RxDoctor Payments Data

Ahmed Akl, MD

Urogynecology and Reconstructive Pelvic Surgery · Scottsdale, AZNPI 1992953541

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $6,583 of the $9,594 with a category attached, or 68.6%. Caldera Medical, Inc accounts for 83.6% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2021 at $6,743 and has fallen 91.7% since, to $556 in 2025.

$9,594in general payments, 2019–2025

Across 230 payments — averaging $41.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Caldera Medical, Inc$8K
  • Axonics, Inc.$440
  • Sumitomo Pharma America, Inc.$223
  • Astellas Pharma US Inc$189
  • Coloplast$168
  • Femselect Inc.$157
  • plus $402 from 10 others

What the payments were for

  • Consulting fees$6,58369%
  • Food & beverage$2,81229%
  • Education$270%
  • Gifts$1722%

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

$9,594 in reported general payments places this provider in the 60th percentile of 24 urogynecology and reconstructive pelvic surgery providers in Arizona.

See all urogynecology and reconstructive pelvic surgery providers in Arizona

Medicare billing

Part B allowed, 2024
$402,648
Medicare patients
784
Services billed
2,595

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
GemtesaVibegron115$82,199
MyrbetriqMirabegron96$65,737
Solifenacin Succinate300$12,798
Estradiol200$12,724
NitrofurantoinNitrofurantoin Macrocrystal94$4,168
Tolterodine Tartrate ErTolterodine Tartrate30$2,016
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst122$1,620
Trimethoprim17$1,422
Heparin SodiumHeparin Sodium,porcine21$1,382
Cephalexin109$823
Methenamine Hippurate11$736
Triamcinolone Acetonide73$508
Fluconazole54$361
Ciprofloxacin Hcl54$272
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim106$258

Paid to pharmacies, not to this prescriber.

Companies that both paid and supply prescribed drugs

These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.

CompanyPaid to this providerPart D cost of their drugs
Sumitomo Pharma America, Inc.Gemtesa$223$82,199115 claims
Astellas Pharma US IncMyrbetriq$189$65,73796 claims

Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 60th percentile of 24 urogynecology and reconstructive pelvic surgery providers in Arizona.

Other urogynecology and reconstructive pelvic surgery in Scottsdale

See the full list for Arizona

Where these figures come from

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