RxDoctor Payments Data

Dustin Breck Thrash, MD

Dermatology · Dallas, TXNPI 1225249220

Payments from drug & device makers

$22,386in general payments, 2019–2025

Across 1,217 payments — averaging $18.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$5K
  • Sun Pharmaceutical Industries Inc.$2K
  • Lilly USA, LLC$2K
  • Sanofi$1K
  • Novartis$1K
  • Regeneron Healthcare Solutions, Inc.$1K
  • plus $10K from 41 others

What the payments were for

  • Consulting fees$3502%
  • Speaking & faculty fees$2081%
  • Food & beverage$21,48996%
  • Education$3392%

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

19
20
21
22
23
24
25

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.

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

$22,386 in reported general payments places this provider in the 80th percentile of 1,098 dermatology providers in Texas.

See all dermatology providers in Texas

Medicare billing

Part B allowed, 2024
$554,807
Medicare patients
643
Services billed
7,177

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

DrugClaimsCost to plans & patients
Clobetasol Propionate111$4,179
Fluconazole110$3,704
Clobetasol EmulsionClobetasol Propionate/Emoll15$3,644
ValacyclovirValacyclovir Hcl180$3,548
Doxycycline Hyclate53$3,239
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim390$1,753
Tretinoin20$1,669
Ketoconazole123$1,585
Fluocinolone Acetonide17$1,033
Fluorouracil12$688
Hydroxyzine Hcl27$606
Triamcinolone Acetonide30$450
Clindamycin Phosphate21$429
Levofloxacin74$359
Spironolactone16$355

Paid to pharmacies, not to this prescriber.

Other dermatology in Dallas

See the full list for Texas

Where these figures come from

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