John Browning, MD
Dermatology · San Antonio, TXNPI 1124181615
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $257,438 of the $350,778 with a category attached, or 73.4%. It is spread thinly across 49 manufacturers, the largest accounting for just 21.0%. Among dermatology clinicians in TX 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 1,115 payments — averaging $314.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$74K
- Galderma Laboratories, L.p.$64K
- Regeneron Healthcare Solutions, Inc.$62K
- Krystal Biotech Inc$55K
- Dermavant Sciences, Inc.$23K
- Sanofi$14K
- plus $59K from 43 others
Across 2,137 payments — averaging $4889.27 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.
- Novartis$3.2M
- Eli Lilly$1.7M
- Janssen Research & Development, LLC$1.1M
- Regeneron$866K
- Sanofi US Services Inc.$701K
- Pfizer$534K
- plus $2.4M from 18 others
What the payments were for
- Consulting fees$48,12914%
- Speaking & faculty fees$257,43873%
- Travel & lodging$22,6326%
- Food & beverage$22,1656%
- Education$4080%
- Gifts$60%
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.
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
$350,778 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 37 | $450,992 |
| StelaraUstekinumab | 15 | $314,163 |
| Dupixent PenDupilumab | 68 | $274,148 |
| TremfyaGuselkumab | 17 | $239,601 |
| Dupixent SyringeDupilumab | 46 | $198,195 |
| Cosentyx Sensoready (2 Pens)Secukinumab | 21 | $151,425 |
| ErivedgeVismodegib | 11 | $139,315 |
| OtezlaApremilast | 19 | $104,498 |
| NemluvioNemolizumab-Ilto | 14 | $79,202 |
| HyftorSirolimus | 20 | $66,723 |
| Clobetasol Propionate | 295 | $13,087 |
| Ketoconazole | 418 | $5,734 |
| Triamcinolone Acetonide | 364 | $5,030 |
| Doxycycline Hyclate | 156 | $4,388 |
| Tacrolimus | 32 | $3,701 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Johnson & JohnsonStelara, Tremfya | $1,085 | $553,76432 claims |
| Genentech USA, Inc.Erivedge | $76 | $139,31511 claims |
| AmgenOtezla | $85 | $104,49819 claims |
| Galderma Laboratories, L.p.Nemluvio | $63,958 | $79,20214 claims |
| Nobelpharma America, LLCHyftor | $862 | $66,72320 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 1,098 dermatology providers in Texas.
Other dermatology in San Antonio
- William CragunSan Antonio$2.2M
- Emily BeckerSan Antonio$1.2M
- Lindsey FinkleaSan Antonio$435K
- Vivian BucaySan Antonio$241K
- Annabelle GarciaSan Antonio$215K
- Edward LainAustin$2.5M
- Alpesh DesaiHouston$1.6M
- Craig TellerBellaire$1.3M
- Jennifer CatherDallas$1.3M
- Ross RaduskyDallas$1.2M
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.