RxDoctor Payments Data

Marc Epstein, DO

Procedural Dermatology · Tucson, AZNPI 1902929318

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 95.1% of the total across 406 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 35 manufacturers, the largest accounting for just 19.6% — the pattern of someone who eats at a lot of different presentations.

$13,357in general payments, 2019–2025

Across 406 payments — averaging $32.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$3K
  • Johnson & Johnson$3K
  • Ortho Dermatologics, A Division Of Bausch Health US, LLC$1K
  • Pfizer$774
  • Genentech USA, Inc.$693
  • Sun Pharmaceutical Industries Inc.$649
  • plus $5K from 29 others

What the payments were for

  • Speaking & faculty fees$3403%
  • Food & beverage$12,69995%
  • Education$3182%

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

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

Too few procedural dermatology providers in Arizonato place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024
$1,055,612
Medicare patients
611
Services billed
11,124

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
Dupixent PenDupilumab12$52,850
Gentamicin Sulfate83$3,395
Ketoconazole137$2,965
Tretinoin29$2,562
Mupirocin201$1,831
Clobetasol Propionate47$1,596
Clindamycin Phosphate20$1,257
ValacyclovirValacyclovir Hcl42$1,185
Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc53$1,025
Minoxidil59$912
Triamcinolone Acetonide28$840
Econazole Nitrate15$606
Imiquimod18$528
Metronidazole16$426
Doxycycline Hyclate14$368

Paid to pharmacies, not to this prescriber.

Other procedural dermatology in Tucson

See the full list for Arizona

Where these figures come from

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