Sara Lamb, MD
Dermatology · Fort Smith, ARNPI 1376907402
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 106 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 17.8% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,647, 7.0 times the $234 reported in 2019. That places this record below the midpoint for dermatology clinicians in AR, where the typical reported total is $3,769.
Across 106 payments — averaging $26.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$507
- AbbVie$373
- Johnson & Johnson$354
- Arcutis Biotherapeutics, Inc.$243
- Lilly USA, LLC$225
- Sanofi$215
- plus $937 from 15 others
What the payments were for
- Food & beverage$2,855100%
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 12 | $507 |
| AbbVie | 14 | $373 |
| Johnson & Johnson | 15 | $354 |
| Arcutis Biotherapeutics, Inc. | 1 | $243 |
| Lilly USA, LLC | 10 | $225 |
| Sanofi | 8 | $215 |
| Novartis | 10 | $180 |
| Amgen | 9 | $173 |
| Incyte Corporation | 7 | $123 |
| Revance Therapeutics, Inc. | 1 | $103 |
| Pfizer | 3 | $67 |
| LEO Pharma Inc. | 2 | $52 |
| UCB, Inc. | 3 | $49 |
| Biofrontera Inc. | 2 | $33 |
| Organon | 2 | $32 |
| Sun Pharmaceutical Industries Inc. | 2 | $31 |
| Kerecis Limited | 1 | $25 |
| Helsinn Therapeutics (U.S.), Inc. | 1 | $22 |
| Galderma Laboratories, L.p. | 1 | $18 |
| Boehringer Ingelheim | 1 | $15 |
| Biowound Solutions, Inc. | 1 | $13 |
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
$2,855 in reported general payments places this provider in the 40th percentile of 75 dermatology providers in Arkansas.
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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 11 | $129,081 |
| Cosentyx Unoready PenSecukinumab | 11 | $97,420 |
| Dupixent PenDupilumab | 20 | $70,242 |
| Doxycycline Hyclate | 41 | $5,006 |
| Clobetasol Propionate | 63 | $1,784 |
| Tacrolimus | 19 | $1,766 |
| Metronidazole | 35 | $1,761 |
| Fluorouracil | 23 | $1,599 |
| Ammonium Lactate | 61 | $1,443 |
| Tretinoin | 15 | $1,258 |
| Ketoconazole | 83 | $1,121 |
| Clindamycin Phosphate | 23 | $1,094 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 12 | $851 |
| ErythromycinErythromycin Base In Ethanol | 12 | $651 |
| Doxycycline Monohydrate | 21 | $538 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Fort Smith
- Sandra JohnsonFort Smith$543K
- Phillip StitesFort Smith$15K
- Chelsea MeltzerFort Smith$11K
- Katie WadlingtonFort Smith$6K
- George LewisFort Smith$6K
- Arjun SainiFort Smith$2K
- Cyril SevernsFort Smith$950
- Scott JacksonFayetteville$533K
- Mildred CliftonBentonville$92K
- Lance HenryFayetteville$39K
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.