Justin Smith, PA
Medical · Gainesville, GANPI 1376879825
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.0% of the total across 487 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 26 manufacturers reported payments, led by AbbVie at 25.2% of the total. Reporting peaked in 2024 at $2,617 and has fallen 63.7% since, to $949 in 2025. Among medical clinicians in GA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 487 payments — averaging $20.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- Sanofi$1K
- LEO Pharma Inc.$929
- Johnson & Johnson$829
- Novartis$624
- Pfizer$487
- plus $3K from 20 others
What the payments were for
- Food & beverage$9,62495%
- Education$5035%
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 |
|---|---|---|
| AbbVie(2 entities) | 117 | $2,551 |
| Sanofi | 44 | $1,229 |
| LEO Pharma Inc. | 42 | $929 |
| Johnson & Johnson | 43 | $829 |
| Novartis | 30 | $624 |
| Pfizer | 30 | $487 |
| Sun Pharmaceutical Industries Inc. | 20 | $411 |
| E.r. Squibb & Sons, L.L.C. | 21 | $396 |
| Galderma Laboratories, L.p. | 18 | $346 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 21 | $332 |
| UCB, Inc. | 15 | $331 |
| Regeneron Healthcare Solutions, Inc. | 11 | $321 |
| Dermavant Sciences, Inc. | 18 | $305 |
| Incyte Corporation | 13 | $251 |
| Lilly USA, LLC | 13 | $242 |
| Mayne Pharma Commercial LLC | 15 | $224 |
| Organogenesis Inc. | 3 | $81 |
| Organon | 2 | $42 |
| Arcutis Biotherapeutics, Inc. | 2 | $39 |
| Journey Medical Corporation | 2 | $33 |
| Genentech USA, Inc. | 2 | $30 |
| Verrica Pharmaceuticals Inc. | 1 | $27 |
| Boehringer Ingelheim | 1 | $21 |
| EPI Health, LLC | 1 | $20 |
| Amgen | 1 | $14 |
| Almirall LLC | 1 | $13 |
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
$10,127 in reported general payments places this provider in the 90th percentile of 950 medical providers in Georgia.
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 |
|---|---|---|
| Dupixent PenDupilumab | 53 | $209,595 |
| Cosentyx Sensoready (2 Pens)Secukinumab | 17 | $118,297 |
| Clobetasol Propionate | 61 | $2,639 |
| Fluorouracil | 16 | $1,131 |
| Fluocinonide | 33 | $1,061 |
| Doxycycline Hyclate | 59 | $1,026 |
| Metronidazole | 20 | $936 |
| Triamcinolone Acetonide | 69 | $874 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 65 | $823 |
| Ketoconazole | 61 | $754 |
| CiclopiroxCiclopirox Olamine | 33 | $568 |
| Clindamycin Phosphate | 22 | $548 |
| Hydrocortisone | 65 | $471 |
| ValacyclovirValacyclovir Hcl | 15 | $261 |
| Mupirocin | 26 | $174 |
Paid to pharmacies, not to this prescriber.
Other medical in Gainesville
- Audrey GibsonGainesville$302K
- Tomas ChaoWoodstock$1.9M
- Kimberly OrleckAtlanta$727K
- Lisa WeissCanton$283K
- Laura BushFayetteville$146K
- Michael KelleherMarietta$126K
- Juliena GigonMarietta$122K
- Felicia HoffmanRoswell$114K
- Sally BrumbillLithia Springs$110K
- Danna Dennis-CalderAtlanta$87K
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.