Scott Karlene, MD
Dermatology · Flint, MINPI 1619900255
Payments from drug & device makers
What this record shows
5 manufacturers reported payments, led by Johnson & Johnson at 40.6% of the total. 2025 is the largest year on record at $218, more than ten times the $11 reported in 2019. That places this record below the midpoint for dermatology clinicians in MI, where the typical reported total is $2,933.
Across 8 payments — averaging $30.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$99
- Sanofi$63
- Pfizer$37
- Kerecis Limited$34
- AbbVie$11
What the payments were for
- Food & beverage$12953%
- Education$11447%
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 | 1 | $99 |
| Sanofi | 3 | $63 |
| Pfizer | 2 | $37 |
| Kerecis Limited | 1 | $34 |
| AbbVie | 1 | $11 |
How this compares
$244 in reported general payments places this provider in the 20th percentile of 404 dermatology providers in Michigan.
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 |
|---|---|---|
| Dupixent PenDupilumab | 17 | $64,389 |
| OtezlaApremilast | 11 | $51,932 |
| Clobetasol Propionate | 253 | $6,374 |
| Ketoconazole | 206 | $2,690 |
| Triamcinolone Acetonide | 240 | $2,271 |
| Clindamycin Phosphate | 51 | $2,065 |
| Mupirocin | 304 | $2,037 |
| Ammonium Lactate | 142 | $1,983 |
| Tretinoin | 38 | $1,880 |
| Metronidazole | 49 | $1,296 |
| Hydrocortisone | 154 | $1,187 |
| Econazole Nitrate | 32 | $1,138 |
| Fluticasone Propionate | 60 | $1,115 |
| ValacyclovirValacyclovir Hcl | 43 | $1,034 |
| Doxycycline Hyclate | 50 | $924 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Flint
- Wasim NasirFlint$153K
- Linda Stein GoldWest Bloomfield$3.3M
- Kristi HawleyCaledonia$2.2M
- David AltmanWarren$1.9M
- Michael SiegelWaterford$708K
- Johann GudjonssonAnn Arbor$535K
- Michael DormanWest Bloomfield$433K
- Steven DaveluyDearborn$350K
- Benjamin WorkmanMidland$284K
- Diana WestgateKalamazoo$252K
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.