RxDoctor Payments Data

Henry Gottsch, MD

Urology · Casper, WYNPI 1831209253

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 92.6% of the total across 218 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 35 manufacturers, the largest accounting for just 13.6% — the pattern of someone who eats at a lot of different presentations.

$4,465in general payments, 2019–2025

Across 218 payments — averaging $20.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Dendreon Pharmaceuticals LLC$609
  • Astellas Pharma US Inc$580
  • Johnson & Johnson$468
  • Sumitomo Pharma America, Inc.$382
  • Pfizer$338
  • Bayer$212
  • plus $2K from 29 others

What the payments were for

  • Travel & lodging$60%
  • Food & beverage$4,13593%
  • Education$3247%

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

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

Too few urology providers in Wyomingto place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024
$551,772
Medicare patients
751
Services billed
5,970

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
ErleadaApalutamide70$1,025,540
OrgovyxRelugolix148$383,139
MyrbetriqMirabegron195$114,407
Tamsulosin Hcl687$14,165
Fesoterodine Fumarate ErFesoterodine Fumarate58$9,458
Mirabegron ErMirabegron16$6,480
Oxybutynin Chloride ErOxybutynin Chloride315$5,395
Finasteride352$4,990
RenacidinCitric Ac/Gluconolact/Mag Carb12$3,672
Potassium Citrate ErPotassium Citrate23$3,638
Estradiol48$3,361
Testosterone Cypionate60$1,562
Trospium Chloride19$1,278
Tolterodine Tartrate ErTolterodine Tartrate27$1,259
Solifenacin Succinate34$720

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
Johnson & JohnsonErleada$468$1,025,54070 claims
Sumitomo Pharma America, Inc.Orgovyx$382$383,139148 claims
Astellas Pharma US IncMyrbetriq$580$114,407195 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. There are too few urology providers in Wyomingon file to place this against a meaningful peer group, so we don't.

Other urology in Casper

See the full list for Wyoming

Where these figures come from

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