Lawrence Desjarlais, MD
Dermatology · Adrian, MINPI 1437116852
Payments from drug & device makers
Across 841 payments — averaging $18.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$3K
- AbbVie$3K
- Sanofi$1K
- Novartis$865
- E.r. Squibb & Sons, L.L.C.$846
- UCB, Inc.$823
- plus $7K from 28 others
What the payments were for
- Speaking & faculty fees$3502%
- Food & beverage$14,91294%
- Education$5263%
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 |
|---|---|---|
| Johnson & Johnson | 214 | $2,986 |
| AbbVie | 153 | $2,589 |
| Sanofi | 44 | $1,037 |
| Novartis | 47 | $865 |
| E.r. Squibb & Sons, L.L.C. | 71 | $846 |
| UCB, Inc. | 29 | $823 |
| Pfizer | 39 | $821 |
| Lilly USA, LLC | 30 | $604 |
| Sun Pharmaceutical Industries Inc. | 30 | $590 |
| Biofrontera Inc. | 8 | $583 |
| Amgen | 30 | $541 |
| Incyte Corporation | 19 | $461 |
| Dermavant Sciences, Inc. | 18 | $441 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 16 | $404 |
| Regeneron Healthcare Solutions, Inc. | 15 | $396 |
| LEO Pharma Inc. | 21 | $345 |
| Janssen Scientific Affairs, LLC | 5 | $334 |
| Galderma Laboratories, L.p. | 10 | $282 |
| Dermira, Inc. | 3 | $175 |
| Almirall LLC | 7 | $121 |
| Organon | 7 | $120 |
| Arcutis Biotherapeutics, Inc. | 4 | $77 |
| VYNE Pharmaceuticals Inc. | 4 | $65 |
| Boehringer Ingelheim | 3 | $60 |
| Verrica Pharmaceuticals Inc. | 3 | $45 |
| Sandoz | 2 | $35 |
| Mayne Pharma Commercial LLC | 2 | $32 |
| Revance Therapeutics, Inc. | 1 | $24 |
| Paratek Pharmaceuticals, Inc. | 1 | $15 |
| Sebela Pharmaceuticals Inc. | 1 | $15 |
| Botanix SB Inc | 1 | $15 |
| Apyx Medical Corporation | 1 | $14 |
| Nabriva Therapeutics, PLC | 1 | $13 |
| Bristol Myers Squibb | 1 | $12 |
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
$15,789 in reported general payments places this provider in the 85th percentile of 404 dermatology providers in Michigan.
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 | 38 | $517,248 |
| Bimzelx AutoinjectorBimekizumab-Bkzx | 17 | $260,379 |
| TremfyaGuselkumab | 19 | $257,647 |
| OtezlaApremilast | 44 | $204,485 |
| Dupixent PenDupilumab | 35 | $129,258 |
| Dupixent SyringeDupilumab | 13 | $45,684 |
| Pimecrolimus | 38 | $8,978 |
| Tacrolimus | 93 | $8,753 |
| Calcipotriene-BetamethasoneCalcipotriene/Betamethasone | 21 | $5,744 |
| Acitretin | 13 | $5,624 |
| Clobetasol Propionate | 135 | $4,099 |
| Betamethasone Dipropionate | 90 | $3,731 |
| ValacyclovirValacyclovir Hcl | 36 | $2,687 |
| Calcipotriene | 15 | $2,572 |
| Fluocinonide | 48 | $1,830 |
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 & JohnsonTremfya | $2,986 | $257,64719 claims |
| AmgenOtezla | $541 | $204,48544 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 85th percentile of 404 dermatology providers in Michigan.
Other dermatology in Adrian
- Johann GudjonssonAnn Arbor$15.9M
- Ali MoiinTroy$9.9M
- Linda Stein GoldWest Bloomfield$7.5M
- Wendy McFaldaClarkston$3.6M
- Kristi HawleyCaledonia$2.5M
- Brent BoyceSebewaing$2.2M
- David AltmanWarren$1.9M
- Christofer BuattiAuburn Hills$1.6M
- Mio NakamuraAnn Arbor$1.4M
- George MurakawaTroy$1.3M
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.