Lara Butler, MD
MOHS-Micrographic Surgery · Plymouth, MANPI 1619295847
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 49 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by AbbVie at 34.3% of the total.
Across 49 payments — averaging $26.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$444
- Novartis$255
- Merz North America, Inc.$140
- Sanofi$88
- Pfizer$70
- LEO Pharma Inc.$67
- plus $229 from 7 others
What the payments were for
- Food & beverage$1,294100%
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) | 15 | $444 |
| Novartis | 12 | $255 |
| Merz North America, Inc. | 2 | $140 |
| Sanofi | 3 | $88 |
| Pfizer | 3 | $70 |
| LEO Pharma Inc. | 3 | $67 |
| Lilly USA, LLC | 2 | $44 |
| Organogenesis Inc. | 2 | $38 |
| UCB, Inc. | 2 | $35 |
| Amgen | 1 | $34 |
| Galderma Laboratories, L.p. | 2 | $31 |
| E.r. Squibb & Sons, L.L.C. | 1 | $24 |
| Regeneron Healthcare Solutions, Inc. | 1 | $23 |
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.
- BOTOX COSMETIC$103
How this compares
$1,294 in reported general payments places this provider in the 60th percentile of 38 mohs-micrographic surgery providers in Massachusetts.
See all mohs-micrographic surgery providers in Massachusetts →
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 |
|---|---|---|
| Fluorouracil | 23 | $1,324 |
| Mupirocin | 158 | $1,106 |
| Cephalexin | 29 | $283 |
| Doxycycline Hyclate | 31 | $195 |
Paid to pharmacies, not to this prescriber.
Other mohs-micrographic surgery in Plymouth
- Michael ShaughnessyPlymouth$218
- Chrysalyne SchmultsJamaica Plain$58K
- Suzanne OlbrichtBurlington$12K
- Sameer GuptaBoston$11K
- Thomas RohrerChestnut Hill$9K
- Helen RaynhamNatick$7K
- Omar BadriBeverly$7K
- Benjamin SolkyBoston$7K
- Carin LitaniWellesley Hills$5K
- Christine KannlerBeverly$4K
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.