Elias Moukarzel, MD
Urogynecology and Reconstructive Pelvic Surgery · El Centro, CANPI 1205912847
Payments from drug & device makers
Across 83 payments — averaging $41.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$1K
- Axonics, Inc.$510
- Pfizer$375
- Boston Scientific$196
- Astellas Pharma US Inc$141
- AbbVie$129
- plus $703 from 18 others
What the payments were for
- Travel & lodging$1,43141%
- Food & beverage$1,85854%
- Education$1655%
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 |
|---|---|---|
| Intuitive Surgical | 8 | $1,398 |
| Axonics, Inc. | 6 | $510 |
| Pfizer | 27 | $375 |
| Boston Scientific | 2 | $196 |
| Astellas Pharma US Inc | 3 | $141 |
| AbbVie(2 entities) | 7 | $129 |
| Sumitomo Pharma America, Inc. | 7 | $121 |
| Novo Nordisk | 1 | $105 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $100 |
| Hologic Sales And Service, LLC | 5 | $78 |
| Myovant Sciences Inc. | 2 | $39 |
| Shield Therapeutics Inc | 1 | $35 |
| Lupin Inc. | 2 | $27 |
| Hollister Incorporated | 1 | $23 |
| Millicent US Inc | 1 | $21 |
| AMAG Pharmaceuticals, Inc. | 1 | $20 |
| Urovant Sciences Inc | 1 | $20 |
| Aspira Women's Health Inc | 1 | $18 |
| Bayer | 1 | $18 |
| Daiichi Sankyo Inc. | 1 | $18 |
| Agile Therapeutics, Inc. | 1 | $16 |
| Avion Pharmaceuticals | 1 | $16 |
| Therapeuticsmd, Inc. | 1 | $15 |
| Johnson & Johnson | 1 | $14 |
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.
- Da Vinci Surgical System$1,263
- Bulkamid$447
- Axonics$447
- LUX-Dx Insertable Cardiac Monitor$125
- Wegovy$105
- LifeVest$100
How this compares
$3,453 in reported general payments places this provider in the 40th percentile of 130 urogynecology and reconstructive pelvic surgery providers in California.
See all urogynecology and reconstructive pelvic surgery providers in California →
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 |
|---|---|---|
| GemtesaVibegron | 283 | $167,382 |
| MyrbetriqMirabegron | 184 | $102,591 |
| PremarinEstrogens, Conjugated | 115 | $47,597 |
| Estradiol | 548 | $42,269 |
| Bethanechol Chloride | 88 | $6,060 |
| YuvafemEstradiol | 53 | $6,045 |
| Bromocriptine Mesylate | 14 | $5,980 |
| Mirabegron ErMirabegron | 14 | $3,642 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 184 | $3,012 |
| Oxybutynin Chloride | 144 | $2,321 |
| Tolterodine Tartrate ErTolterodine Tartrate | 11 | $944 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 91 | $925 |
| Raloxifene Hcl | 24 | $884 |
| Alendronate Sodium | 80 | $803 |
| Oxybutynin Chloride ErOxybutynin Chloride | 41 | $531 |
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 |
|---|---|---|
| Sumitomo Pharma America, Inc.Gemtesa | $121 | $167,382283 claims |
| Astellas Pharma US IncMyrbetriq | $141 | $102,591184 claims |
| PfizerPremarin | $375 | $47,597115 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 40th percentile of 130 urogynecology and reconstructive pelvic surgery providers in California.
Other urogynecology and reconstructive pelvic surgery in El Centro
- Bilal KaakiRiverside$431K
- Andrew BrillSan Francisco$345K
- Tanaz FerzandiLos Angeles$344K
- Savitha KrishnanMountain View$243K
- Felicia LaneOrange$121K
- Bruce Kahnla Jolla$114K
- Christopher TarnayLos Angeles$102K
- Peter CastilloLos Gatos$95K
- Azin ShahryarinejadManhattan Beach$90K
- Jennifer GruenenfelderOrange$90K
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.