RxDoctor Payments Data

Joseph Gadzia, MD

MOHS-Micrographic Surgery · Topeka, KSNPI 1740260868

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (57.5%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. It is spread thinly across 46 manufacturers, the largest accounting for just 20.9%. Reporting peaked in 2019 at $7,623 and has fallen 70.1% since, to $2,276 in 2025.

$28,196in general payments, 2019–2025

Across 870 payments — averaging $32.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • E.r. Squibb & Sons, L.L.C.$6K
  • Novartis$6K
  • AbbVie$2K
  • Biofrontera Inc.$2K
  • Sun Pharmaceutical Industries Inc.$2K
  • Regeneron Healthcare Solutions, Inc.$1K
  • plus $9K from 40 others
$229,238in research payments, 2019–2025

Across 38 payments — averaging $6032.57 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.

  • Amgen$124K
  • Eli Lilly$60K
  • UCB SA$29K
  • Galderma Laboratories, L.p.$11K
  • AbbVie$4K
  • Janssen Research & Development, LLC$923

What the payments were for

  • Consulting fees$3,80313%
  • Speaking & faculty fees$6,50023%
  • Travel & lodging$1,1894%
  • Food & beverage$16,21558%
  • Education$4902%

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

Too few mohs-micrographic surgery providers in Kansasto place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024
$1,251,377
Medicare patients
1,238
Services billed
8,098

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
Mycophenolate Mofetil17$4,005
Desonide25$2,336
Ketoconazole75$2,142
Acitretin13$1,612
Fluorouracil24$1,516
Clobetasol Propionate28$1,467
Doxycycline Hyclate68$1,296
Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc68$1,171
Betamethasone Dipropionate21$1,008
Imiquimod32$940
Dapsone12$481
Minocycline Hcl31$465
ValacyclovirValacyclovir Hcl20$254
Gabapentin11$227
Triamcinolone Acetonide27$160

Paid to pharmacies, not to this prescriber.

Other mohs-micrographic surgery in Topeka

See the full list for Kansas

Where these figures come from

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