Leah Smythe, PA
Physician Assistant · League City, TXNPI 1457015224
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 92.6% of the total across 159 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 22 manufacturers, the largest accounting for just 18.2% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,772, more than ten times the $23 reported in 2022.
Across 159 payments — averaging $21.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$629
- Regeneron Healthcare Solutions, Inc.$355
- Johnson & Johnson$310
- Sanofi$276
- Novartis$259
- Arcutis Biotherapeutics, Inc.$254
- plus $1K from 16 others
What the payments were for
- Food & beverage$3,20793%
- Education$2557%
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 | 25 | $629 |
| Regeneron Healthcare Solutions, Inc. | 14 | $355 |
| Johnson & Johnson | 17 | $310 |
| Sanofi | 10 | $276 |
| Novartis | 15 | $259 |
| Arcutis Biotherapeutics, Inc. | 16 | $254 |
| Amgen | 13 | $216 |
| Sun Pharmaceutical Industries Inc. | 5 | $169 |
| LEO Pharma Inc. | 4 | $169 |
| Organon | 10 | $150 |
| Lilly USA, LLC | 5 | $114 |
| Sanofi-aventis U.S. LLC | 1 | $99 |
| Mayne Pharma Commercial LLC | 6 | $87 |
| Galderma Laboratories, L.p. | 4 | $74 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 3 | $52 |
| Incyte Corporation | 2 | $50 |
| Dermavant Sciences, Inc. | 2 | $48 |
| UCB, Inc. | 2 | $47 |
| E.r. Squibb & Sons, L.L.C. | 2 | $41 |
| Mallinckrodt Hospital Products Inc. | 1 | $26 |
| Boston Scientific | 1 | $23 |
| Pfizer | 1 | $14 |
How this compares
$3,462 in reported general payments places this provider in the 85th percentile of 8,308 physician assistant 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 |
|---|---|---|
| Clobetasol Propionate | 55 | $1,840 |
| Metronidazole | 17 | $1,724 |
| Clindamycin Phosphate | 25 | $1,096 |
| Triamcinolone Acetonide | 51 | $723 |
| Ketoconazole | 52 | $696 |
| Hydrocortisone | 47 | $650 |
| Fluocinonide | 15 | $419 |
| Hydroxyzine Hcl | 17 | $314 |
| Doxycycline Monohydrate | 13 | $94 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in League City
- Heather WoodinLeague City$142K
- Cynthia TrickettDallas$1.3M
- Kristine KuceraMelissa$797K
- Selina SantosAustin$543K
- Matthew BrunoMcKinney$538K
- Brooke HodnickSouthlake$479K
- Holly GloverArlington$418K
- Kirk GautierAthens$416K
- Jaime RomanPlano$338K
- Michael WhiteDallas$276K
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.