Paul Vance
Dermatology · Brownsville, TXNPI 1104402213
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,654 of the $3,090 with a category attached, or 85.9%. It is spread thinly across 17 manufacturers, the largest accounting for just 14.0% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,356, 6.5 times the $210 reported in 2022. That places this record below the midpoint for dermatology clinicians in TX, where the typical reported total is $4,085.
Across 109 payments — averaging $28.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$433
- Novartis$425
- AbbVie$389
- Galderma Laboratories, L.p.$279
- E.r. Squibb & Sons, L.L.C.$254
- Sanofi$217
- plus $1K from 11 others
What the payments were for
- Food & beverage$2,65486%
- Education$43514%
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 | 13 | $433 |
| Novartis | 16 | $425 |
| AbbVie | 15 | $389 |
| Galderma Laboratories, L.p. | 7 | $279 |
| E.r. Squibb & Sons, L.L.C. | 5 | $254 |
| Sanofi | 7 | $217 |
| Incyte Corporation | 8 | $209 |
| Amgen | 11 | $199 |
| Dermavant Sciences, Inc. | 4 | $148 |
| UCB, Inc. | 6 | $146 |
| Arcutis Biotherapeutics, Inc. | 6 | $100 |
| Janssen Scientific Affairs, LLC | 1 | $91 |
| Sun Pharmaceutical Industries Inc. | 4 | $79 |
| Regeneron Healthcare Solutions, Inc. | 3 | $66 |
| Pfizer | 1 | $20 |
| Boehringer Ingelheim | 1 | $19 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $14 |
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
$3,090 in reported general payments places this provider in the 40th percentile of 1,098 dermatology providers in Texas.
Other dermatology in Brownsville
- Edward LainAustin$2.5M
- William CragunSan Antonio$2.2M
- Alpesh DesaiHouston$1.6M
- Craig TellerBellaire$1.3M
- Jennifer CatherDallas$1.3M
- Emily BeckerSan Antonio$1.2M
- Ross RaduskyDallas$1.2M
- Joseph MerolaDallas$1.2M
- Daniel CarrascoAustin$1.1M
- Dale SchaeferAustin$1M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.