Sunaina Likhari, MD
Dermatology · Sugar Land, TXNPI 1033430087
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.5% of the total across 164 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 29 manufacturers, the largest accounting for just 21.7% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for dermatology clinicians in TX, where the typical reported total is $4,085.
Across 164 payments — averaging $21.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Galderma Laboratories, L.p.$763
- AbbVie$436
- Lilly USA, LLC$404
- Sanofi$347
- Amgen$260
- Pfizer$173
- plus $1K from 23 others
Across 13 payments — averaging $3614.76 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$24K
- Incyte Corporation$11K
- Sanofi US Services Inc.$11K
What the payments were for
- Food & beverage$3,494100%
- Education$170%
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 |
|---|---|---|
| Galderma Laboratories, L.p. | 21 | $763 |
| AbbVie | 34 | $436 |
| Lilly USA, LLC | 20 | $404 |
| Sanofi | 10 | $347 |
| Amgen | 16 | $260 |
| Pfizer | 8 | $173 |
| Novartis | 5 | $127 |
| LEO Pharma Inc. | 5 | $125 |
| Regeneron Healthcare Solutions, Inc. | 4 | $111 |
| Organon | 8 | $97 |
| Arcutis Biotherapeutics, Inc. | 5 | $86 |
| Dermavant Sciences, Inc. | 4 | $83 |
| UCB, Inc. | 2 | $77 |
| E.r. Squibb & Sons, L.L.C. | 4 | $76 |
| Incyte Corporation | 3 | $71 |
| Bayer | 2 | $37 |
| Medimetriks Pharmaceuticals, Inc. | 1 | $26 |
| Novo Nordisk | 1 | $24 |
| Hill Dermaceuticals, Inc. | 1 | $22 |
| AstraZeneca | 1 | $21 |
| Verrica Pharmaceuticals Inc. | 1 | $19 |
| Almirall LLC | 1 | $18 |
| LNHC, Inc | 1 | $18 |
| Journey Medical Corporation | 1 | $16 |
| Merck | 1 | $16 |
| Exact Sciences | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $15 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $14 |
| Seqirus USA Inc | 1 | $12 |
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
$3,511 in reported general payments places this provider in the 45th percentile of 1,098 dermatology 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 |
|---|---|---|
| Clobetasol Propionate | 43 | $1,211 |
| Ketoconazole | 67 | $966 |
| Fluorouracil | 13 | $714 |
| Metronidazole | 15 | $656 |
| Triamcinolone Acetonide | 68 | $594 |
| Clindamycin Phosphate | 21 | $565 |
| Fluocinolone Acetonide | 12 | $416 |
| Hydroxychloroquine Sulfate | 13 | $326 |
| Mupirocin | 24 | $148 |
| Hydrocortisone | 33 | $133 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Sugar Land
- Vandana MadkanSugar Land$327K
- Michael SonabendSugar Land$184K
- Jennifer MaenderSugar Land$127K
- Edward LainAustin$2.5M
- William CragunSan Antonio$2.2M
- Alpesh DesaiHouston$1.6M
- Craig TellerBellaire$1.3M
- Jennifer CatherDallas$1.3M
- Emily BeckerSan Antonio$1.2M
- Ross RaduskyDallas$1.2M
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.