RxDoctor Payments Data

Jeanne Spedale, MD

Dermatology · Houston, TXNPI 1750356994

Payments from drug & device makers

$8,759in general payments, 2019–2025

Across 396 payments — averaging $22.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$2K
  • Novartis$874
  • Johnson & Johnson$825
  • Galderma Laboratories, L.p.$597
  • Pfizer$568
  • Incyte Corporation$556
  • plus $3K from 22 others

What the payments were for

  • Speaking & faculty fees$4505%
  • Food & beverage$7,79089%
  • Education$5196%

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

$8,759 in reported general payments places this provider in the 65th percentile of 1,098 dermatology providers in Texas.

See all dermatology providers in Texas

Medicare billing

Part B allowed, 2024
$140,610
Medicare patients
553
Services billed
2,294

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
Taltz AutoinjectorIxekizumab11$75,644
Fluorouracil33$1,990
Metronidazole35$1,985
Clobetasol Propionate61$1,916
Fluocinonide45$1,867
Ketoconazole101$1,431
Doxycycline Hyclate55$1,407
Tacrolimus14$1,214
Clindamycin Phosphate17$408
Ciclopirox15$364
Triamcinolone Acetonide22$339
Minoxidil21$307
ValacyclovirValacyclovir Hcl16$217
Mupirocin25$164
Montelukast Sodium12$160

Paid to pharmacies, not to this prescriber.

Other dermatology in Houston

See the full list for Texas

Where these figures come from

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