RxDoctor Payments Data

Theodore Sebastien, MD

MOHS-Micrographic Surgery · Reston, VANPI 1568433860

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 16 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by Merz North America, Inc. at 37.1% of the total. Reporting peaked in 2023 at $235 and has fallen 86.5% since, to $32 in 2025. That places this record below the midpoint for mohs-micrographic surgery clinicians in VA, where the typical reported total is $1,276.

$525in general payments, 2019–2025

Across 16 payments — averaging $32.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Merz North America, Inc.$195
  • Galderma Laboratories, L.p.$115
  • Strata Skin Sciences, Inc.$43
  • Journey Medical Corporation$39
  • Ortho Dermatologics, A Division Of Bausch Health US, LLC$28
  • Regeneron Healthcare Solutions, Inc.$17
  • plus $88 from 6 others

What the payments were for

  • Food & beverage$525100%

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

20
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

$525 in reported general payments places this provider in the 30th percentile of 36 mohs-micrographic surgery providers in Virginia.

See all mohs-micrographic surgery providers in Virginia

Medicare billing

Part B allowed, 2024
$491,856
Medicare patients
828
Services billed
3,284

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
Doxycycline Ir-DrDoxycycline Monohydrate18$11,186
Ivermectin20$5,354
Fluorouracil74$4,606
Clindamycin Phosphate27$3,554
Doxycycline Hyclate124$1,997
ValacyclovirValacyclovir Hcl19$1,415
Ketoconazole94$1,289
Desonide17$1,130
Triamcinolone Acetonide93$920
Metronidazole19$905
Minoxidil43$887
Mupirocin111$886
Finasteride32$642
Imiquimod17$628
Hydrocortisone46$561

Paid to pharmacies, not to this prescriber.

Other mohs-micrographic surgery in Reston

See the full list for Virginia

Where these figures come from

Is this you, or does something look wrong? →