Garland James, PA
Physician Assistant · Silver Spring, MDNPI 1255968434
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (32.8%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 33 manufacturers reported payments, led by LEO Pharma Inc. at 54.7% of the total. 2025 is the largest year on record at $29,685, 4.4 times the $6,706 reported in 2021. Among physician assistant clinicians in MD with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 789 payments — averaging $108.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- LEO Pharma Inc.$47K
- Lilly USA, LLC$9K
- UCB, Inc.$5K
- Eli Lilly$5K
- AbbVie$4K
- Regeneron Healthcare Solutions, Inc.$2K
- plus $12K from 27 others
What the payments were for
- Consulting fees$28,09733%
- Speaking & faculty fees$27,86633%
- Travel & lodging$8,86510%
- Food & beverage$19,79123%
- Education$9611%
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 |
|---|---|---|
| LEO Pharma Inc. | 110 | $46,851 |
| Lilly USA, LLC | 52 | $9,427 |
| UCB, Inc. | 28 | $5,474 |
| Eli Lilly | 11 | $5,422 |
| AbbVie(2 entities) | 183 | $4,043 |
| Regeneron Healthcare Solutions, Inc. | 37 | $2,288 |
| Dermavant Sciences, Inc. | 31 | $2,156 |
| Johnson & Johnson | 51 | $1,357 |
| E.r. Squibb & Sons, L.L.C. | 31 | $1,340 |
| Sanofi | 33 | $1,259 |
| Incyte Corporation | 35 | $1,169 |
| Sun Pharmaceutical Industries Inc. | 27 | $1,017 |
| Pfizer | 30 | $803 |
| Almirall LLC | 15 | $376 |
| Arcutis Biotherapeutics, Inc. | 21 | $349 |
| Amgen | 17 | $347 |
| Novartis | 19 | $305 |
| Boehringer Ingelheim | 6 | $233 |
| Galderma Laboratories, L.p. | 8 | $220 |
| Janssen Scientific Affairs, LLC | 3 | $198 |
| VYNE Pharmaceuticals Inc. | 5 | $186 |
| Organon | 8 | $140 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 7 | $114 |
| Journey Medical Corporation | 2 | $106 |
| Botanix SB Inc | 1 | $88 |
| Mallinckrodt Hospital Products Inc. | 3 | $85 |
| Mayne Pharma Commercial LLC | 3 | $52 |
| Biofrontera Inc. | 3 | $49 |
| Strata Skin Sciences, Inc. | 4 | $40 |
| Helsinn Therapeutics (U.S.), Inc. | 2 | $36 |
| Bristol Myers Squibb | 1 | $26 |
| Dermira, Inc. | 1 | $12 |
| Kerecis Limited | 1 | $10 |
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
$85,579 in reported general payments places this provider in the 95th percentile of 2,567 physician assistant providers in Maryland.
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 |
|---|---|---|
| Clobetasol Propionate | 32 | $1,661 |
| Betamethasone Dipropionate | 32 | $1,441 |
| Doxycycline Hyclate | 56 | $1,391 |
| Fluocinonide | 43 | $1,357 |
| Ketoconazole | 79 | $1,114 |
| Triamcinolone Acetonide | 55 | $615 |
| Clotrimazole | 23 | $506 |
| Clindamycin Phosphate | 13 | $483 |
| Minoxidil | 90 | $411 |
| Mupirocin | 33 | $285 |
| Spironolactone | 27 | $190 |
| Finasteride | 33 | $152 |
| Hydrocortisone | 18 | $107 |
| Methylprednisolone | 11 | $82 |
| Hydroxyzine Hcl | 23 | $76 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Silver Spring
- Alyssa KlopferSilver Spring$14K
- Jeffrey KufelSilver Spring$13K
- Margaret JoyceTowson$220K
- Kara CossisBaltimore$177K
- Melissa BearekmanBaltimore$81K
- Brittany YerkesSalisbury$81K
- Amy CollierTimonium$29K
- Hannah JohnsonNottingham$27K
- Lisa FoxAnnapolis$26K
- Praveena GadamBaltimore$24K
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.