John Munoz, MD
Urology · Manchester, NHNPI 1063498095
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (52.8%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 82.5% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2024 at $10,841 and has fallen 99.5% since, to $55 in 2025. Among urology clinicians in NH 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.
Across 34 payments — averaging $450.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$13K
- EDAP Technomed Inc$2K
- Myriad Genetic Laboratories, Inc.$163
- Urogen Pharma, Inc.$66
- Medtronic$55
- Pfizer$50
- plus $111 from 6 others
What the payments were for
- Speaking & faculty fees$4,00026%
- Travel & lodging$1,3659%
- Food & beverage$1,87112%
- Education$8,08753%
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 | 6 | $12,636 |
| EDAP Technomed Inc | 15 | $2,241 |
| Myriad Genetic Laboratories, Inc. | 1 | $163 |
| Urogen Pharma, Inc. | 1 | $66 |
| Medtronic | 2 | $55 |
| Pfizer | 3 | $50 |
| Progenics Pharmaceuticals, Inc. | 1 | $26 |
| AbbVie | 1 | $23 |
| Astellas Pharma US Inc | 1 | $19 |
| Johnson & Johnson | 1 | $15 |
| Ambu Inc. | 1 | $14 |
| Boston Scientific | 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.
- Da Vinci Surgical System$8,600
- DA VINCI SP$4,000
- BRAC CDx$163
How this compares
$15,322 in reported general payments places this provider in the 90th percentile of 61 urology providers in New Hampshire.
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 |
|---|---|---|
| Tamsulosin Hcl | 112 | $1,963 |
| Finasteride | 113 | $1,194 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 55 | $403 |
| Solifenacin Succinate | 11 | $332 |
| Testosterone Cypionate | 21 | $317 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 20 | $65 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 12 | $62 |
| Cephalexin | 15 | $44 |
Paid to pharmacies, not to this prescriber.
Other urology in Manchester
- Jason AkermanManchester$53K
- Samuel SnipesManchester$6K
- Christopher GirasoleManchester$5K
- Cyrus NobleManchester$4K
- William SelleckManchester$960
- Sarah McAleerManchester$573
- Stephen SmithManchester$78
- Armando LopezManchester$6
- Martin GrossKeene$172K
- Ramiro Madden-FuentesConcord$82K
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.