David Balle, MD
Dermatology · Grosse Pointe, MINPI 1356334841
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $62,100 of the $81,152 with a category attached, or 76.5%. Galderma Laboratories, L.p. accounts for 81.7% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2022 at $24,118 and has fallen 78.1% since, to $5,285 in 2025. Among dermatology clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 169 payments — averaging $480.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Galderma Laboratories, L.p.$66K
- AbbVie$14K
- Revance Therapeutics, Inc.$345
- Sanofi$268
- Sun Pharmaceutical Industries Inc.$97
- Johnson & Johnson$89
- plus $96 from 5 others
What the payments were for
- Consulting fees$6,1008%
- Speaking & faculty fees$62,10077%
- Travel & lodging$9,15011%
- Food & beverage$3,7135%
- Education$890%
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 |
|---|---|---|
| Galderma Laboratories, L.p. | 70 | $66,300 |
| AbbVie(2 entities) | 69 | $13,957 |
| Revance Therapeutics, Inc. | 3 | $345 |
| Sanofi | 16 | $268 |
| Sun Pharmaceutical Industries Inc. | 5 | $97 |
| Johnson & Johnson | 1 | $89 |
| LEO Pharma Inc. | 1 | $24 |
| Lilly USA, LLC | 1 | $21 |
| EPI Health, LLC | 1 | $18 |
| Arcutis Biotherapeutics, Inc. | 1 | $17 |
| E.r. Squibb & Sons, L.L.C. | 1 | $17 |
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.
- BOTOX COSMETIC$8,584
- DAXXIFY$251
- BOTOX$228
How this compares
$81,152 in reported general payments places this provider in the 90th percentile of 404 dermatology providers in Michigan.
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 |
|---|---|---|
| Dupixent PenDupilumab | 14 | $51,571 |
| Fluocinonide | 124 | $4,211 |
| Metronidazole | 67 | $2,979 |
| Fluorouracil | 37 | $2,480 |
| Ketoconazole | 118 | $2,037 |
| Desonide | 65 | $2,028 |
| ValacyclovirValacyclovir Hcl | 60 | $2,007 |
| Mometasone Furoate | 91 | $1,883 |
| Minoxidil | 68 | $1,880 |
| Betamethasone Dipropionate | 48 | $1,578 |
| Tacrolimus | 11 | $1,228 |
| Finasteride | 91 | $1,158 |
| Triamcinolone Acetonide | 140 | $987 |
| Tretinoin | 14 | $773 |
| Clobetasol Propionate | 14 | $583 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Grosse Pointe
- Shauna DiggsGrosse Pointe$225K
- Linda Stein GoldWest Bloomfield$3.3M
- Kristi HawleyCaledonia$2.2M
- David AltmanWarren$1.9M
- Michael SiegelWaterford$708K
- Johann GudjonssonAnn Arbor$535K
- Michael DormanWest Bloomfield$433K
- Steven DaveluyDearborn$350K
- Benjamin WorkmanMidland$284K
- Diana WestgateKalamazoo$252K
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.