Who Paid My Doc
Grace Trivers
Clinical Nurse Specialist, Psychiatric/Mental Health Chelmsford, MA Clinical Nurse Specialist
NPI 1306828512 CMS profile 10864112
1 Meeting House Rd Ste 16 Fl 2, Chelmsford, MA 01824
General payments
$4,374
Research payments
$0
Ownership & investment interest
$0
Through program year 2025, Grace Trivers of Chelmsford, MA is reported in the CMS Open Payments database as having received $4,374 across 257 general payments and $0 in research payments paid to them.
No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.
General payments for this record sit in the 86th percentile of Clinical Nurse Specialist, Psychiatric/Mental Health profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
5 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2025 | General | $128 | 2 | |
| 2024 | General | $465 | 27 | |
| 2023 | General | $1,576 | 98 | |
| 2022 | General | $1,434 | 86 | |
| 2021 | General | $772 | 44 |
Beside peers
- Grace Trivers
- Clinical Nurse Specialist, Psychiatric/Mental Health median
- Middle half of Clinical Nurse Specialist, Psychiatric/Mental Health
- National median
In program year 2025, general payments to Grace Trivers were reported at $128. Among 300 Clinical Nurse Specialist, Psychiatric/Mental Health profiles paid that year, the median was $245 and the middle half received between $78 and $929.
Show as a table
| Year | Grace Trivers | Clinical Nurse Specialist, Psychiatric/Mental Health median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $0 | — | — | $163 |
| 2020 | $0 | — | — | $114 |
| 2021 | $772 | $153 | $44–$540 | $132 |
| 2022 | $1,434 | $207 | $60–$748 | $149 |
| 2023 | $1,576 | $197 | $55–$898 | $160 |
| 2024 | $465 | $189 | $49–$804 | $164 |
| 2025 | $128 | $245 | $78–$929 | $169 |
Breakdown
A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.
Prescribing to Medicare patients
Part D · data year 2024 · 28 drugsPart D claims
1,179
Drug cost
$27,722
Branded share of claims
24.8%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Lurasidone Hcl | Generic | 23 | $10,346 | |
| Venlafaxine Hcl Er Venlafaxine Hcl | Brand | 102 | $2,110 | |
| Bupropion Xl Bupropion Hcl | Brand | 62 | $1,628 | |
| Aripiprazole | Generic | 24 | $1,105 | |
| Sertraline Hcl | Generic | 66 | $1,047 | |
| Quetiapine Fumarate | Generic | 55 | $981 | |
| Clonazepam | Generic | 143 | $892 | |
| Buspirone Hcl | Generic | 29 | $884 | |
| Methylphenidate Hcl | Generic | 13 | $859 | |
| Escitalopram Oxalate | Generic | 55 | $690 |
The 10 drugs with the highest cost, of 28 counted.
Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 1,644 Part D prescribers listed as Certified Clinical Nurse Specialist; they describe a distribution and say nothing about conduct.
Billing to Medicare
Part B · data year 2024 · 5 billing codesPaid by Medicare
$14,014
Medicare patients
61
Services billed
253
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| Depression | 75% | |
| High blood pressure | 57% | |
| Arthritis | 44% | |
| Chronic kidney disease | 28% | |
| Osteoporosis | 21% | |
| Diabetes | 20% |
Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.
Payments and prescribing
First 5 of 8 products · payments 2024Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.
| Product | Paid by | Related payments | Part D claims | Part B services |
|---|---|---|---|---|
| VRAYLAR |
|
$195 | — | — |
| Austedo XR |
|
$95 | — | — |
| REXULTI |
|
$81 | — | — |
| UZEDY |
|
$31 | — | — |
| ARISTADA |
|
$21 | — | — |
A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.
See all 8 in the dashboard with a free accountRecords
257 reportedEvery payment, record by record
Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.
Other Clinical Nurse Specialist, Psychiatric/Mental Health in Massachusetts
Sherryl Rosen
Clinical Nurse Specialist, Psychiatric/Mental Health · Lynn, MA
Stephanie Parent
Clinical Nurse Specialist, Psychiatric/Mental Health · Worcester, MA
Elizabeth McCusker-Hunt
Clinical Nurse Specialist, Psychiatric/Mental Health · Amesbury, MA
Geraldine Kasulinous
Clinical Nurse Specialist, Psychiatric/Mental Health · Ludlow, MA
Judith Israel
Clinical Nurse Specialist, Psychiatric/Mental Health · Quincy, MA
Danielle Zito
Clinical Nurse Specialist, Psychiatric/Mental Health · Jamaica Plain, MA
Related records
Clinical Nurse Specialist, Psychiatric/Mental Health in Massachusetts
Practitioners in the same specialty and state, ranked by reported value.
All Clinical Nurse Specialist, Psychiatric/Mental Health
Everyone recorded under this specialty, nationwide.
Doctors in Massachusetts
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
What this means
U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.
An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.
Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.