James Altick, MD
Dermatology · Monroe, LANPI 1922062322
Payments from drug & device makers
Across 33 payments — averaging $23.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$308
- Novartis$99
- Pfizer$87
- Lilly USA, LLC$74
- AbbVie$50
- Amgen$25
- plus $142 from 8 others
What the payments were for
- Food & beverage$52166%
- Education$26534%
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 | 6 | $308 |
| Novartis | 5 | $99 |
| Pfizer | 5 | $87 |
| Lilly USA, LLC | 4 | $74 |
| AbbVie | 3 | $50 |
| Amgen | 2 | $25 |
| Biofrontera Inc. | 1 | $22 |
| Dermira, Inc. | 1 | $22 |
| Sanofi | 1 | $19 |
| UCB, Inc. | 1 | $19 |
| Sun Pharmaceutical Industries Inc. | 1 | $18 |
| LEO Pharma Inc. | 1 | $18 |
| Regeneron Healthcare Solutions, Inc. | 1 | $12 |
| Bristol Myers Squibb | 1 | $12 |
How this compares
$786 in reported general payments places this provider in the 15th percentile of 189 dermatology providers in Louisiana.
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 | 25 | $1,080 |
| Fluocinonide | 20 | $857 |
| Betamethasone Dipropionate | 14 | $623 |
| Ketoconazole | 41 | $588 |
| Fluticasone Propionate | 36 | $541 |
| Triamcinolone Acetonide | 42 | $438 |
| Betamethasone Valerate | 11 | $361 |
| Doxycycline Hyclate | 24 | $180 |
| Mupirocin | 30 | $178 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Monroe
- Loretta GremillionMonroe$259K
- Mary Janine HopkinsMonroe$14K
- Jordan WhatleyBaton Rouge$27.9M
- Ira ThorlaBaton Rouge$5.6M
- Deirdre HooperNew Orleans$3.2M
- Sarah JacksonNew Orleans$1.7M
- Kyle ColemanThibodaux$1.5M
- Erin BohNew Orleans$945K
- Robert KoppelMetairie$878K
- Nicole HarrellBaton Rouge$836K
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.