Shilpi Khetarpal, MD
Dermatology · Cleveland, OHNPI 1962726489
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $306,995 of the $382,755 with a category attached, or 80.2%. Galderma Laboratories, L.p. accounts for 76.1% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2021 at $84,507 and has fallen 61.8% since, to $32,292 in 2025. Among dermatology clinicians in OH with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 479 payments — averaging $799.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Galderma Laboratories, L.p.$291K
- AbbVie$48K
- Musculoskeletal Transplant Foundation Inc.$30K
- Merz North America, Inc.$9K
- Galderma Research & Development, LLC$3K
- Avita Medical Americas, LLC$875
- plus $263 from 4 others
What the payments were for
- Consulting fees$46,48812%
- Speaking & faculty fees$306,99580%
- Travel & lodging$21,1296%
- Food & beverage$7,8932%
- Education$2490%
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 |
|---|---|---|
| Galderma Laboratories, L.p. | 324 | $291,153 |
| AbbVie(2 entities) | 114 | $48,010 |
| Musculoskeletal Transplant Foundation Inc. | 21 | $30,481 |
| Merz North America, Inc. | 10 | $8,773 |
| Galderma Research & Development, LLC | 1 | $3,200 |
| Avita Medical Americas, LLC | 2 | $875 |
| VYNE Pharmaceuticals Inc. | 3 | $94 |
| Solta Medical, A Division Of Bausch Health US, LLC | 2 | $77 |
| Endo Pharmaceuticals Inc. | 1 | $68 |
| Incyte Corporation | 1 | $24 |
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.
- BOTOX COSMETIC$21,901
- BOTOX$12,075
- XEOMIN$8,455
- RECELL$875
How this compares
$382,755 in reported general payments places this provider in the 95th percentile of 460 dermatology providers in Ohio.
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 |
|---|---|---|
| Minoxidil | 147 | $2,077 |
| Tretinoin | 11 | $831 |
| Spironolactone | 28 | $544 |
| ValacyclovirValacyclovir Hcl | 21 | $257 |
| Hydrocortisone | 14 | $50 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Cleveland
- Neil KormanCleveland$824K
- Anthony FernandezCleveland$352K
- Alex HirshCleveland$159K
- Mara Weinstein VelezCleveland$96K
- Samantha PollyCleveland$80K
- Wilma BergfeldCleveland$35K
- David HamrockCleveland$19K
- Matthew ZirwasBexley$3.3M
- George DrewMarion$1.9M
- Rocco SerraoDayton$1.7M
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.