Shayla Francis, MD
MOHS-Micrographic Surgery · Dallas, TXNPI 1497801005
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 204 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 28 manufacturers, the largest accounting for just 22.3% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $1,473 and has fallen 71.7% since, to $417 in 2025.
Across 204 payments — averaging $21.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$999
- Regeneron Healthcare Solutions, Inc.$327
- Pfizer$324
- Lilly USA, LLC$313
- Sanofi$310
- LEO Pharma Inc.$309
- plus $2K from 22 others
What the payments were for
- Food & beverage$4,477100%
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 |
|---|---|---|
| AbbVie | 48 | $999 |
| Regeneron Healthcare Solutions, Inc. | 11 | $327 |
| Pfizer | 13 | $324 |
| Lilly USA, LLC | 14 | $313 |
| Sanofi | 13 | $310 |
| LEO Pharma Inc. | 15 | $309 |
| Incyte Corporation | 14 | $285 |
| Sun Pharmaceutical Industries Inc. | 11 | $253 |
| Novartis | 12 | $228 |
| Johnson & Johnson | 8 | $175 |
| UCB, Inc. | 7 | $143 |
| Almirall LLC | 6 | $137 |
| E.r. Squibb & Sons, L.L.C. | 4 | $102 |
| Journey Medical Corporation | 2 | $92 |
| Merz North America, Inc. | 4 | $77 |
| Galderma Laboratories, L.p. | 4 | $71 |
| Dermira, Inc. | 3 | $61 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 3 | $50 |
| DUSA Pharmaceuticals, Inc. | 2 | $44 |
| Aclaris Therapeutics, Inc. | 2 | $40 |
| VYNE Pharmaceuticals Inc. | 1 | $23 |
| Arcutis Biotherapeutics, Inc. | 1 | $20 |
| Amgen | 1 | $19 |
| Biofrontera Inc. | 1 | $17 |
| Dermavant Sciences, Inc. | 1 | $15 |
| Helsinn Therapeutics (U.S.), Inc. | 1 | $15 |
| Bristol Myers Squibb | 1 | $13 |
| Mayne Pharma Commercial LLC | 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.
- LITFULO$122
How this compares
$4,477 in reported general payments places this provider in the 70th percentile of 109 mohs-micrographic surgery providers in Texas.
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 |
|---|---|---|
| Doxycycline Hyclate | 607 | $2,855 |
| ValacyclovirValacyclovir Hcl | 18 | $1,118 |
| Ketoconazole | 13 | $222 |
| Triamcinolone Acetonide | 21 | $187 |
| Mupirocin | 13 | $137 |
Paid to pharmacies, not to this prescriber.
Other mohs-micrographic surgery in Dallas
- Daniel WitheilerDallas$6K
- Trenton CustisDallas$4K
- William PostenDallas$3K
- Aaron FarbergRockwall$1.5M
- Suneel ChilukuriBellaire$288K
- Ryan O QuinnSan Antonio$167K
- Paul FriedmanHouston$131K
- Brent SpencerFrisco$45K
- Julie CroleyThe Woodlands$30K
- Kayla McNieceBellaire$13K
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.