Andrew Fischer, MD
Dermatopathology · Houston, TXNPI 1528453057
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.2% of the total across 576 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 31 manufacturers, the largest accounting for just 12.3% — the pattern of someone who eats at a lot of different presentations.
Across 576 payments — averaging $19.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Johnson & Johnson$1K
- Regeneron Healthcare Solutions, Inc.$1K
- Novartis$950
- Lilly USA, LLC$878
- Revance Therapeutics, Inc.$839
- plus $5K from 25 others
What the payments were for
- Food & beverage$11,16598%
- Education$2102%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| AbbVie | 86 | $1,397 |
| Johnson & Johnson | 48 | $1,208 |
| Regeneron Healthcare Solutions, Inc. | 36 | $1,075 |
| Novartis | 79 | $950 |
| Lilly USA, LLC | 44 | $878 |
| Revance Therapeutics, Inc. | 8 | $839 |
| Sun Pharmaceutical Industries Inc. | 29 | $632 |
| Galderma Laboratories, L.p. | 23 | $527 |
| Sanofi | 21 | $524 |
| Incyte Corporation | 25 | $426 |
| Dermavant Sciences, Inc. | 34 | $405 |
| Pfizer | 22 | $399 |
| LEO Pharma Inc. | 19 | $357 |
| Arcutis Biotherapeutics, Inc. | 17 | $334 |
| Amgen | 12 | $258 |
| E.r. Squibb & Sons, L.L.C. | 9 | $182 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 11 | $165 |
| Mayne Pharma Commercial LLC | 20 | $153 |
| VYNE Pharmaceuticals Inc. | 4 | $150 |
| UCB, Inc. | 7 | $132 |
| Almirall LLC | 7 | $127 |
| Verrica Pharmaceuticals Inc. | 2 | $40 |
| Journey Medical Corporation | 2 | $37 |
| Hill Dermaceuticals, Inc. | 1 | $36 |
| Organon | 4 | $33 |
| Alnylam Pharmaceuticals Inc. | 1 | $23 |
| EPI Health, LLC | 1 | $21 |
| Helsinn Therapeutics (U.S.), Inc. | 1 | $19 |
| Botanix SB Inc | 1 | $18 |
| Kyowa Kirin, Inc. | 1 | $16 |
| Strata Skin Sciences, Inc. | 1 | $14 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$11,375 in reported general payments places this provider in the 85th percentile of 54 dermatopathology providers in Texas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Skyrizi PenRisankizumab-Rzaa | 11 | $254,729 |
| Dupixent PenDupilumab | 13 | $50,214 |
| Clobetasol Propionate | 82 | $3,580 |
| Tacrolimus | 17 | $2,280 |
| Fluorouracil | 22 | $1,554 |
| Ketoconazole | 92 | $1,327 |
| Triamcinolone Acetonide | 82 | $1,015 |
| Clindamycin Phosphate | 15 | $563 |
| Fluocinonide | 11 | $534 |
| Dutasteride | 13 | $482 |
| Doxycycline Monohydrate | 16 | $459 |
| Fluconazole | 32 | $403 |
| Doxycycline Hyclate | 23 | $386 |
| Minoxidil | 27 | $356 |
| Hydrocortisone | 37 | $206 |
Paid to pharmacies, not to this prescriber.
Other dermatopathology in Houston
- Victor PrietoHouston$2K
- Rebecca PhilipsHouston$995
- Nicole BenderHouston$641
- Eduardo RodriguezHouston$199
- Amber SmithHouston$191
- Rajesh YalamanchiliHouston$87
- Howard MartinHouston$43
- Daniel CohenHouston$33
- Angela MooreArlington$423K
- Melissa ChiangSpring$163K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.