Richard Flowers, MD
Dermatology · Charlottesville, VANPI 1467847541
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $9,560 of the $11,017 with a category attached, or 86.8%. Argenx US, Inc. accounts for 65.5% of it on its own, with 4 other manufacturers making up the rest. 2023 is the largest year on record at $10,852, more than ten times the $96 reported in 2019.
Across 17 payments — averaging $648.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Argenx US, Inc.$7K
- E.r. Squibb & Sons, L.L.C.$2K
- Johnson & Johnson$2K
- AbbVie$96
- Pfizer$30
Across 35 payments — averaging $3674.73 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Sun Pharmaceutical Industries Inc.$57K
- AbbVie$53K
- Astrazeneca UK Limited$15K
- Regeneron$3K
What the payments were for
- Consulting fees$9,56087%
- Travel & lodging$9619%
- Food & beverage$3463%
- Education$1501%
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 |
|---|---|---|
| Argenx US, Inc. | 10 | $7,212 |
| E.r. Squibb & Sons, L.L.C. | 1 | $2,170 |
| Johnson & Johnson | 3 | $1,510 |
| AbbVie | 1 | $96 |
| Pfizer | 2 | $30 |
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
$11,017 in reported general payments places this provider in the 85th percentile of 396 dermatology providers in Virginia.
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 |
|---|---|---|
| Cosentyx Unoready PenSecukinumab | 62 | $646,790 |
| Humira(Cf) PenAdalimumab | 39 | $626,775 |
| Dupixent PenDupilumab | 43 | $166,914 |
| Dupixent SyringeDupilumab | 40 | $150,603 |
| RinvoqUpadacitinib | 16 | $119,420 |
| Acitretin | 27 | $17,833 |
| Mycophenolate Mofetil | 31 | $15,562 |
| Clobetasol Propionate | 108 | $7,174 |
| ErtapenemErtapenem Sodium | 22 | $5,686 |
| Tretinoin | 40 | $3,183 |
| Tacrolimus | 33 | $2,046 |
| Triamcinolone Acetonide | 100 | $1,419 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 11 | $1,189 |
| Clindamycin Phosphate | 33 | $1,161 |
| Fluorouracil | 12 | $1,138 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AbbVieRinvoq | $96 | $119,42016 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 85th percentile of 396 dermatology providers in Virginia.
Other dermatology in Charlottesville
- Anna MageeCharlottesville$37K
- Christopher ScottCharlottesville$32K
- Smitha KuppalliCharlottesville$15K
- Naiem IssaVienna$2M
- Saurabh SinghFairfax$1.7M
- Diego DasilvaVirginia Beach$1.1M
- Vishal PatelLeesburg$719K
- Cyndi Torosky TommasoVirginia Beach$717K
- Daniel HurdBlacksburg$545K
- Jonathan SchreiberNorfolk$330K
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.