Daniel Lee, MD
Urology · Waterloo, IANPI 1326257346
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 93.8% of the total across 57 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Axonics, Inc. at 58.7% of the total. Reporting peaked in 2022 at $231 and has fallen 67.1% since, to $76 in 2025. That places this record below the midpoint for urology clinicians in IA, where the typical reported total is $1,504.
Across 57 payments — averaging $15.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axonics, Inc.$520
- Medtronic$142
- Boston Scientific$91
- AbbVie$64
- AstraZeneca$35
- Alnylam Pharmaceuticals Inc.$19
- plus $14 from 1 others
What the payments were for
- Food & beverage$83194%
- Education$556%
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 |
|---|---|---|
| Axonics, Inc. | 44 | $520 |
| Medtronic(2 entities) | 4 | $142 |
| Boston Scientific | 3 | $91 |
| AbbVie | 3 | $64 |
| AstraZeneca | 1 | $35 |
| Alnylam Pharmaceuticals Inc. | 1 | $19 |
| Intuitive Surgical | 1 | $14 |
How this compares
$886 in reported general payments places this provider in the 35th percentile of 114 urology providers in Iowa.
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 | 185 | $100,748 |
| GemtesaVibegron | 56 | $31,997 |
| Tamsulosin Hcl | 959 | $13,054 |
| Finasteride | 710 | $8,990 |
| OxytrolOxybutynin | 12 | $8,208 |
| Oxybutynin Chloride ErOxybutynin Chloride | 319 | $5,210 |
| Estradiol | 42 | $2,871 |
| Solifenacin Succinate | 118 | $2,691 |
| Potassium Citrate ErPotassium Citrate | 18 | $1,729 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 36 | $1,024 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 42 | $872 |
| NitrofurantoinNitrofurantoin Macrocrystal | 14 | $750 |
| Dutasteride | 13 | $653 |
| Oxybutynin Chloride | 86 | $598 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 69 | $487 |
Paid to pharmacies, not to this prescriber.
Other urology in Waterloo
- Anand InamdarWaterloo$8K
- Paul RichardsonWaterloo$4K
- Eric AskelandWaterloo$2K
- Vignesh PackiamIowa City$112K
- Annah VollstedtIowa City$66K
- Bradley EricksonIowa City$65K
- Michael OdonnellIowa City$62K
- Kevin BirusinghDes Moines$59K
- Ryan DornbierClive$55K
- Alexandria HertzIowa City$53K
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.