Victor Lacombe
Facial Plastic Surgery · Santa Rosa, CANPI 1134326556
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (46.3%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. AbbVie accounts for 97.5% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2021 at $30,584 and has fallen 87.2% since, to $3,923 in 2025. Among facial plastic surgery 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 382 payments — averaging $278.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$104K
- Galderma Laboratories, L.p.$2K
- Revance Therapeutics, Inc.$783
- Stryker$76
- Solta Medical, A Division Of Bausch Health US, LLC$62
Across 24 payments — averaging $4380.98 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.
- AbbVie$105K
What the payments were for
- Consulting fees$37,30435%
- Speaking & faculty fees$49,25846%
- Travel & lodging$12,44212%
- Food & beverage$7,2877%
- Education$340%
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 |
|---|---|---|
| AbbVie(2 entities) | 316 | $103,702 |
| Galderma Laboratories, L.p. | 47 | $1,702 |
| Revance Therapeutics, Inc. | 14 | $783 |
| Stryker | 2 | $76 |
| Solta Medical, A Division Of Bausch Health US, LLC | 3 | $62 |
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.
- BOTOX COSMETIC$28,394
- BOTOX$10,993
- DAXXIFY$394
How this compares
$106,325 in reported general payments places this provider in the 95th percentile of 120 facial plastic surgery providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ondansetron OdtOndansetron | 23 | $265 |
| Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha | 14 | $143 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $140 |
| Cephalexin | 35 | $126 |
| Acyclovir | 24 | $100 |
Paid to pharmacies, not to this prescriber.
Other facial plastic surgery in Santa Rosa
- Daryoush SaadatValencia$1.3M
- Kian KarimiLos Angeles$1.2M
- Rami BatnijiNewport Beach$1M
- Jill HesslerPalo Alto$114K
- Alen CohenWest Hills$72K
- Bradley GreenePortola Valley$52K
- Geoffrey TrenkleLos Angeles$44K
- Elbert ChengSaratoga$38K
- Benjamin TaleiBeverly Hills$31K
- Patrick LaySan Jose$29K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.