuka America Pharmaceutical, Inc. $22.52 02/28/2024 Food and Beverage Undisputed 01/23/2026 1118942701 CMS
Otsuka America Pharmaceutical, Inc. $25.31 03/13/2024 Food and Beverage Undisputed 01/23/2026 1118942703 CMS
Otsuka America Pharmaceutical, Inc. $1.28 03/13/2024 Food and Beverage Undisputed 01/23/2026 1118942705 CMS
Otsuka America Pharmaceutical, Inc. $11.69 03/20/2024 Food and Beverage Undisputed 01/23/2026 1118942707 CMS
Otsuka America Pharmaceutical, Inc. $12.96 03/29/2024 Food and Beverage Undisputed 01/23/2026 1118942709 CMS
Otsuka America Pharmaceutical, Inc. $11.07 04/11/2024 Food and Beverage Undisputed 01/23/2026 1118942711 CMS
Otsuka America Pharmaceutical, Inc. $16.06 04/22/2024 Food and Beverage Undisputed 01/23/2026 1118942713 CMS
Otsuka America Pharmaceutical, Inc. $24.65 04/24/2024 Food and Beverage Undisputed 01/23/2026 1118942715 CMS
Otsuka America Pharmaceutical, Inc. $28.48 05/08/2024 Food and Beverage Undisputed 01/23/2026 1118942717 CMS
Otsuka America Pharmaceutical, Inc. $27.62 05/22/2024 Food and Beverage Undisputed 01/23/2026 1118942719 CMS
Otsuka America Pharmaceutical, Inc. $11.45 06/26/2024 Food and Beverage Undisputed 01/23/2026 1118942721 CMS
Otsuka America Pharmaceutical, Inc. $20.62 07/29/2024 Food and Beverage Undisputed 01/23/2026 1118942723 CMS
Otsuka America Pharmaceutical, Inc. $26.28 07/31/2024 Food and Beverage Undisputed 01/23/2026 1118942725 CMS
Otsuka America Pharmaceutical, Inc. $9.08 08/20/2024 Food and Beverage Undisputed 01/23/2026 1118942727 CMS
Otsuka America Pharmaceutical, Inc. $26.59 08/28/2024 Food and Beverage Undisputed 01/23/2026 1118942729 CMS
Otsuka America Pharmaceutical, Inc. $12.44 08/29/2024 Food and Beverage Undisputed 01/23/2026 1118942731 CMS
Otsuka America Pharmaceutical, Inc. $21.45 09/11/2024 Food and Beverage Undisputed 01/23/2026 1118942733 CMS
Otsuka America Pharmaceutical, Inc. $10.00 11/05/2024 Food and Beverage Undisputed 01/23/2026 1118942735 CMS
Otsuka America Pharmaceutical, Inc. $26.10 11/06/2024 Food and Beverage Undisputed 01/23/2026 1118942737 CMS
Takeda Pharmaceuticals U.S.A., Inc. $10.98 01/16/2024 Food and Beverage Undisputed 01/23/2026 1137635706 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.26 01/17/2024 Food and Beverage Undisputed 01/23/2026 1137635708 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.63 01/17/2024 Food and Beverage Undisputed 01/23/2026 1137635710 CMS
Takeda Pharmaceuticals U.S.A., Inc. $10.25 02/09/2024 Food and Beverage Undisputed 01/23/2026 1137635712 CMS
Takeda Pharmaceuticals U.S.A., Inc. $8.67 02/23/2024 Food and Beverage Undisputed 01/23/2026 1137635714 CMS
Takeda Pharmaceuticals U.S.A., Inc. $7.07 02/23/2024 Food and Beverage Undisputed 01/23/2026 1137635716 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.59 03/12/2024 Food and Beverage Undisputed 01/23/2026 1137635718 CMS
Takeda Pharmaceuticals U.S.A., Inc. $12.43 04/19/2024 Food and Beverage Undisputed 01/23/2026 1137635720 CMS
Takeda Pharmaceuticals U.S.A., Inc. $4.67 04/19/2024 Food and Beverage Undisputed 01/23/2026 1137635722 CMS
Takeda Pharmaceuticals U.S.A., Inc. $10.11 05/07/2024 Food and Beverage Undisputed 01/23/2026 1137635724 CMS
Takeda Pharmaceuticals U.S.A., Inc. $4.32 05/28/2024 Food and Beverage Undisputed 01/23/2026 1137635726 CMS
Takeda Pharmaceuticals U.S.A., Inc. $8.25 05/31/2024 Food and Beverage Undisputed 01/23/2026 1137635728 CMS
Takeda Pharmaceuticals U.S.A., Inc. $4.54 06/18/2024 Food and Beverage Undisputed 01/23/2026 1137635730 CMS
Takeda Pharmaceuticals U.S.A., Inc. $8.09 07/19/2024 Food and Beverage Undisputed 01/23/2026 1137635732 CMS
Takeda Pharmaceuticals U.S.A., Inc. $3.33 07/19/2024 Food and Beverage Undisputed 01/23/2026 1137635734 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.33 07/30/2024 Food and Beverage Undisputed 01/23/2026 1137635736 CMS
Takeda Pharmaceuticals U.S.A., Inc. $3.83 09/13/2024 Food and Beverage Undisputed 01/23/2026 1137635738 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.33 09/24/2024 Food and Beverage Undisputed 01/23/2026 1137635740 CMS
Takeda Pharmaceuticals U.S.A., Inc. $8.45 10/04/2024 Food and Beverage Undisputed 01/23/2026 1137635742 CMS
Takeda Pharmaceuticals U.S.A., Inc. $4.67 10/22/2024 Food and Beverage Undisputed 01/23/2026 1137635744 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.33 12/03/2024 Food and Beverage Undisputed 01/23/2026 1137635746 CMS
Takeda Pharmaceuticals U.S.A., Inc. $13.93 12/13/2024 Food and Beverage Undisputed 01/23/2026 1137635748 CMS
Takeda Pharmaceuticals U.S.A., Inc. $6.50 12/13/2024 Food and Beverage Undisputed 01/23/2026 1137635750 CMS
Teva Pharmaceuticals USA, Inc. $19.04 01/26/2024 Food and Beverage Undisputed 01/23/2026 1151470668 CMS
Teva Pharmaceuticals USA, Inc. $17.24 04/08/2024 Food and Beverage Undisputed 01/23/2026 1151470704 CMS
Teva Pharmaceuticals USA, Inc. $18.50 05/10/2024 Food and Beverage Undisputed 01/23/2026 1151470716 CMS
Teva Pharmaceuticals USA, Inc. $111.49 05/17/2024 Education Undisputed 01/23/2026 1151470786 CMS
Teva Pharmaceuticals USA, Inc. $35.76 07/18/2024 Food and Beverage Undisputed 01/23/2026 1151470756 CMS
Teva Pharmaceuticals USA, Inc. $25.28 10/10/2024 Food and Beverage Undisputed 01/23/2026 1151470804 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.