Giana Dalben, MD
Dermatology · San Antonio, TXNPI 1447755285
Payments from drug & device makers
Across 259 payments — averaging $20.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$1K
- AbbVie$1K
- LEO Pharma Inc.$454
- Pfizer$449
- Regeneron Healthcare Solutions, Inc.$403
- Sun Pharmaceutical Industries Inc.$311
- plus $2K from 18 others
What the payments were for
- Food & beverage$4,96392%
- Education$4458%
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 |
|---|---|---|
| Johnson & Johnson | 39 | $1,123 |
| AbbVie | 62 | $1,004 |
| LEO Pharma Inc. | 18 | $454 |
| Pfizer | 22 | $449 |
| Regeneron Healthcare Solutions, Inc. | 16 | $403 |
| Sun Pharmaceutical Industries Inc. | 15 | $311 |
| Lilly USA, LLC | 19 | $289 |
| Incyte Corporation | 14 | $248 |
| Amgen | 9 | $180 |
| UCB, Inc. | 7 | $128 |
| Sanofi | 5 | $125 |
| Arcutis Biotherapeutics, Inc. | 2 | $112 |
| E.r. Squibb & Sons, L.L.C. | 5 | $93 |
| SPR Therapeutics, Inc | 1 | $81 |
| Cipher Pharmaceuticals US LLC | 1 | $60 |
| Galderma Laboratories, L.p. | 3 | $57 |
| Strata Skin Sciences, Inc. | 6 | $54 |
| Verrica Pharmaceuticals Inc. | 2 | $49 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $46 |
| Journey Medical Corporation | 2 | $39 |
| Organon | 5 | $34 |
| Botanix SB Inc | 2 | $32 |
| Dermavant Sciences, Inc. | 1 | $20 |
| Novartis | 1 | $18 |
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.
- Tremfya$125
How this compares
$5,408 in reported general payments places this provider in the 55th percentile of 1,098 dermatology 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 |
|---|---|---|
| Tacrolimus | 23 | $4,013 |
| Ketoconazole | 118 | $2,108 |
| Azelaic Acid | 13 | $1,360 |
| Clobetasol Propionate | 31 | $1,337 |
| Tretinoin | 18 | $1,317 |
| Ammonium Lactate | 50 | $1,168 |
| Ciclopirox | 32 | $957 |
| Metronidazole | 23 | $935 |
| Mupirocin | 127 | $837 |
| Clindamycin Phosphate | 23 | $708 |
| Hydrocortisone | 74 | $669 |
| Fluocinolone Acetonide | 13 | $638 |
| Fluocinonide | 17 | $621 |
| Doxycycline Hyclate | 40 | $533 |
| Clotrimazole | 42 | $512 |
Paid to pharmacies, not to this prescriber.
Other dermatology in San Antonio
- Mark LeeSan Antonio$10.9M
- John BrowningSan Antonio$10.7M
- Emily BeckerSan Antonio$2.4M
- William CragunSan Antonio$2.3M
- Steven DavisSan Antonio$1.8M
- Lindsey FinkleaSan Antonio$1.2M
- Stephen MillerSan Antonio$389K
- Vivian BucaySan Antonio$241K
- Stephen TyringWebster$14.1M
- Edward LainAustin$12M
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.