RxDoctor Payments Data

Jayprakash Patel, MD

Urology · Saint Louis, MONPI 1124086541

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (54.5%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 46 manufacturers reported payments, led by Coloplast at 38.1% of the total. Reporting peaked in 2024 at $9,171 and has fallen 74.5% since, to $2,336 in 2025. Among urology clinicians in MO 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.

$18,769in general payments, 2019–2025

Across 392 payments — averaging $47.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Coloplast$7K
  • Procept Biorobotics Corporation$2K
  • Boston Scientific$2K
  • Teleflex LLC$1K
  • Myriad Genetic Laboratories, Inc.$792
  • AbbVie$788
  • plus $5K from 40 others

What the payments were for

  • Consulting fees$5,00027%
  • Travel & lodging$3,28518%
  • Food & beverage$10,23655%
  • Education$2481%

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

$18,769 in reported general payments places this provider in the 90th percentile of 250 urology providers in Missouri.

See all urology providers in Missouri

Medicare billing

Part B allowed, 2024
$202,512
Medicare patients
581
Services billed
2,250

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
OrgovyxRelugolix32$81,992
MyrbetriqMirabegron60$33,268
GemtesaVibegron46$29,635
Tamsulosin Hcl1,525$19,173
Finasteride1,545$18,281
Mirabegron ErMirabegron23$10,784
Testosterone65$6,756
Silodosin55$4,847
Alfuzosin Hcl ErAlfuzosin Hcl176$4,133
Dutasteride149$3,889
Oxybutynin Chloride ErOxybutynin Chloride146$3,528
Trospium Chloride ErTrospium Chloride27$3,424
Desmopressin Acetate33$2,188
Bethanechol Chloride24$2,081
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst69$1,804

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$129$111,62778 claims
Astellas Pharma US IncMyrbetriq$713$33,26860 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 250 urology providers in Missouri.

Other urology in Saint Louis

See the full list for Missouri

Where these figures come from

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