Payment overview · 2025
General Payments
$220,427.53
305 reported records · 19 companies
Healthcare provider profile · identity verified
Melissa I Costner, MD
Allopathic & Osteopathic Physicians|Dermatology · ADDISON, TX · NPI 1265491302
Verified facts
What the public records show
CMS Open Payments records show Melissa I Costner, MD received $220,427.53 in general payments during 2025 across 305 reported records.
GENZYME CORPORATION accounted for 31.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 28 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Otezla, Rinvoq.
ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported RINVOQ as an associated drug or biological on 279238 records involving 34343 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Rinvoq by this doctor in 2024.
Amgen Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported OTEZLA as an associated drug or biological on 177267 records involving 48600 distinct recipient NPIs. Public Medicare Part D data also shows 51 claims for Otezla by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $69,294.93 | 31.4% | 29 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $54,118.51 | 24.6% | 47 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $38,086.84 | 17.3% | 23 | 2025 |
| Arcutis Biotherapeutics, Inc. | Unresolved — no canonical attribution shown | $26,899.42 | 12.2% | 29 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $12,373.27 | 5.6% | 51 | 2025 |
| Organon LLC | Unresolved — no canonical attribution shown | $7,631.33 | 3.5% | 14 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $5,714.14 | 2.6% | 7 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $2,440.91 | 1.1% | 10 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $2,118.45 | 1.0% | 9 | 2025 |
| Galderma Laboratories, L.P. | Unresolved — no canonical attribution shown | $403.63 | 0.2% | 24 | 2025 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | Unresolved — no canonical attribution shown | $366.71 | 0.2% | 14 | 2025 |
| Incyte Corporation | Unresolved — no canonical attribution shown | $312.80 | 0.1% | 9 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $244.71 | 0.1% | 19 | 2025 |
| LEO Pharma Inc. | Unresolved — no canonical attribution shown | $218.39 | 0.1% | 10 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $78.21 | 0.0% | 4 | 2025 |
| Botanix SB Inc | Unresolved — no canonical attribution shown | $56.91 | 0.0% | 3 | 2025 |
| Krystal Biotech Inc | Unresolved — no canonical attribution shown | $28.52 | 0.0% | 1 | 2025 |
| Helsinn Therapeutics (U.S.), Inc. | Unresolved — no canonical attribution shown | $22.61 | 0.0% | 1 | 2025 |
| UCB, Inc. | Unresolved — no canonical attribution shown | $17.24 | 0.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $140,485.00 | 49 |
| Consulting Fee | $61,452.00 | 16 |
| Honoraria | $7,200.00 | 1 |
| Food and Beverage | $6,601.27 | 225 |
| Travel and Lodging | $4,590.26 | 13 |
| Education | $99.00 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| DUPIXENT Normalized: dupixent |
Biological | GENZYME CORPORATION, Regeneron Healthcare Solutions, Inc. | $89,998.33 | 50 | 2025 |
Source payment records
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| EBGLYSS Normalized: ebglyss |
Drug | Lilly USA, LLC | $53,623.48 | 45 | 2025 |
Source payment records
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| Zoryve Normalized: zoryve |
Drug | Arcutis Biotherapeutics, Inc. | $26,899.42 | 29 | 2025 |
Source payment records
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| VTAMA Normalized: vtama |
Drug | Organon LLC | $7,608.27 | 13 | 2025 |
Source payment records
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| SKYRIZI Normalized: skyrizi |
Biological | ABBVIE INC. | $6,321.07 | 30 | 2025 |
Source payment records
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| RINVOQ Normalized: rinvoq |
Biological | ABBVIE INC. | $6,006.11 | 16 | 2025 |
Source payment records
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| TREMFYA Normalized: tremfya |
Drug | Janssen Biotech, Inc. | $2,118.45 | 9 | 2025 |
Source payment records
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| NEMLUVIO Normalized: nemluvio |
Drug | Galderma Laboratories, L.P. | $403.63 | 24 | 2025 |
Source payment records
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| ILUMYA Normalized: ilumya |
Biological | SUN PHARMACEUTICAL INDUSTRIES INC. | $324.00 | 10 | 2025 |
Source payment records
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| OPZELURA Normalized: opzelura |
Drug | Incyte Corporation | $312.80 | 9 | 2025 |
Source payment records
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| CIBINQO Normalized: cibinqo |
Drug | PFIZER INC. | $244.71 | 19 | 2025 |
Source payment records
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| LITFULO Normalized: litfulo |
Drug | PFIZER INC. | $244.71 | 19 | 2025 |
Source payment records
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| COSENTYX Normalized: cosentyx |
Drug | Novartis Pharmaceuticals Corporation | $176.93 | 8 | 2025 |
Source payment records
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| ADBRY Normalized: adbry |
Biological | LEO Pharma Inc. | $173.89 | 7 | 2025 |
Source payment records
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| TALTZ Normalized: taltz |
Drug | Lilly USA, LLC | $172.05 | 8 | 2025 |
