The authors analyzed non-research industry payments—including travel fees, consulting fees, meals, and gifts—to 56,955 psychiatrists between 2015 and 2021 using the Centers for Medicare and Medicaid Services’ Open Payments Database (OPD)…. They found that during this study period, psychiatrists received 2,600,264 industry payments totaling $357,971,774. A total of 42,713 psychiatrists (75.0%) received at least one payment between 2015 and 2021. But the distribution was highly unequal: The top 10% of psychiatrists (N=4,271) received a median of $11,459.41, accounting for 93.6% of all industry payments, while the top 1% received a median of $362,631, accounting for 74.7% of all payments.