RxDoctor Payments Data

Stephen Miller

Dermatology · San Antonio, TXNPI 1760454060

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (51.8%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. 37 manufacturers reported payments, led by AbbVie at 54.6% of the total.

$25,316in general payments, 2019–2025

Across 610 payments — averaging $41.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$14K
  • Sun Pharmaceutical Industries Inc.$1K
  • Ortho Dermatologics, A Division Of Bausch Health US, LLC$1K
  • Novartis$1K
  • Almirall LLC$1K
  • Lilly USA, LLC$665
  • plus $6K from 31 others
$543,929in research payments, 2019–2025

Across 78 payments — averaging $6973.44 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Amgen$176K
  • Novartis$126K
  • Eli Lilly$120K
  • AbbVie$69K
  • Pfizer$35K
  • Galderma Research & Development, LLC$15K
  • plus $4K from 1 others

What the payments were for

  • Consulting fees$8003%
  • Speaking & faculty fees$10,83243%
  • Food & beverage$13,11152%
  • Education$5732%

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

19
20
21
22
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

$25,316 in reported general payments places this provider in the 85th percentile of 1,098 dermatology providers in Texas.

See all dermatology providers in Texas

Medicare billing

Part B allowed, 2024
$274,835
Medicare patients
555
Services billed
7,274

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
Humira(Cf) PenAdalimumab16$114,085
Taltz AutoinjectorIxekizumab11$71,203
Azelaic Acid24$3,949
Clobetasol Propionate55$2,772
Fluorouracil32$2,119
Doxycycline Monohydrate48$1,887
Desonide24$1,738
Ciclopirox37$1,689
Ketoconazole83$1,561
Fluocinonide42$1,519
Metronidazole12$688
Clindamycin Phosphate15$390
Triamcinolone Acetonide61$300
Mupirocin27$195
Hydroxyzine Hcl30$189

Paid to pharmacies, not to this prescriber.

Other dermatology in San Antonio

See the full list for Texas

Where these figures come from

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