Jeremy Speeg, MD
Urology · Lafayette, LANPI 1881885937
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,409 of the $6,111 with a category attached, or 88.5%. It is spread thinly across 38 manufacturers, the largest accounting for just 12.6% — the pattern of someone who eats at a lot of different presentations.
Across 281 payments — averaging $21.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$770
- AbbVie$638
- Johnson & Johnson$594
- Teleflex LLC$540
- Sumitomo Pharma America, Inc.$502
- Dendreon Pharmaceuticals LLC$325
- plus $3K from 32 others
What the payments were for
- Travel & lodging$5198%
- Food & beverage$5,40989%
- Education$1833%
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
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.
| Company | Payments | Total |
|---|---|---|
| Astellas Pharma US Inc | 44 | $770 |
| AbbVie(2 entities) | 36 | $638 |
| Johnson & Johnson(2 entities) | 25 | $594 |
| Teleflex LLC | 3 | $540 |
| Sumitomo Pharma America, Inc. | 29 | $502 |
| Dendreon Pharmaceuticals LLC | 16 | $325 |
| Ferring Pharmaceuticals Inc. | 6 | $230 |
| Urogen Pharma, Inc. | 10 | $206 |
| Coloplast | 10 | $191 |
| Bayer | 8 | $164 |
| Endo Pharmaceuticals Inc. | 11 | $157 |
| Pfizer | 10 | $149 |
| Accord Healthcare, Inc. | 8 | $148 |
| Myovant Sciences Inc. | 9 | $137 |
| Blue Earth Diagnostics | 6 | $131 |
| Procept Biorobotics Corporation | 1 | $125 |
| Cook Medical LLC | 1 | $121 |
| Merck | 6 | $111 |
| Antares Pharma, Inc. | 6 | $105 |
| Boston Scientific | 4 | $97 |
| Dornier Medtech America, Inc | 1 | $87 |
| Olympus America Inc. | 5 | $85 |
| Progenics Pharmaceuticals, Inc. | 3 | $71 |
| Laborie Medical Technologies Corp. | 1 | $53 |
| Urovant Sciences Inc | 2 | $49 |
| AstraZeneca | 3 | $44 |
| Hollister Incorporated | 2 | $40 |
| Endo USA, Inc. | 2 | $36 |
| Menarini Silicon Biosystems, Inc. | 1 | $32 |
| Axonics, Inc. | 2 | $31 |
| Tolmar Pharmaceuticals, Inc. | 2 | $28 |
| Medtronic(2 entities) | 2 | $27 |
| Sun Pharmaceutical Industries Inc. | 1 | $17 |
| Sanofi | 1 | $16 |
| Tolmar, Inc. | 1 | $15 |
| Novartis | 1 | $14 |
| Telix Pharmaceuticals | 1 | $14 |
| Clarus Therapeutics Inc. | 1 | $12 |
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.
- UroLift System$504
- AquaBeam Robotic System$125
- RESONANCE$121
How this compares
$6,111 in reported general payments places this provider in the 70th percentile of 199 urology providers in Louisiana.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| GemtesaVibegron | 59 | $41,318 |
| MyrbetriqMirabegron | 45 | $34,932 |
| Tamsulosin Hcl | 1,035 | $13,208 |
| Tolterodine Tartrate ErTolterodine Tartrate | 67 | $5,702 |
| Finasteride | 263 | $5,594 |
| Oxybutynin Chloride ErOxybutynin Chloride | 85 | $3,678 |
| NitrofurantoinNitrofurantoin Macrocrystal | 100 | $2,397 |
| Testosterone Cypionate | 70 | $2,239 |
| Estradiol | 20 | $1,333 |
| Potassium Citrate ErPotassium Citrate | 20 | $1,021 |
| Dutasteride | 23 | $828 |
| Oxybutynin Chloride | 35 | $711 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 28 | $557 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 81 | $523 |
| CefuroximeCefuroxime Axetil | 31 | $516 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Sumitomo Pharma America, Inc.Gemtesa | $502 | $41,31859 claims |
| Astellas Pharma US IncMyrbetriq | $770 | $34,93245 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 70th percentile of 199 urology providers in Louisiana.
Other urology in Lafayette
- William RothLafayette$17K
- Jeffrey ThibodeauxLafayette$8K
- Thad BourqueLafayette$8K
- Christopher FontenotLafayette$6K
- Scott NeusetzerLafayette$6K
- Richard VanlangendonckNew Orleans$289K
- Gerard HenryBossier City$256K
- Ralph HendersonShreveport$211K
- Wayne HellstromNew Orleans$183K
- Colin GoudelockeNew Orleans$124K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.