Brittany Smirnov, DO
Procedural Dermatology · Falls Church, VANPI 1295129294
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (40.0%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. 31 manufacturers reported payments, led by Arcutis Biotherapeutics, Inc. at 30.8% of the total. 2025 is the largest year on record at $17,970, more than ten times the $387 reported in 2019.
Across 370 payments — averaging $72.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arcutis Biotherapeutics, Inc.$8K
- Kowa Pharmaceuticals America, Inc.$7K
- Regeneron Healthcare Solutions, Inc.$4K
- AbbVie$1K
- Johnson & Johnson$1K
- Sanofi$816
- plus $4K from 25 others
What the payments were for
- Consulting fees$10,65340%
- Speaking & faculty fees$6,17523%
- Travel & lodging$9894%
- Food & beverage$8,67733%
- Education$1641%
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 |
|---|---|---|
| Arcutis Biotherapeutics, Inc. | 22 | $8,213 |
| Kowa Pharmaceuticals America, Inc. | 7 | $7,324 |
| Regeneron Healthcare Solutions, Inc. | 26 | $3,550 |
| AbbVie(2 entities) | 55 | $1,191 |
| Johnson & Johnson(2 entities) | 59 | $1,127 |
| Sanofi | 27 | $816 |
| LEO Pharma Inc. | 27 | $533 |
| UCB, Inc. | 16 | $439 |
| Amgen | 16 | $433 |
| Pfizer | 20 | $425 |
| Journey Medical Corporation | 5 | $410 |
| Novartis | 11 | $277 |
| E.r. Squibb & Sons, L.L.C. | 13 | $255 |
| Incyte Corporation | 11 | $248 |
| Sun Pharmaceutical Industries Inc. | 5 | $219 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 9 | $172 |
| Boehringer Ingelheim | 5 | $136 |
| Prugen, Inc. Pharmaceuticals | 1 | $134 |
| Almirall LLC | 5 | $121 |
| Dermavant Sciences, Inc. | 6 | $117 |
| Lilly USA, LLC | 5 | $116 |
| Medimetriks Pharmaceuticals, Inc. | 5 | $94 |
| Sanofi-aventis U.S. LLC | 1 | $80 |
| Galderma Laboratories, L.p. | 4 | $68 |
| DUSA Pharmaceuticals, Inc. | 3 | $53 |
| Springworks Therapeutics, Inc. | 1 | $33 |
| Botanix SB Inc | 1 | $20 |
| Verrica Pharmaceuticals Inc. | 1 | $16 |
| Merz North America, Inc. | 1 | $15 |
| Genentech USA, Inc. | 1 | $11 |
| Pierre Fabre Pharmaceuticals, Inc. | 1 | $9 |
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
Too few procedural dermatology providers in Virginiato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 14 | $191,646 |
| Fluocinonide | 64 | $3,332 |
| Clobetasol Propionate | 30 | $3,132 |
| Naftifine Hcl | 13 | $2,714 |
| Tretinoin | 20 | $1,442 |
| Metronidazole | 16 | $1,157 |
| Triamcinolone Acetonide | 70 | $710 |
| Clindamycin Phosphate | 20 | $676 |
| Mupirocin | 41 | $620 |
| Ketoconazole | 42 | $556 |
| CiclopiroxCiclopirox Olamine | 22 | $489 |
| Doxycycline Hyclate | 23 | $282 |
| ValacyclovirValacyclovir Hcl | 21 | $272 |
| Minoxidil | 19 | $167 |
| Doxycycline Monohydrate | 11 | $134 |
Paid to pharmacies, not to this prescriber.
Other procedural dermatology in Falls Church
- Aaron FuchsFalls Church$376K
- Glenn FuchsFalls Church$4K
- Connor PattersonFredericksburg$7K
- Chelsey HuffmanAlexandria$3K
- Monica Ka Yi LiVirginia Beach$2K
- Stephanie HowerterMartinsville$1K
- Theresa ConologueFredericksburg$866
- Dima AliReston$255
- Gilead SegevVienna$135
- Linda NimsVienna$102
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.