Who Paid My Doc
Nirmal Brar
Child & Adolescent Psychiatry Fresno, CA Medical Doctor
NPI 1710982608 CMS profile 123599
1111 E Herndon Ave Ste 115, Fresno, CA 93720
General payments
$11,731
Research payments
$0
Ownership & investment interest
$0
Through program year 2025, Nirmal Brar of Fresno, CA is reported in the CMS Open Payments database as having received $11,731 across 701 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 Child & Adolescent 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 | $1,890 | 111 | |
| 2024 | General | $1,232 | 61 | |
| 2023 | General | $1,797 | 89 | |
| 2022 | General | $1,639 | 102 | |
| 2021 | General | $2,227 | 144 | |
| 2020 | General | $1,295 | 78 | |
| 2019 | General | $1,650 | 116 |
Beside peers
- Nirmal Brar
- Child & Adolescent Psychiatry median
- Middle half of Child & Adolescent Psychiatry
- National median
In program year 2025, general payments to Nirmal Brar were reported at $1,890. Among 1,601 Child & Adolescent Psychiatry profiles paid that year, the median was $132 and the middle half received between $41 and $474.
Show as a table
| Year | Nirmal Brar | Child & Adolescent Psychiatry median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $1,650 | $129 | $42–$419 | $163 |
| 2020 | $1,295 | $81 | $28–$226 | $114 |
| 2021 | $2,227 | $115 | $31–$326 | $132 |
| 2022 | $1,639 | $124 | $40–$382 | $149 |
| 2023 | $1,797 | $130 | $45–$420 | $160 |
| 2024 | $1,232 | $141 | $42–$490 | $164 |
| 2025 | $1,890 | $132 | $41–$474 | $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 · 35 drugsPart D claims
1,171
Drug cost
$107,380
Branded share of claims
19.7%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Rexulti Brexpiprazole | Brand | 38 | $62,735 | |
| Vraylar Cariprazine Hcl | Brand | 13 | $18,687 | |
| Fetzima Levomilnacipran Hcl | Brand | 13 | $6,758 | |
| Clozapine | Generic | 49 | $3,084 | |
| Risperidone | Generic | 110 | $1,997 | |
| Quetiapine Fumarate | Generic | 82 | $1,609 | |
| Oxcarbazepine | Generic | 40 | $1,535 | |
| Ziprasidone Hcl | Generic | 24 | $1,259 | |
| Olanzapine | Generic | 55 | $1,252 | |
| Paliperidone Er Paliperidone | Brand | 14 | $1,076 |
The 10 drugs with the highest cost, of 35 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 1,891 Part D prescribers listed as Neuropsychiatry; they describe a distribution and say nothing about conduct.
Payments and prescribing
First 5 of 16 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 |
|
$352 | 13 | — |
| REXULTI |
|
$304 | 38 | — |
| JORNAY PM |
|
$106 | — | — |
| Azstarys |
|
$101 | — | — |
| Qelbree |
|
$52 | — | — |
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 16 in the dashboard with a free accountRecords
701 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.
Related records
Child & Adolescent Psychiatry in California
Practitioners in the same specialty and state, ranked by reported value.
All Child & Adolescent Psychiatry
Everyone recorded under this specialty, nationwide.
Doctors in California
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.