Paul Snyder, MD
Dermatology · Dartmouth, MANPI 1477551398
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.5% of the total across 230 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 21 manufacturers, the largest accounting for just 20.7% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,759, 3.4 times the $520 reported in 2019.
Across 230 payments — averaging $21.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- LEO Pharma Inc.$830
- Johnson & Johnson$760
- Novartis$416
- Regeneron Healthcare Solutions, Inc.$383
- Incyte Corporation$231
- plus $1K from 15 others
What the payments were for
- Food & beverage$4,43691%
- Education$4659%
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) | 64 | $1,013 |
| LEO Pharma Inc. | 36 | $830 |
| Johnson & Johnson | 26 | $760 |
| Novartis | 23 | $416 |
| Regeneron Healthcare Solutions, Inc. | 14 | $383 |
| Incyte Corporation | 6 | $231 |
| Lilly USA, LLC | 10 | $220 |
| UCB, Inc. | 9 | $179 |
| Amgen | 8 | $147 |
| E.r. Squibb & Sons, L.L.C. | 7 | $146 |
| Galderma Laboratories, L.p. | 7 | $122 |
| Pfizer | 5 | $107 |
| Sanofi | 4 | $94 |
| Revance Therapeutics, Inc. | 1 | $64 |
| Fresenius Kabi USA, LLC | 2 | $48 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $34 |
| Sun Pharmaceutical Industries Inc. | 2 | $34 |
| Boehringer Ingelheim | 1 | $20 |
| Merck | 1 | $20 |
| Botanix SB Inc | 1 | $18 |
| Arcutis Biotherapeutics, Inc. | 1 | $16 |
How this compares
$4,901 in reported general payments places this provider in the 70th percentile of 552 dermatology 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 |
|---|---|---|
| Enbrel SureclickEtanercept | 23 | $245,195 |
| Dupixent PenDupilumab | 41 | $159,868 |
| Humira(Cf) PenAdalimumab | 15 | $99,482 |
| Cosentyx Sensoready (2 Pens)Secukinumab | 13 | $96,367 |
| Fluorouracil | 40 | $2,788 |
| Betamethasone Dipropionate | 42 | $1,628 |
| Tretinoin | 12 | $1,374 |
| Dapsone | 13 | $1,259 |
| Imiquimod | 27 | $1,103 |
| Metronidazole | 16 | $1,005 |
| Mupirocin | 155 | $966 |
| Triamcinolone Acetonide | 57 | $756 |
| Doxycycline Hyclate | 30 | $663 |
| Fluocinonide | 12 | $655 |
| CiclopiroxCiclopirox Olamine | 28 | $616 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Dartmouth
- John HarrisWorcester$15M
- Ethan LernerCharlestown$1.7M
- Michael KaminerChestnut Hill$1.1M
- Jeffrey SobellChestnut Hill$986K
- Erik DominguesFall River$736K
- Alexandra KimballBoston$680K
- Arash MostaghimiBoston$591K
- David GreensteinBeverly$540K
- Brian HiblerBoston$498K
- Maryanne SennaBoston$430K
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.