Randall Breau, MD
MOHS-Micrographic Surgery · Little Rock, ARNPI 1699804138
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.8% of the total across 48 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by Novartis at 39.6% of the total. Reporting peaked in 2024 at $329 and has fallen 64.0% since, to $118 in 2025.
Across 48 payments — averaging $23.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$450
- Regeneron Healthcare Solutions, Inc.$223
- Organogenesis Inc.$128
- AbbVie$73
- Lilly USA, LLC$71
- Sun Pharmaceutical Industries Inc.$48
- plus $143 from 6 others
What the payments were for
- Food & beverage$1,08796%
- Education$484%
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 |
|---|---|---|
| Novartis | 26 | $450 |
| Regeneron Healthcare Solutions, Inc. | 3 | $223 |
| Organogenesis Inc. | 3 | $128 |
| AbbVie | 4 | $73 |
| Lilly USA, LLC | 4 | $71 |
| Sun Pharmaceutical Industries Inc. | 1 | $48 |
| Johnson & Johnson | 2 | $31 |
| Sanofi | 1 | $25 |
| E.r. Squibb & Sons, L.L.C. | 1 | $24 |
| Genentech USA, Inc. | 1 | $22 |
| Biofrontera Inc. | 1 | $21 |
| UCB, Inc. | 1 | $20 |
How this compares
Too few mohs-micrographic surgery providers in Arkansasto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Triamcinolone Acetonide | 28 | $321 |
| Ketoconazole | 17 | $213 |
| Doxycycline Hyclate | 34 | $166 |
| Mupirocin | 15 | $85 |
| Cephalexin | 21 | $42 |
Paid to pharmacies, not to this prescriber.
Other mohs-micrographic surgery in Little Rock
- Scott DinehartLittle Rock$268K
- Justin McLawhornLittle Rock$13K
- Michael OsleberLittle Rock$2K
- Joseph PurnellLittle Rock$1K
- Colton NielsonJonesboro$13K
- Kattie AllenBentonville$6K
- Courtney BookBentonville$5K
- Mark NaylorFayetteville$3K
- Stephen MasonHot Springs$2K
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.