Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Michael Zafrani

Psychiatry Aiea, HI Medical Doctor

NPI 1982780128 CMS profile 90455

98-030 Hekaha St, Ste 21, Aiea, HI 96701

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General payments

$28,914

1,294 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Michael Zafrani of Aiea, HI is reported in the CMS Open Payments database as having received $28,914 across 1,294 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 96th percentile of Psychiatry profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $5,485 190
2024 General $4,372 159
2023 General $5,398 203
2022 General $4,330 231
2021 General $4,496 226
2020 General $2,446 132
2019 General $2,387 153

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Michael Zafrani
  • Psychiatry median
  • Middle half of Psychiatry
  • National median

In program year 2025, general payments to Michael Zafrani were reported at $5,485. Among 14,155 Psychiatry profiles paid that year, the median was $180 and the middle half received between $58 and $685.

Show as a table
Year Michael Zafrani Psychiatry median Middle half National median
2019 $2,387 $184 $59–$605 $163
2020 $2,446 $119 $36–$372 $114
2021 $4,496 $143 $43–$576 $132
2022 $4,330 $153 $50–$590 $149
2023 $5,398 $170 $56–$651 $160
2024 $4,372 $179 $57–$673 $164
2025 $5,485 $180 $58–$685 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Teva Pharmaceuticals USA, Inc. $6,323 230 payments
  2. AbbVie, Inc. $4,398 168 payments
  3. Neurocrine Biosciences, Inc. $2,853 105 payments
  4. Otsuka America Pharmaceutical, Inc. $2,592 110 payments
  5. Indivior Inc. $2,455 81 payments
  6. Allergan Inc. $1,780 99 payments
  7. Takeda Pharmaceuticals U.S.A., Inc. $1,724 111 payments
  8. ITI, Inc. $1,460 65 payments
  9. Janssen Pharmaceuticals, Inc $1,395 83 payments
  10. Sunovion Pharmaceuticals Inc. $1,356 134 payments
  11. Other $2,578 108 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $28,141 1,280 payments
  2. Education $762 13 payments
  3. Travel and Lodging $12 1 payment
Products named General payments · program years 2019–2025
  1. VRAYLAR Neuroscience $3,308 129 payments
  2. VRAYLAR Neuroscience $2,404 125 payments
  3. UZEDY $2,287 68 payments
  4. PERSERIS $2,269 70 payments
  5. AUSTEDO $2,074 99 payments
  6. INGREZZA $1,999 77 payments
  7. INVEGA SUSTENNA $1,386 82 payments
  8. LATUDA $1,356 134 payments
  9. REXULTI $1,348 56 payments
  10. Austedo XR $1,318 57 payments
  11. Other $10,349 506 payments

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 · 56 drugs

Part D claims

2,345

Median for Psychiatry: 574

Drug cost

$1,542,950

Median for Psychiatry: $27,624

Branded share of claims

32.7%

Median for Psychiatry: 17%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Austedo Xr Deutetrabenazine Brand 33 $250,281
Austedo Deutetrabenazine Brand 33 $230,084
Perseris Risperidone Brand 79 $229,635
Vraylar Cariprazine Hcl Brand 94 $147,380
Invega Sustenna Paliperidone Palmitate Brand 38 $138,374
Abilify Maintena Aripiprazole Brand 44 $129,439
Rexulti Brexpiprazole Brand 53 $90,591
Uzedy Risperidone Brand 25 $82,701
Fanapt Iloperidone Brand 36 $63,393
Lurasidone Hcl Generic 27 $38,533

The 10 drugs with the highest cost, of 56 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 20,488 Part D prescribers listed as Psychiatry; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 4 billing codes

Paid by Medicare

$36,799

Medicare's payments for the services billed

Medicare patients

50

Average age 74

Services billed

651

33 women, 17 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Depression 66%
Chronic kidney disease 46%
Diabetes 38%
Arthritis 28%
Osteoporosis 24%

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 16 products · payments 2024

Two 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.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
UZEDY
$812 25 —
VRAYLAR
$763 94 —
INGREZZA
$694 — —
REXULTI
$572 53 —
PERSERIS
$432 79 —

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.

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Records

1,294 reported

Every 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 Psychiatry in Hawaii

Related records

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.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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