RxDoctor Payments Data

Shields Callahan, MD

MOHS-Micrographic Surgery · Lynchburg, VANPI 1265787618

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 24 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 12 manufacturers, the largest accounting for just 20.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $473, more than ten times the $17 reported in 2021. That places this record below the midpoint for mohs-micrographic surgery clinicians in VA, where the typical reported total is $1,276.

$771in general payments, 2019–2025

Across 24 payments — averaging $32.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Arcutis Biotherapeutics, Inc.$157
  • Regeneron Healthcare Solutions, Inc.$124
  • Incyte Corporation$102
  • Novartis$98
  • Amgen$86
  • Sun Pharmaceutical Industries Inc.$52
  • plus $153 from 6 others

What the payments were for

  • Food & beverage$771100%

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

21
23
24
25

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.

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

$771 in reported general payments places this provider in the 40th percentile of 36 mohs-micrographic surgery providers in Virginia.

See all mohs-micrographic surgery providers in Virginia

Medicare billing

Part B allowed, 2024
$787,178
Medicare patients
457
Services billed
3,031

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

DrugClaimsCost to plans & patients
Cephalexin692$2,318
Doxycycline Hyclate162$997
Mupirocin118$903
Gentamicin Sulfate12$523
Clindamycin Phosphate12$245

Paid to pharmacies, not to this prescriber.

Other mohs-micrographic surgery in Lynchburg

See the full list for Virginia

Where these figures come from

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