Byron Limmer, MD
MOHS-Micrographic Surgery · San Antonio, TXNPI 1407963796
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 47 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 19 manufacturers, the largest accounting for just 14.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $1,121 and has fallen 55.1% since, to $503 in 2025.
Across 47 payments — averaging $83.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ortho Dermatologics, A Division Of Bausch Health US, LLC$556
- AbbVie$449
- Regeneron Healthcare Solutions, Inc.$368
- Pfizer$282
- Sun Pharmaceutical Industries Inc.$273
- Janssen Scientific Affairs, LLC$250
- plus $2K from 13 others
What the payments were for
- Food & beverage$3,913100%
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 |
|---|---|---|
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 6 | $556 |
| AbbVie | 5 | $449 |
| Regeneron Healthcare Solutions, Inc. | 3 | $368 |
| Pfizer | 3 | $282 |
| Sun Pharmaceutical Industries Inc. | 3 | $273 |
| Janssen Scientific Affairs, LLC | 2 | $250 |
| Johnson & Johnson | 2 | $250 |
| Galderma Laboratories, L.p. | 5 | $245 |
| Lilly USA, LLC | 3 | $211 |
| Organon | 3 | $151 |
| UCB, Inc. | 1 | $125 |
| Boehringer Ingelheim | 1 | $122 |
| Kyowa Kirin, Inc. | 1 | $118 |
| Verrica Pharmaceuticals Inc. | 1 | $113 |
| Biofrontera Inc. | 1 | $113 |
| Incyte Corporation | 2 | $112 |
| LEO Pharma Inc. | 3 | $97 |
| Bristol Myers Squibb | 1 | $51 |
| Elekta, Inc. | 1 | $26 |
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
$3,913 in reported general payments places this provider in the 65th percentile of 109 mohs-micrographic surgery 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 |
|---|---|---|
| OtezlaApremilast | 11 | $50,851 |
| Metronidazole | 35 | $1,992 |
| Clobetasol Propionate | 45 | $1,850 |
| Pimecrolimus | 12 | $1,567 |
| Triamcinolone Acetonide | 100 | $1,465 |
| Doxycycline Hyclate | 50 | $1,194 |
| Fluorouracil | 15 | $1,150 |
| Hydrocortisone | 34 | $537 |
| Halobetasol Propionate | 13 | $474 |
| Ketoconazole | 18 | $363 |
| Cefdinir | 17 | $292 |
| Mupirocin | 22 | $164 |
| Acyclovir | 11 | $155 |
| Cephalexin | 11 | $145 |
Paid to pharmacies, not to this prescriber.
Other mohs-micrographic surgery in San Antonio
- Ryan O QuinnSan Antonio$167K
- Christina Steinmetz-RodriguezSan Antonio$10K
- James NeinerSan Antonio$4K
- Valerie ShiuSan Antonio$2K
- Aaron FarbergRockwall$1.5M
- Suneel ChilukuriBellaire$288K
- Paul FriedmanHouston$131K
- Brent SpencerFrisco$45K
- Julie CroleyThe Woodlands$30K
- Kayla McNieceBellaire$13K
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.