Tina Bhutani, MD
Dermatology · San Francisco, CANPI 1144483124
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (51.3%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. It is spread thinly across 34 manufacturers, the largest accounting for just 17.6%. 2025 is the largest year on record at $595,797, more than ten times the $7,364 reported in 2019. Among dermatology clinicians in CA 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 1,305 payments — averaging $821.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$189K
- Sanofi$159K
- Lilly USA, LLC$102K
- Arcutis Biotherapeutics, Inc.$99K
- Galderma Laboratories, L.p.$69K
- AbbVie$68K
- plus $386K from 28 others
Across 234 payments — averaging $6853.39 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.
- Regeneron$636K
- Novartis$266K
- Pfizer$202K
- Amgen$142K
- Dermavant Sciences, Inc.$105K
- Janssen Research & Development, LLC$91K
- plus $161K from 4 others
What the payments were for
- Consulting fees$422,71739%
- Speaking & faculty fees$550,00851%
- Travel & lodging$70,3177%
- Food & beverage$28,5893%
- Education$5280%
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.
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
$1,072,158 in reported general payments places this provider in the 95th percentile of 1,875 dermatology providers in California.
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 |
|---|---|---|
| Skyrizi PenRisankizumab-Rzaa | 29 | $580,504 |
| Taltz AutoinjectorIxekizumab | 51 | $368,269 |
| TremfyaGuselkumab | 23 | $281,207 |
| Dupixent PenDupilumab | 51 | $219,633 |
| Cosentyx Unoready PenSecukinumab | 18 | $172,028 |
| StelaraUstekinumab | 11 | $157,266 |
| OtezlaApremilast | 22 | $141,132 |
| RinvoqUpadacitinib | 11 | $79,251 |
| SiliqBrodalumab | 14 | $71,917 |
| Dupixent SyringeDupilumab | 12 | $43,364 |
| Acitretin | 26 | $15,414 |
| Clobetasol Propionate | 176 | $7,344 |
| Desonide | 60 | $4,092 |
| Triamcinolone Acetonide | 233 | $3,530 |
| Calcipotriene | 13 | $3,356 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Johnson & JohnsonTremfya, Stelara | $188,928 | $438,47334 claims |
| AmgenOtezla | $10,761 | $141,13222 claims |
| AbbVieRinvoq | $68,474 | $79,25111 claims |
| Ortho Dermatologics, A Division Of Bausch Health US, LLCSiliq | $12,928 | $71,91714 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 1,875 dermatology providers in California.
Other dermatology in San Francisco
- Sarina ElmariahSan Francisco$510K
- Timothy BergerSan Francisco$270K
- Marlys FassettSan Francisco$168K
- Caren CampbellSan Francisco$149K
- Kathleen WelshSan Francisco$149K
- Paul YamauchiSanta Monica$2.9M
- Jennifer SoungSanta Ana$2.8M
- Robert GreenbergLivermore$2.6M
- Neal BhatiaSan Diego$2.5M
- April ArmstrongLos Angeles$2.3M
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.