Casey Kowalik, MD
Urology · Kansas City, KSNPI 1083925127
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (31.6%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Boston Scientific accounts for 65.1% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $2,965, more than ten times the $29 reported in 2019.
Across 51 payments — averaging $150.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$5K
- Axonics, Inc.$2K
- Medtronic$524
- Cook Medical LLC$197
- Astellas Pharma US Inc$63
- Coloplast$53
- plus $117 from 4 others
Across 37 payments — averaging $2418.84 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Sumitomo Pharma America, Inc.$61K
- Urovant Sciences Inc$28K
What the payments were for
- Consulting fees$2,43032%
- Speaking & faculty fees$2,34530%
- Travel & lodging$1,12815%
- Food & beverage$1,79523%
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 |
|---|---|---|
| Boston Scientific | 10 | $5,012 |
| Axonics, Inc. | 16 | $1,733 |
| Medtronic(2 entities) | 7 | $524 |
| Cook Medical LLC | 4 | $197 |
| Astellas Pharma US Inc | 3 | $63 |
| Coloplast | 4 | $53 |
| Johnson & Johnson | 3 | $43 |
| AbbVie(2 entities) | 2 | $28 |
| Hollister Incorporated | 1 | $27 |
| Caldera Medical, Inc | 1 | $19 |
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.
- Capio RP$2,430
- Solyx SIS System$2,050
- Bulkamid$1,030
- Axonics r-SNM System$740
- Axonics$585
- INTERSTIM$404
- GENERAL KIDNEY STONE DISEASE$258
- NGage$160
- AMS 700$119
How this compares
$7,699 in reported general payments places this provider in the 80th percentile of 111 urology providers in Kansas.
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 |
|---|---|---|
| MyrbetriqMirabegron | 268 | $224,837 |
| GemtesaVibegron | 29 | $18,049 |
| Methenamine Hippurate | 240 | $15,970 |
| Estradiol | 210 | $15,133 |
| EstringEstradiol | 27 | $14,044 |
| Trospium Chloride ErTrospium Chloride | 61 | $10,750 |
| PremarinEstrogens, Conjugated | 15 | $7,057 |
| Mirabegron ErMirabegron | 14 | $6,004 |
| Trospium Chloride | 46 | $3,783 |
| Solifenacin Succinate | 58 | $2,219 |
| Oxybutynin Chloride ErOxybutynin Chloride | 77 | $1,996 |
| Tolterodine Tartrate ErTolterodine Tartrate | 18 | $1,545 |
| Tamsulosin Hcl | 77 | $1,289 |
| Fesoterodine Fumarate ErFesoterodine Fumarate | 12 | $1,200 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 57 | $577 |
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 IncMyrbetriq | $63 | $224,837268 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 80th percentile of 111 urology providers in Kansas.
Other urology in Kansas City
- Wilson MolinaKansas City$239K
- Bristol WhilesKansas City$163K
- Jeffrey HolzbeierleinKansas City$78K
- Ahmad El-ArabiKansas City$55K
- David DucheneKansas City$33K
- Joshua BroghammerKansas City$24K
- William ParkerKansas City$20K
- John TaylorKansas City$9K
- Richard FantusKansas City$7K
- Andrew ArtherKansas City$4K
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.