RxDoctor Payments Data

Daniel Yelfimov, MD

Urology · San Antonio, TXNPI 1720309685

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 91.0% of the total across 6 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 5 manufacturers reported payments, led by Johnson & Johnson at 59.8% of the total. 2024 is the largest year on record at $160, 8.0 times the $20 reported in 2020. That places this record below the midpoint for urology clinicians in TX, where the typical reported total is $3,394.

$236in general payments, 2019–2025

Across 6 payments — averaging $39.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Johnson & Johnson$141
  • Urogen Pharma, Inc.$60
  • Astellas Pharma US Inc$20
  • Boston Scientific$13
  • Travere Therapeutics, Inc.$1
$242,784in research payments, 2019–2025

Across 18 payments — averaging $13,488 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.

  • Provepharm Inc.$229K
  • Telix Pharmaceuticals$14K

What the payments were for

  • Food & beverage$21591%
  • Education$219%

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

20
22
24

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

$236 in reported general payments places this provider in the 10th percentile of 878 urology providers in Texas.

See all urology providers in Texas →

Medicare billing

Part B allowed, 2024
$413,396
Medicare patients
717
Services billed
8,503

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
XtandiEnzalutamide82$1,122,679
MyrbetriqMirabegron216$202,187
OrgovyxRelugolix48$119,485
GemtesaVibegron52$53,271
Abiraterone Acetate22$20,436
Mirabegron ErMirabegron19$12,958
Estradiol105$7,624
Tamsulosin Hcl558$6,580
Cefpodoxime Proxetil83$5,269
Finasteride404$5,026
Testosterone Cypionate64$4,384
Solifenacin Succinate50$3,753
NitrofurantoinNitrofurantoin Macrocrystal67$2,935
Methenamine Hippurate45$2,895
Alfuzosin Hcl ErAlfuzosin Hcl94$2,268

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
Astellas Pharma US IncXtandi, Myrbetriq$20$1,324,865298 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 10th percentile of 878 urology providers in Texas.

Other urology in San Antonio

See the full list for Texas →

Where these figures come from

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