Elmore Becker, MD
Urology · Fredericksburg, VANPI 1396791372
Payments from drug & device makers
Across 175 payments — averaging $21.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$580
- Pfizer$388
- Astellas Pharma US Inc$351
- Boston Scientific$350
- Dendreon Pharmaceuticals LLC$334
- Blue Earth Diagnostics$219
- plus $2K from 34 others
What the payments were for
- Food & beverage$3,65498%
- Education$692%
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 |
|---|---|---|
| Johnson & Johnson | 30 | $580 |
| Pfizer | 22 | $388 |
| Astellas Pharma US Inc | 20 | $351 |
| Boston Scientific | 5 | $350 |
| Dendreon Pharmaceuticals LLC | 12 | $334 |
| Blue Earth Diagnostics | 10 | $219 |
| Sumitomo Pharma America, Inc. | 5 | $135 |
| AbbVie(2 entities) | 6 | $98 |
| Laborie Medical Technologies Corp. | 2 | $96 |
| Alnylam Pharmaceuticals Inc. | 4 | $84 |
| Axonics, Inc. | 4 | $83 |
| Merck | 4 | $80 |
| Urogen Pharma, Inc. | 3 | $75 |
| Sun Pharmaceutical Industries Inc. | 3 | $66 |
| Tolmar Pharmaceuticals, Inc. | 3 | $56 |
| Novartis | 3 | $55 |
| Tempus AI, Inc | 2 | $53 |
| Ambu Inc. | 2 | $52 |
| Coloplast | 3 | $49 |
| Bioprotect Medical, Inc. | 1 | $43 |
| IBSA Pharma Inc. | 2 | $41 |
| Medtronic | 2 | $40 |
| Olympus America Inc. | 2 | $35 |
| Progenics Pharmaceuticals, Inc. | 2 | $33 |
| Amgen | 2 | $31 |
| Immunitybio, Inc. | 2 | $30 |
| Urovant Sciences Inc | 2 | $28 |
| Teleflex LLC | 2 | $26 |
| Rochester Medical Corporation | 2 | $26 |
| Bayer | 1 | $24 |
| Agiliti Surgical, Inc. | 1 | $24 |
| Antares Pharma, Inc. | 1 | $19 |
| Myriad Genetic Laboratories, Inc. | 1 | $18 |
| Photocure Inc | 1 | $17 |
| Neotract Inc. | 1 | $15 |
| KARL Storz Lithotripsy-america | 1 | $15 |
| Myovant Sciences Inc. | 1 | $15 |
| Clarus Therapeutics Inc. | 3 | $14 |
| Procept Biorobotics Corporation | 1 | $14 |
| Mission Pharmacal Company | 1 | $13 |
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.
- rezum Generator$118
How this compares
$3,723 in reported general payments places this provider in the 55th percentile of 300 urology providers in Virginia.
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 |
|---|---|---|
| XtandiEnzalutamide | 12 | $171,345 |
| MyrbetriqMirabegron | 55 | $71,545 |
| OrgovyxRelugolix | 18 | $49,107 |
| GemtesaVibegron | 50 | $42,703 |
| Tamsulosin Hcl | 795 | $14,954 |
| Testosterone | 35 | $10,982 |
| Methenamine Hippurate | 70 | $9,199 |
| Tadalafil | 55 | $6,849 |
| Finasteride | 421 | $5,106 |
| Fesoterodine Fumarate ErFesoterodine Fumarate | 28 | $4,961 |
| Potassium Citrate ErPotassium Citrate | 20 | $4,728 |
| Tolterodine Tartrate ErTolterodine Tartrate | 23 | $3,708 |
| Solifenacin Succinate | 35 | $1,632 |
| Silodosin | 17 | $1,550 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 66 | $1,215 |
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 IncXtandi, Myrbetriq | $351 | $242,88967 claims |
| Sumitomo Pharma America, Inc.Orgovyx, Gemtesa | $135 | $91,81068 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 55th percentile of 300 urology providers in Virginia.
Other urology in Fredericksburg
- Robert GivenVirginia Beach$8.7M
- Michael WilliamsVirginia Beach$2.7M
- Michael FabrizioVirginia Beach$1.6M
- Gregg EureVirginia Beach$1.5M
- Nilay GandhiWoodbridge$1.3M
- Jessica DelongVirginia Beach$644K
- Eugene KramolowskyRichmond$594K
- Nicolas OrtizCharlottesville$331K
- Stephen CulpCharlottesville$284K
- Michael FranksRichmond$136K
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.