RxDoctor Payments Data

Lisa Nyanda-Manalo, MD

Dermatology · Wesley Chapel, FLNPI 1023187960

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $86,892 of the $109,924 with a category attached, or 79.0%. Galderma Laboratories, L.p. accounts for 79.2% of it on its own, with 38 other manufacturers making up the rest. Reporting peaked in 2023 at $51,214 and has fallen 52.9% since, to $24,133 in 2025. Among dermatology clinicians in FL 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.

$109,924in general payments, 2019–2025

Across 498 payments — averaging $220.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Galderma Laboratories, L.p.$87K
  • Novartis$8K
  • Dermavant Sciences, Inc.$6K
  • AbbVie$2K
  • Arcutis Biotherapeutics, Inc.$1K
  • Pfizer$758
  • plus $5K from 33 others

What the payments were for

  • Consulting fees$10,4259%
  • Speaking & faculty fees$86,89279%
  • Travel & lodging$8341%
  • Food & beverage$11,53410%
  • Education$2380%

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

$109,924 in reported general payments places this provider in the 90th percentile of 1,147 dermatology providers in Florida.

See all dermatology providers in Florida →

Medicare billing

Part B allowed, 2024
$151,875
Medicare patients
308
Services billed
2,401

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
Clobetasol Propionate422$26,368
Ketoconazole905$14,526
Metronidazole157$12,098
Fluorouracil74$8,219
Clindamycin Phosphate286$8,006
Pimecrolimus28$6,509
Tretinoin70$6,428
Ammonium Lactate164$4,818
Triamcinolone Acetonide315$3,729
Hydrocortisone382$3,136
Fluocinolone Acetonide41$2,163
Mupirocin335$1,969
Azelaic Acid16$1,696
Fluocinolone AcetonideFluocinolone/Shower Cap19$1,402
Doxycycline Hyclate173$1,256

Paid to pharmacies, not to this prescriber.

Other dermatology in Wesley Chapel

See the full list for Florida →

Where these figures come from

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