Total Payments
$20,680
2024 Payments
$1,686
Companies
38
Transactions
347
Medicare Patients
9,387
Medicare Billing
$822,343
Payment Breakdown by Category
Food & Beverage$9,690 (46.9%)
Other$9,108 (44.0%)
Consulting$1,500 (7.3%)
Education$381.37 (1.8%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $9,690 | 339 | 46.9% |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $9,108 | 2 | 44.0% |
| Consulting Fee | $1,500 | 1 | 7.3% |
| Education | $381.37 | 5 | 1.8% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Lumenis, Inc | $9,000 | 1 | $0 (2019) |
| Biofrontera Inc. | $2,008 | 15 | $0 (2024) |
| Galderma Laboratories, L.P. | $1,732 | 57 | $0 (2024) |
| ABBVIE INC. | $1,350 | 47 | $0 (2024) |
| Janssen Biotech, Inc. | $1,124 | 43 | $0 (2024) |
| EPI Health, LLC | $606.81 | 6 | $0 (2022) |
| Novartis Pharmaceuticals Corporation | $479.85 | 14 | $0 (2024) |
| PFIZER INC. | $447.30 | 19 | $0 (2023) |
| Regeneron Healthcare Solutions, Inc. | $424.66 | 12 | $0 (2024) |
| Incyte Corporation | $406.77 | 12 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $1,686 | 60 | ABBVIE INC. ($436.95) |
| 2023 | $2,103 | 69 | ABBVIE INC. ($406.18) |
| 2022 | $2,750 | 36 | Biofrontera Inc. ($1,524) |
| 2021 | $545.59 | 28 | Galderma Laboratories, L.P. ($82.18) |
| 2020 | $566.06 | 27 | Janssen Biotech, Inc. ($153.03) |
| 2019 | $10,210 | 35 | Lumenis, Inc ($9,000) |
| 2018 | $1,118 | 35 | Galderma Laboratories, L.P. ($471.61) |
| 2017 | $1,701 | 57 | Galderma Laboratories, L.P. ($497.35) |
All Payment Transactions
347 individual payment records from CMS Open Payments — Page 1 of 14
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/12/2024 | ABBVIE INC. | SKYRIZI (Biological) | Food and Beverage | In-kind items and services | $8.39 | General |
| Category: IMMUNOLOGY | ||||||
| 12/10/2024 | Lilly USA, LLC | EBGLYSS (Drug) | Food and Beverage | In-kind items and services | $17.96 | General |
| Category: Immunology | ||||||
| 12/05/2024 | SUN PHARMACEUTICAL INDUSTRIES INC. | Winlevi (Drug) | Food and Beverage | In-kind items and services | $4.50 | General |
| Category: Dermatology | ||||||
| 12/04/2024 | LEO Pharma Inc. | ADBRY (Biological) | Food and Beverage | In-kind items and services | $28.35 | General |
| Category: DERMATOLOGY | ||||||
| 11/20/2024 | ABBVIE INC. | SKYRIZI (Biological) | Food and Beverage | In-kind items and services | $5.55 | General |
| Category: IMMUNOLOGY | ||||||
| 11/19/2024 | Dermavant Sciences, Inc. | VTAMA (Drug) | Food and Beverage | In-kind items and services | $13.34 | General |
| Category: DERMATOLOGY | ||||||
| 11/13/2024 | SUN PHARMACEUTICAL INDUSTRIES INC. | ILUMYA (Biological) | Food and Beverage | In-kind items and services | $8.30 | General |
| Category: Dermatology | ||||||
| 11/12/2024 | SUN PHARMACEUTICAL INDUSTRIES INC. | Winlevi (Drug) | Food and Beverage | In-kind items and services | $20.55 | General |
| Category: Dermatology | ||||||
| 11/11/2024 | Biofrontera Inc. | AMELUZ (Drug), BF-RhodoLED, XEPI | Food and Beverage | Cash or cash equivalent | $21.42 | General |
| Category: DERMATOLOGY | ||||||
| 11/06/2024 | ABBVIE INC. | SKYRIZI (Biological) | Food and Beverage | In-kind items and services | $5.12 | General |
| Category: IMMUNOLOGY | ||||||
| 10/25/2024 | Biofrontera Inc. | AMELUZ (Drug), BF-RhodoLED, XEPI | Food and Beverage | Cash or cash equivalent | $87.55 | General |
| Category: DERMATOLOGY | ||||||
| 10/25/2024 | SUN PHARMACEUTICAL INDUSTRIES INC. | ILUMYA (Biological), BLU-U, Odomzo | Food and Beverage | In-kind items and services | $40.48 | General |
