Bryan Smith, MD
Urology · Pullman, WANPI 1548243199
Payments from drug & device makers
Across 149 payments — averaging $21.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$510
- Johnson & Johnson$323
- Sumitomo Pharma America, Inc.$292
- Myriad Genetic Laboratories, Inc.$264
- AbbVie$232
- Pfizer$226
- plus $1K from 28 others
What the payments were for
- Food & beverage$2,66685%
- Education$46315%
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 |
|---|---|---|
| Astellas Pharma US Inc | 18 | $510 |
| Johnson & Johnson | 16 | $323 |
| Sumitomo Pharma America, Inc. | 14 | $292 |
| Myriad Genetic Laboratories, Inc. | 9 | $264 |
| AbbVie(2 entities) | 12 | $232 |
| Pfizer | 10 | $226 |
| Rochester Medical Corporation | 16 | $216 |
| Olympus America Inc. | 6 | $133 |
| Bayer | 6 | $131 |
| Progenics Pharmaceuticals, Inc. | 4 | $80 |
| Myovant Sciences Inc. | 3 | $56 |
| Amgen | 3 | $52 |
| Urovant Sciences Inc | 3 | $52 |
| AstraZeneca | 3 | $48 |
| Teleflex LLC | 2 | $44 |
| Intuitive Surgical | 1 | $43 |
| Baxter Healthcare | 1 | $42 |
| Dendreon Pharmaceuticals LLC | 2 | $39 |
| Laborie Medical Technologies Corp. | 2 | $39 |
| Novartis | 2 | $38 |
| Dentsply IH Inc. | 2 | $30 |
| C. R. Bard, Inc. & Subsidiaries | 2 | $30 |
| BK Medical Holding Company Inc. | 1 | $27 |
| Urogen Pharma, Inc. | 1 | $22 |
| Clarus Therapeutics Inc. | 1 | $20 |
| Endo Pharmaceuticals Inc. | 1 | $19 |
| Janssen Scientific Affairs, LLC | 1 | $19 |
| Convatec Inc. | 1 | $19 |
| Axonics, Inc. | 1 | $18 |
| Boston Scientific | 1 | $18 |
| Medtronic | 1 | $16 |
| Foundation Medicine, Inc. | 1 | $15 |
| Ferring Pharmaceuticals Inc. | 1 | $13 |
| Travere Therapeutics, Inc. | 1 | $4 |
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.
- Prolaris$124
How this compares
$3,129 in reported general payments places this provider in the 60th percentile of 274 urology providers in Washington.
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 |
|---|---|---|
| XtandiEnzalutamide | 17 | $228,081 |
| MyrbetriqMirabegron | 145 | $107,419 |
| GemtesaVibegron | 24 | $28,624 |
| Tamsulosin Hcl | 892 | $17,766 |
| Bethanechol Chloride | 87 | $8,897 |
| NitrofurantoinNitrofurantoin Macrocrystal | 173 | $8,750 |
| Dutasteride | 177 | $6,487 |
| Oxybutynin Chloride ErOxybutynin Chloride | 251 | $5,980 |
| Solifenacin Succinate | 46 | $4,830 |
| Potassium Citrate ErPotassium Citrate | 44 | $4,179 |
| Finasteride | 207 | $3,235 |
| Methenamine Hippurate | 34 | $2,895 |
| Testosterone Cypionate | 111 | $2,673 |
| Estradiol | 39 | $2,493 |
| Trimethoprim | 30 | $2,041 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Astellas Pharma US IncXtandi, Myrbetriq | $510 | $335,499162 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $292 | $28,62424 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 274 urology providers in Washington.
Other urology in Pullman
- James PorterSeattle$2.6M
- Shane PearceSpokane$1.8M
- Raymond LanceSpokane$1.2M
- Jonathan WrightSeattle$1M
- Thomas WalshSeattle$388K
- Una LeeSeattle$236K
- Marah HehemannSeattle$213K
- Sarah PsutkaSeattle$185K
- Alvaro LucioniSeattle$152K
- Karny JacobyMountlake Terrace$122K
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.