RxDoctor Payments Data

Evan Carlos, MD

Urology · Spokane, WANPI 1063807477

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (54.1%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. EDAP Technomed Inc accounts for 64.4% of it on its own, with 47 other manufacturers making up the rest. 2025 is the largest year on record at $9,725, 8.5 times the $1,149 reported in 2021. Among urology clinicians in WA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$18,308in general payments, 2019–2025

Across 190 payments — averaging $96.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • EDAP Technomed Inc$12K
  • Histosonics, Inc.$1K
  • Sumitomo Pharma America, Inc.$452
  • Ferring Pharmaceuticals Inc.$430
  • Boston Scientific$398
  • Johnson & Johnson$395
  • plus $4K from 42 others

What the payments were for

  • Consulting fees$9,90054%
  • Travel & lodging$2671%
  • Food & beverage$7,90343%
  • Education$2231%
  • Entertainment$150%

General payments by program year

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

$18,308 in reported general payments places this provider in the 90th percentile of 274 urology providers in Washington.

See all urology providers in Washington

Medicare billing

Part B allowed, 2024
$372,531
Medicare patients
362
Services billed
2,323

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
XtandiEnzalutamide11$157,232
OrgovyxRelugolix57$149,636
GemtesaVibegron24$18,367
Abiraterone Acetate12$2,600
Trospium Chloride35$2,141
Tamsulosin Hcl95$1,533
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst44$672
Oxybutynin Chloride102$544
Prednisone30$402
Oxycodone Hcl107$395
Ondansetron OdtOndansetron41$320
Ondansetron Hcl78$284
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav18$167
Cephalexin35$125
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen11$78

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$452$168,00381 claims
Astellas Pharma US IncXtandi$171$157,23211 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 90th percentile of 274 urology providers in Washington.

Other urology in Spokane

See the full list for Washington

Where these figures come from

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