Dominique El-Khawand, MD
Urogynecology and Reconstructive Pelvic Surgery · York, PANPI 1841234580
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (47.7%), food and beverage and gifts — rather than concentrated in one kind of arrangement. 5 manufacturers reported payments, led by Medtronic at 53.3% of the total. 2025 is the largest year on record at $1,695, 4.4 times the $384 reported in 2019.
Across 32 payments — averaging $131.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Valencia Technologies Corporation$669
- Boston Scientific$590
- Coloplast$393
- Intuitive Surgical$310
Across 4 payments — averaging $5000.00 each. An ownership or investment interest held by the physician or an immediate family member.
- Valencia Technologies Corporation$20K
What the payments were for
- Travel & lodging$2,00248%
- Food & beverage$1,88845%
- Gifts$3107%
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 |
|---|---|---|
| Medtronic | 19 | $2,239 |
| Valencia Technologies Corporation | 1 | $669 |
| Boston Scientific | 6 | $590 |
| Coloplast | 5 | $393 |
| Intuitive Surgical | 1 | $310 |
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.
- ALTAVIVA$1,037
- eCoin Device Kit$669
- INTERSTIM$656
- Da Vinci Surgical System$310
- Solyx SIS System$124
- ALTIS$112
How this compares
$4,200 in reported general payments places this provider in the 60th percentile of 51 urogynecology and reconstructive pelvic surgery providers in Pennsylvania.
See all urogynecology and reconstructive pelvic surgery providers in Pennsylvania →
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 | 440 | $320,786 |
| GemtesaVibegron | 407 | $313,354 |
| Mirabegron ErMirabegron | 51 | $29,010 |
| Trospium Chloride ErTrospium Chloride | 91 | $17,232 |
| Estradiol | 112 | $7,143 |
| Methenamine Hippurate | 37 | $3,292 |
| Darifenacin ErDarifenacin Hydrobromide | 24 | $3,043 |
| Fesoterodine Fumarate ErFesoterodine Fumarate | 18 | $1,333 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 72 | $656 |
| Trospium Chloride | 18 | $397 |
| Ciprofloxacin Hcl | 30 | $52 |
| Cephalexin | 13 | $23 |
| Fluconazole | 11 | $17 |
Paid to pharmacies, not to this prescriber.
Other urogynecology and reconstructive pelvic surgery in York
- Julie DroletYork$29K
- Vincent LucenteAllentown$798K
- Miles MurphyAllentown$54K
- Heather GottliebNewtown$48K
- Michael BonidieMechanicsburg$39K
- Lily AryaPhiladelphia$34K
- Alexander BrusckeQuakertown$24K
- Marc TogliaMedia$22K
- Vani DandoluWilkes Barre$22K
- Luis Espaillat RijoLansdale$15K
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.