Victoria Comeau, DO
Dermatology · Middletown, RINPI 1699204784
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.6% of the total across 426 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 34 manufacturers, the largest accounting for just 12.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $3,513 and has fallen 70.0% since, to $1,053 in 2025.
Across 426 payments — averaging $17.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ortho Dermatologics, A Division Of Bausch Health US, LLC$944
- AbbVie$674
- Sanofi$624
- LEO Pharma Inc.$518
- Johnson & Johnson$511
- Mayne Pharma Commercial LLC$501
- plus $4K from 28 others
What the payments were for
- Food & beverage$7,05597%
- Education$2503%
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 |
|---|---|---|
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 57 | $944 |
| AbbVie | 42 | $674 |
| Sanofi | 25 | $624 |
| LEO Pharma Inc. | 33 | $518 |
| Johnson & Johnson | 19 | $511 |
| Mayne Pharma Commercial LLC | 62 | $501 |
| Galderma Laboratories, L.p. | 43 | $453 |
| Amgen | 11 | $452 |
| Almirall LLC | 25 | $370 |
| Arcutis Biotherapeutics, Inc. | 11 | $368 |
| Regeneron Healthcare Solutions, Inc. | 15 | $308 |
| Pfizer | 12 | $237 |
| Sun Pharmaceutical Industries Inc. | 10 | $169 |
| Lilly USA, LLC | 10 | $153 |
| Novartis | 9 | $151 |
| Incyte Corporation | 4 | $118 |
| Stemline Therapeutics Inc. | 1 | $118 |
| Dermavant Sciences, Inc. | 1 | $104 |
| Encore Dermatology Inc. | 4 | $68 |
| EPI Health, LLC | 7 | $64 |
| Bristol Myers Squibb | 4 | $63 |
| Sanofi-aventis U.S. LLC | 1 | $57 |
| DUSA Pharmaceuticals, Inc. | 2 | $44 |
| Glenmark Therapeutics Inc. | 5 | $42 |
| Biofrontera Inc. | 2 | $30 |
| Organon | 2 | $30 |
| Taro Pharmaceuticals USA, Inc. | 1 | $25 |
| Promius Pharma LLC | 2 | $24 |
| Botanix SB Inc | 1 | $19 |
| Mylan Pharmaceuticals Inc. | 1 | $14 |
| Verrica Pharmaceuticals Inc. | 1 | $14 |
| Aclaris Therapeutics, Inc. | 1 | $14 |
| Mission Pharmacal Company | 1 | $12 |
| VYNE Pharmaceuticals Inc. | 1 | $11 |
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
$7,305 in reported general payments places this provider in the 80th percentile of 61 dermatology providers in Rhode Island.
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 |
|---|---|---|
| Dupixent PenDupilumab | 18 | $70,982 |
| Clobetasol Propionate | 60 | $3,542 |
| Ketoconazole | 164 | $2,752 |
| Fluocinonide | 45 | $2,251 |
| Triamcinolone Acetonide | 147 | $1,734 |
| Clindamycin Phosphate | 35 | $1,377 |
| Metronidazole | 25 | $1,194 |
| Fluorouracil | 18 | $1,145 |
| Ciclopirox | 26 | $962 |
| Doxycycline Hyclate | 50 | $709 |
| Mupirocin | 64 | $589 |
| Hydrocortisone | 74 | $517 |
| Ammonium Lactate | 12 | $225 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Middletown
- Gary WatermanMiddletown$16K
- Antoine SalloumMiddletown$4K
- Tal BuntinxMiddletown$3K
- Sarah BeldenMiddletown$3K
- John KellyEast Greenwich$97K
- Helena KuhnProvidence$63K
- Martin WeinstockProvidence$62K
- Farah MoustafaProvidence$51K
- Carlos WambierSouth Kingstown$41K
- Abrar QureshiProvidence$38K
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.