Jerry Lowder, MD
Urogynecology and Reconstructive Pelvic Surgery · Saint Louis, MONPI 1619941879
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (37.7%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 67.2% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2024 at $3,033 and has fallen 92.1% since, to $240 in 2025.
Across 41 payments — averaging $96.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$3K
- Boston Scientific$949
- Axonics, Inc.$158
- Convatec Inc.$57
- Laborie Medical Technologies Corp.$54
- Johnson & Johnson$20
- plus $68 from 4 others
What the payments were for
- Travel & lodging$1,15229%
- Food & beverage$1,32333%
- Education$1,50038%
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 |
|---|---|---|
| Intuitive Surgical | 7 | $2,669 |
| Boston Scientific | 23 | $949 |
| Axonics, Inc. | 2 | $158 |
| Convatec Inc. | 2 | $57 |
| Laborie Medical Technologies Corp. | 2 | $54 |
| Johnson & Johnson | 1 | $20 |
| AbbVie | 1 | $19 |
| Exeltis, USA Inc. | 1 | $18 |
| Medtronic | 1 | $17 |
| Caldera Medical, Inc | 1 | $14 |
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.
- DAVINCI XI$1,500
- Da Vinci Surgical System$1,097
- Axonics$139
- Bulkamid$139
- Solyx SIS System$130
- UPSYLON$125
- Advantage System$119
How this compares
$3,975 in reported general payments places this provider in the 75th percentile of 21 urogynecology and reconstructive pelvic surgery providers in Missouri.
See all urogynecology and reconstructive pelvic surgery providers in Missouri →
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 |
|---|---|---|
| Estradiol | 583 | $37,411 |
| MyrbetriqMirabegron | 47 | $35,837 |
| GemtesaVibegron | 42 | $30,785 |
| PremarinEstrogens, Conjugated | 21 | $9,496 |
| YuvafemEstradiol | 64 | $6,398 |
| Trospium Chloride ErTrospium Chloride | 16 | $2,359 |
| Methenamine Hippurate | 32 | $1,938 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 134 | $1,546 |
| Trospium Chloride | 19 | $1,385 |
| Cephalexin | 67 | $337 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 30 | $51 |
Paid to pharmacies, not to this prescriber.
Other urogynecology and reconstructive pelvic surgery in Saint Louis
- Dionysios VeronikisSaint Louis$6K
- Joe ShiSaint Louis$3K
- Alec Szlachta-McginnSaint Louis$2K
- Andrew SteeleSaint Louis$1K
- Sara WoodSaint Louis$736
- Mary McLennanSaint Louis$454
- Fahche LeongSaint Louis$414
- Chiara GhettiSaint Louis$345
- Elizabeth WilliamsSt. Louis$195K
- Denicia DwaricaColumbia$19K
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.