Source payment records
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| OTEZLA Normalized: otezla |
Drug | Amgen Inc. | $78.21 | 4 | 2025 |
Source payment records
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| SOFDRA Normalized: sofdra |
Drug | Botanix SB Inc | $56.91 | 3 | 2025 |
Source payment records
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| SIMPONI Normalized: simponi |
Biological | Janssen Biotech, Inc. | $47.37 | 2 | 2025 |
Source payment records
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| SIMPONI ARIA Normalized: simponi aria |
Biological | Janssen Biotech, Inc. | $47.37 | 2 | 2025 |
Source payment records
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| STELARA Normalized: stelara |
Biological | Janssen Biotech, Inc. | $47.37 | 2 | 2025 |
Source payment records
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| BOTOX Normalized: botox |
Biological | ABBVIE INC. | $46.09 | 5 | 2025 |
Source payment records
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| ANZUPGO Normalized: anzupgo |
Drug | LEO Pharma Inc. | $44.50 | 3 | 2025 |
Source payment records
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| VYJUVEK Normalized: vyjuvek |
Drug | Krystal Biotech Inc | $28.52 | 1 | 2025 |
Source payment records
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| Rhapsido Normalized: rhapsido |
Drug | Novartis Pharmaceuticals Corporation | $23.23 | 1 | 2025 |
Source payment records
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| VALCHLOR Normalized: valchlor |
Drug | Helsinn Therapeutics (U.S.), Inc. | $22.61 | 1 | 2025 |
Source payment records
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| Winlevi Normalized: winlevi |
Drug | SUN PHARMACEUTICAL INDUSTRIES INC. | $20.76 | 1 | 2025 |
Source payment records
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| Bimzelx Normalized: bimzelx |
Biological | UCB, Inc. | $17.24 | 1 | 2025 |
Source payment records
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| XOLAIR Normalized: xolair |
Drug | Novartis Pharmaceuticals Corporation | $13.98 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| OTEZLA otezla |
2025 | Otezla | 2024 | 51 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| RINVOQ rinvoq |
2025 | Rinvoq | 2024 | 14 Beneficiary count suppressed |
exact normalized | Medicare Part D |
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | RINVOQ open payments reported associated product |
CMS Open Payments — General Payments 279238 supporting records · 34343 recipient NPIs · example record 1201352600 |
Rinvoq · 2024 Exact normalized brand match · 1 Part D row |
14 | suppressed by CMS |
| Amgen Inc. Exact reporting entity; no affiliate inference |
2025 | OTEZLA open payments reported associated product |
CMS Open Payments — General Payments 177267 supporting records · 48600 recipient NPIs · example record 1226871616 |
Otezla · 2024 Exact normalized brand match · 1 Part D row |
51 | suppressed by CMS |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 188 | 51 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 162 | 119 |
| Minoxidil | Minoxidil | 129 | 46 |
| Prednisone | Prednisone | 126 | 35 |
| Mycophenolate Mofetil | Mycophenolate Mofetil | 112 | 22 |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 108 | 74 |
| Doxycycline Hyclate | Doxycycline Hyclate | 90 | 58 |
| Dupixent Pen | Dupilumab | 67 | suppressed |
| Ketoconazole | Ketoconazole | 61 | 39 |
| Fluorouracil | Fluorouracil | 58 | 53 |
| Mupirocin | Mupirocin | 57 | 39 |
| Otezla | Apremilast | 51 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 48 | 34 |
| Valacyclovir | Valacyclovir Hcl | 36 | 20 |
| Methotrexate | Methotrexate Sodium | 35 | suppressed |
| Clindamycin Phosphate | Clindamycin Phosphate | 33 | 16 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 33 | 12 |
| Spironolactone | Spironolactone | 33 | suppressed |
| Dupixent Syringe | Dupilumab | 27 | suppressed |
| Hydrocortisone | Hydrocortisone | 27 | 19 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 25 | suppressed |
| Dutasteride | Dutasteride | 24 | suppressed |
| Terbinafine Hcl | Terbinafine Hcl | 23 | 14 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 22 | suppressed |
| Sulfacetamide Sodium | Sulfacetamide Sodium | 19 | 16 |
| Metronidazole | Metronidazole | 16 | suppressed |
| Rinvoq | Upadacitinib | 14 | suppressed |
| Dapsone | Dapsone | 13 | suppressed |
| Gabapentin | Gabapentin | 13 | suppressed |
| Gamunex-C | Immune Globul G/Gly/Iga Avg 46 | 13 | suppressed |
| Minocycline Hcl | Minocycline Hcl | 13 | suppressed |
| Pimecrolimus | Pimecrolimus | 12 | 12 |
| Clindamycin-Benzoyl Peroxide | Clindamycin Phos/Benzoyl Perox | 11 | suppressed |
| Fluocinonide | Fluocinonide | 11 | suppressed |
| Ondansetron Odt | Ondansetron | 11 | suppressed |
| Tacrolimus | Tacrolimus | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $220,427.53 · 305 records | GENZYME CORPORATION | ADBRY, ANZUPGO, BOTOX, Bimzelx, CIBINQO, COSENTYX, DUPIXENT, EBGLYSS, ILUMYA, LITFULO, NEMLUVIO, OPZELURA, OTEZLA, RINVOQ, Rhapsido, SIMPONI, SIMPONI ARIA, SKYRIZI, SOFDRA, STELARA, TALTZ, TREMFYA, VALCHLOR, VTAMA, VYJUVEK, Winlevi, XOLAIR, Zoryve | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Otezla play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with ABBVIE INC.?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error