RxDoctor Payments Data

Vandana Madkan, MD

Dermatology · Sugar Land, TXNPI 1659691772

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $250,541 of the $327,102 with a category attached, or 76.6%. 25 manufacturers reported payments, led by Amgen at 49.3% of the total. Reporting peaked in 2023 at $105,789 and has fallen 65.4% since, to $36,592 in 2025. Among dermatology clinicians in TX 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.

$327,102in general payments, 2019–2025

Across 781 payments — averaging $418.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$161K
  • Pfizer$77K
  • Bristol Myers Squibb$43K
  • AbbVie$19K
  • Novartis$5K
  • Dermavant Sciences, Inc.$4K
  • plus $17K from 19 others
$1,562,126in research payments, 2019–2025

Across 240 payments — averaging $6508.86 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.

  • Eli Lilly$705K
  • Pfizer$666K
  • AbbVie$115K
  • Bausch Health US, LLC$57K
  • Incyte Corporation$16K
  • Amgen$2K
  • plus $1K from 1 others

What the payments were for

  • Consulting fees$27,4998%
  • Speaking & faculty fees$250,54177%
  • Travel & lodging$30,3799%
  • Food & beverage$18,5046%
  • Education$1790%

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

$327,102 in reported general payments places this provider in the 95th percentile of 1,098 dermatology providers in Texas.

See all dermatology providers in Texas

Medicare billing

Part B allowed, 2024
$87,047
Medicare patients
353
Services billed
1,149

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
Dupixent PenDupilumab27$102,488
Fluocinonide191$7,545
Tacrolimus21$3,175
Clobetasol Propionate49$1,945
CiclopiroxCiclopirox Olamine72$1,625
Clindamycin Phosphate49$1,604
Ketoconazole97$1,352
Triamcinolone Acetonide108$1,185
Desonide11$771
Tretinoin11$689
Doxycycline Monohydrate37$625
Metronidazole13$583
Hydrocortisone70$449
Mupirocin46$359
Minoxidil23$229

Paid to pharmacies, not to this prescriber.

Other dermatology in Sugar Land

See the full list for Texas

Where these figures come from

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