Girish Munavalli, MD
MOHS-Micrographic Surgery · Charlotte, NCNPI 1215910336
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (56.8%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 29 manufacturers reported payments, led by AbbVie at 29.0% of the total. Reporting peaked in 2019 at $39,987 and has fallen 84.2% since, to $6,317 in 2025. Among mohs-micrographic surgery clinicians in NC 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 163 payments — averaging $723.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$34K
- Dermira, Inc.$18K
- Solta Medical, A Division Of Bausch Health US, LLC$15K
- Merz North America, Inc.$10K
- Lumenis BE Inc$9K
- Biofrontera Inc.$7K
- plus $26K from 23 others
Across 67 payments — averaging $6313.10 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- AbbVie$313K
- Merz North America, Inc.$75K
- Avita Medical Americas, LLC$35K
- Biofrontera Inc.$293
What the payments were for
- Consulting fees$67,03557%
- Speaking & faculty fees$32,19327%
- Travel & lodging$4,8274%
- Food & beverage$13,60412%
- Education$2810%
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 |
|---|---|---|
| AbbVie(2 entities) | 44 | $34,233 |
| Dermira, Inc. | 15 | $18,072 |
| Solta Medical, A Division Of Bausch Health US, LLC | 10 | $14,604 |
| Merz North America, Inc. | 26 | $9,906 |
| Lumenis BE Inc | 1 | $8,766 |
| Biofrontera Inc. | 7 | $6,681 |
| Lumenis BE (hk) Limited | 1 | $5,347 |
| Strata Skin Sciences, Inc. | 9 | $4,695 |
| Lumenis, Inc | 1 | $3,596 |
| Incyte Corporation | 1 | $2,800 |
| EPI Health, LLC | 4 | $2,580 |
| Galderma Laboratories, L.p. | 6 | $2,334 |
| Aclaris Therapeutics, Inc. | 3 | $1,559 |
| Avita Medical Americas, LLC | 2 | $1,071 |
| Musculoskeletal Transplant Foundation Inc. | 2 | $466 |
| E.r. Squibb & Sons, L.L.C. | 6 | $352 |
| Almirall LLC | 2 | $169 |
| Organogenesis Inc. | 2 | $142 |
| Amgen | 5 | $125 |
| Sanofi | 6 | $124 |
| Regeneron Healthcare Solutions, Inc. | 2 | $60 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $52 |
| Sun Pharmaceutical Industries Inc. | 1 | $44 |
| Janssen Scientific Affairs, LLC | 1 | $36 |
| Revance Therapeutics, Inc. | 1 | $28 |
| Pfizer | 1 | $27 |
| LEO Pharma Inc. | 1 | $26 |
| Medtronic | 1 | $25 |
| Bristol Myers Squibb | 1 | $21 |
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
$117,940 in reported general payments places this provider in the 95th percentile of 50 mohs-micrographic surgery providers in North Carolina.
See all mohs-micrographic surgery providers in North Carolina →
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 |
|---|---|---|
| Doxycycline Hyclate | 256 | $1,852 |
| Mupirocin | 68 | $404 |
| Cefadroxil | 23 | $295 |
| Ketoconazole | 13 | $165 |
| ValacyclovirValacyclovir Hcl | 19 | $115 |
| Triamcinolone Acetonide | 18 | $87 |
| Tramadol Hcl | 57 | $70 |
| Spironolactone | 15 | $59 |
| Prednisone | 18 | $26 |
Paid to pharmacies, not to this prescriber.
Other mohs-micrographic surgery in Charlotte
- Laura RosenzweigCharlotte$27K
- David LaneCharlotte$14K
- Sasha HaberleCharlotte$4K
- Euphemia MuCharlotte$4K
- Jonathan OlsonCharlotte$4K
- Matthew ClarkCharlotte$2K
- Hazem El GamalCharlotte$2K
- Lauren JenkinsCharlotte$1K
- Eric ChallgrenRaleigh$47K
- Timothy FlynnCary$12K
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.