RxDoctor Payments Data

Hernan Altamar, MD

Urology · Portsmouth, NHNPI 1033180062

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 92.8% of the total across 21 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by Teleflex LLC at 29.0% of the total. 2025 is the largest year on record at $456, more than ten times the $40 reported in 2019. That places this record below the midpoint for urology clinicians in NH, where the typical reported total is $863.

$942in general payments, 2019–2025

Across 21 payments — averaging $44.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Teleflex LLC$273
  • Urogen Pharma, Inc.$187
  • Boston Scientific$102
  • Johnson & Johnson$100
  • AbbVie$70
  • Intuitive Surgical$40
  • plus $170 from 7 others

What the payments were for

  • Food & beverage$87493%
  • Education$687%

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
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

$942 in reported general payments places this provider in the 50th percentile of 61 urology providers in New Hampshire.

See all urology providers in New Hampshire

Medicare billing

Part B allowed, 2024
$239,422
Medicare patients
541
Services billed
4,849

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
MyrbetriqMirabegron29$25,587
GemtesaVibegron14$13,625
Tamsulosin Hcl346$4,608
Potassium Citrate ErPotassium Citrate20$3,804
Finasteride193$2,441
Alfuzosin Hcl ErAlfuzosin Hcl79$1,852
Oxybutynin Chloride ErOxybutynin Chloride20$1,058
Testosterone12$1,047
Silodosin11$724
Levofloxacin77$393
Solifenacin Succinate11$306
Oxybutynin Chloride21$192
Ciprofloxacin Hcl12$98
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim16$56

Paid to pharmacies, not to this prescriber.

Other urology in Portsmouth

See the full list for New Hampshire

Where these figures come from

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