| Category: Dermatology | ||||||
| 10/24/2024 | Galderma Laboratories, L.P. | — | Food and Beverage | In-kind items and services | $125.82 | General |
| 10/24/2024 | Incyte Corporation | OPZELURA (Drug) | Food and Beverage | Cash or cash equivalent | $59.73 | General |
| Category: Dermatology | ||||||
| 10/24/2024 | Novartis Pharmaceuticals Corporation | — | Food and Beverage | In-kind items and services | $39.73 | General |
| 10/24/2024 | LEO Pharma Inc. | ADBRY (Biological) | Food and Beverage | In-kind items and services | $16.00 | General |
| Category: DERMATOLOGY | ||||||
| 10/18/2024 | Biofrontera Inc. | AMELUZ (Drug), BF-RhodoLED, XEPI | Food and Beverage | Cash or cash equivalent | $8.33 | General |
| Category: DERMATOLOGY | ||||||
| 10/15/2024 | SUN PHARMACEUTICAL INDUSTRIES INC. | ILUMYA (Biological) | Food and Beverage | In-kind items and services | $28.91 | General |
| Category: Dermatology | ||||||
| 10/08/2024 | ABBVIE INC. | BOTOX (Biological) | Food and Beverage | In-kind items and services | $34.74 | General |
| Category: FACIAL AESTHETICS | ||||||
| 10/03/2024 | ABBVIE INC. | BOTOX (Biological) | Food and Beverage | In-kind items and services | $124.89 | General |
| Category: FACIAL AESTHETICS | ||||||
| 10/03/2024 | LEO Pharma Inc. | ADBRY (Biological) | Food and Beverage | In-kind items and services | $20.44 | General |
| Category: DERMATOLOGY | ||||||
| 10/02/2024 | SUN PHARMACEUTICAL INDUSTRIES INC. | ILUMYA (Biological) | Food and Beverage | In-kind items and services | $4.80 | General |
| Category: Dermatology | ||||||
| 09/17/2024 | UCB, Inc. | Bimzelx (Biological) | Food and Beverage | In-kind items and services | $18.39 | General |
| Category: Immunology | ||||||
| 09/04/2024 | Ortho Dermatologics, a division of Bausch Health US, LLC | Cabtreo (Drug), ARAZLO | Food and Beverage | In-kind items and services | $18.75 | General |
| Category: Dermatology | ||||||
| 09/03/2024 | Lilly USA, LLC | TALTZ (Drug) | Food and Beverage | In-kind items and services | $15.76 | General |
| Category: Immunology | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 24 | 2,523 | 4,711 | $689,123 | $229,882 |
| 2022 | 23 | 2,554 | 5,003 | $700,531 | $228,823 |
| 2021 | 23 | 2,234 | 4,409 | $578,491 | $192,206 |
| 2020 | 24 | 2,076 | 3,917 | $511,697 | $171,432 |
Total Patients
9,387
Total Services
18,040
Medicare Billing
$822,343
Procedure Codes
94
All Medicare Procedures & Services
94 procedure records from CMS Medicare Utilization — Page 1 of 4
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 459 | 826 | $145,035 | $52,198 | 36.0% |
| 17110 | Destruction of skin growth, 1-14 growths | Office | 2023 | 312 | 419 | $92,564 | $32,675 | 35.3% |
| 11102 | Biopsy of related skin growth, first growth | Office | 2023 | 307 | 402 | $79,427 | $23,866 | 30.0% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 143 | 205 | $50,945 | $18,262 | 35.8% |
| 17004 | Destruction of precancer skin growth, 15 or more growths | Office | 2023 | 89 | 127 | $41,720 | $15,591 | 37.4% |
| 17000 | Destruction of precancer skin growth, 1 growth | Office | 2023 | 289 | 407 | $53,176 | $13,397 | 25.2% |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | Office | 2023 | 36 | 43 | $25,483 | $9,542 | 37.4% |
| 11103 | Biopsy of related skin growth, each additional growth | Office | 2023 | 121 | 210 | $20,556 | $7,989 | 38.9% |
