Chad Ritch, MD
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (31.4%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Urogen Pharma, Inc. at 35.8% of the total. 2025 is the largest year on record at $5,290, more than ten times the $497 reported in 2019.
Across 131 payments — averaging $143.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Urogen Pharma, Inc.$7K
- Intuitive Surgical$4K
- Ferring Pharmaceuticals Inc.$4K
- Pfizer$1K
- Johnson & Johnson$563
- Integra Lifesciences Corporation$345
- plus $2K from 14 others
Across 55 payments — averaging $14,124 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.
- Merck$777K
What the payments were for
- Consulting fees$5,52529%
- Speaking & faculty fees$4,00021%
- Food & beverage$5,88631%
- Education$1851%
- Gifts$1791%
- Other$3,00016%
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 |
|---|---|---|
| Urogen Pharma, Inc. | 10 | $6,714 |
| Intuitive Surgical | 39 | $4,179 |
| Ferring Pharmaceuticals Inc. | 14 | $3,923 |
| Pfizer | 22 | $1,290 |
| Johnson & Johnson | 15 | $563 |
| Integra Lifesciences Corporation | 6 | $345 |
| Immunitybio, Inc. | 3 | $323 |
| Baxter Healthcare | 2 | $266 |
| Photocure Inc | 2 | $231 |
| Boston Scientific | 3 | $156 |
| Axonics, Inc. | 2 | $150 |
| Bayer | 1 | $149 |
| Coloplast | 1 | $127 |
| Sumitomo Pharma America, Inc. | 4 | $96 |
| Seagen Inc. | 1 | $94 |
| KARL Storz Endoscopy-america | 1 | $78 |
| AbbVie | 2 | $34 |
| EDAP Technomed Inc | 1 | $22 |
| Astellas Pharma US Inc | 1 | $18 |
| Antares Pharma, Inc. | 1 | $16 |
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.
- ZUSDURI$4,000
- ADSTILADRIN$3,635
- DA VINCI SP$3,000
- XTANDI$881
- ORGOVYX$881
- JELMYTO$493
- TALZENNA$366
- Da Vinci Surgical System$360
- ANKTIVA$289
- Cysview$163
- Nubeqa$149
- Xofigo$149
- RYBREVANT$146
- CARVYKTI$146
- TISSEEL$141
- SPEEDICATH$127
- FLOSEAL$125
- GREENLIGHT$124
- BIOFIX$122
- MEDIHONEY$122
How this compares
$18,774 in reported general payments places this provider in the 85th percentile of 935 urology providers in Florida.
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 | 22 | $15,242 |
| Tamsulosin Hcl | 101 | $763 |
| Oxybutynin Chloride ErOxybutynin Chloride | 51 | $622 |
| Finasteride | 22 | $248 |
| Ciprofloxacin Hcl | 43 | $217 |
| Ibuprofen | 12 | $81 |
| Oxybutynin Chloride | 12 | $58 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 22 | $43 |
| Diclofenac Sodium | 11 | $32 |
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 | $18 | $15,24222 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 85th percentile of 935 urology providers in Florida.
Other urology in Miami
- Mark Anthony GonzalgoMiami$1M
- Daniel MartinezMiami$133K
- Emad IbrahimMiami$85K
- Sanoj PunnenMiami$48K
- Ahmed EldefrawyMiami$47K
- Bruce KavaMiami$44K
- Paul PeritoCoral Gables$3.6M
- Scott SellingerTallahassee$2.3M
- Edward GheilerHialeah$655K
- Rolando RiveraNaples$437K
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.