RxDoctor Payments Data

Ernest Agatstein, MD

Urology · Downey, CANPI 1952386583

Payments from drug & device makers

$11,885in general payments, 2019–2025

Across 269 payments — averaging $44.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Dendreon Pharmaceuticals LLC$6K
  • Astellas Pharma US Inc$966
  • Pfizer$633
  • Bayer$551
  • Teleflex LLC$493
  • Axonics, Inc.$457
  • plus $3K from 33 others

What the payments were for

  • Consulting fees$5,56547%
  • Travel & lodging$2242%
  • Food & beverage$5,42946%
  • Education$6676%

General payments by program year

19
20
21
22
23
24
25

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

$11,885 in reported general payments places this provider in the 75th percentile of 1,324 urology providers in California.

See all urology providers in California

Medicare billing

Part B allowed, 2024
$189,875
Medicare patients
480
Services billed
4,777

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
OrgovyxRelugolix193$495,433
XtandiEnzalutamide23$315,592
NubeqaDarolutamide12$152,847
GemtesaVibegron123$99,723
MyrbetriqMirabegron64$59,176
Tamsulosin Hcl768$11,009
Oxybutynin Chloride ErOxybutynin Chloride185$5,192
Finasteride390$4,640
Solifenacin Succinate90$4,564
Tolterodine Tartrate ErTolterodine Tartrate21$4,224
Silodosin22$4,097
Alfuzosin Hcl ErAlfuzosin Hcl180$3,800
Fesoterodine Fumarate ErFesoterodine Fumarate13$2,295
Dutasteride31$1,207
Testosterone15$950

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
Sumitomo Pharma America, Inc.Orgovyx, Gemtesa$325$595,155316 claims
Astellas Pharma US IncXtandi, Myrbetriq$966$374,76887 claims
BayerNubeqa$551$152,84712 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 75th percentile of 1,324 urology providers in California.

Other urology in Downey

See the full list for California

Where these figures come from

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