| 11300 | Shaving of skin growth of body, arms, or legs, 0.5 cm or less | Office | 2023 | 104 | 167 | $32,968 | $7,336 | 22.3% |
| 17262 | Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm | Office | 2023 | 44 | 57 | $19,853 | $7,270 | 36.6% |
| 17003 | Destruction of precancer skin growth, 2-14 growths | Office | 2023 | 214 | 1,396 | $18,173 | $7,045 | 38.8% |
| 12031 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less | Office | 2023 | 23 | 32 | $16,424 | $6,337 | 38.6% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 76 | 76 | $16,534 | $5,589 | 33.8% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 94 | 117 | $12,839 | $4,729 | 36.8% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 32 | 32 | $10,357 | $3,380 | 32.6% |
| 11602 | Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | Office | 2023 | 31 | 34 | $16,219 | $3,181 | 19.6% |
| 11301 | Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm | Office | 2023 | 33 | 37 | $8,797 | $2,947 | 33.5% |
| 17261 | Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm | Office | 2023 | 14 | 14 | $4,038 | $1,471 | 36.4% |
| 11305 | Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less | Office | 2023 | 21 | 23 | $4,751 | $1,418 | 29.8% |
| 69100 | Biopsy of ear | Office | 2023 | 21 | 23 | $4,328 | $1,218 | 28.1% |
| 17111 | Destruction of skin growth, 15 or more growths | Office | 2023 | 12 | 13 | $3,351 | $1,212 | 36.2% |
| 10040 | Acne surgery | Office | 2023 | 13 | 13 | $2,945 | $1,120 | 38.0% |
| 11402 | Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm | Office | 2023 | 14 | 17 | $5,690 | $1,116 | 19.6% |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | Office | 2023 | 21 | 21 | $2,951 | $992.34 | 33.6% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 450 | 790 | $140,067 | $48,850 | 34.9% |
About Dr. James Ralston, M.D
Dr. James Ralston, M.D is a Dermatology healthcare provider based in Mckinney, Texas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 03/15/2007. The National Provider Identifier (NPI) number assigned to this provider is 1265566004.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. James Ralston, M.D has received a total of $20,680 in payments from pharmaceutical and medical device companies, with $1,686 received in 2024. These payments were reported across 347 transactions from 38 companies. The most common payment nature is "Food and Beverage" ($9,690).
As a Medicare-enrolled provider, Ralston has provided services to 9,387 Medicare beneficiaries, totaling 18,040 services with total Medicare billing of $822,343. Data is available for 4 years (2020–2023), covering 94 distinct procedure/service records.
Ad
Practice Information
- Specialty Dermatology
- Location Mckinney, TX
- Active Since 03/15/2007
- Last Updated 07/27/2015
- Taxonomy Code 207N00000X
- Entity Type Individual
- NPI Number 1265566004
Products in Payments
- AMELUZ (Drug) $1,833
- TREMFYA (Drug) $872.06
- EPIDUO FORTE (Drug) $528.81
- EUCRISA (Drug) $447.30
- DUPIXENT (Biological) $410.75
- OPZELURA (Drug) $406.77
- BOTOX (Biological) $405.12
- SKYRIZI (Biological) $360.47
- COSENTYX (Biological) $343.35
- SOOLANTRA (Drug) $324.95
- ADBRY (Biological) $298.74
- VTAMA (Drug) $280.51
- ILUMYA (Biological) $246.75
- Sitavig (Drug) $235.64
- TALTZ (Drug) $233.29
- Humira (Biological) $218.16
- ORACEA (Drug) $216.93
- STELARA (Biological) $195.69
- QBREXZA (Drug) $193.22
- Bensal HP (Drug) $180.44
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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