RxDoctor Payments Data

John Smith, MD

Urology · Winston Salem, NCNPI 1477540466

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (44.2%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by SWAN Valley Medical Incorporated at 36.2% of the total. Reporting peaked in 2024 at $7,452 and has fallen 82.6% since, to $1,294 in 2025. Among urology clinicians in NC 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.

$16,850in general payments, 2019–2025

Across 121 payments — averaging $139.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • SWAN Valley Medical Incorporated$6K
  • Medtronic$4K
  • Coloplast$2K
  • Axonics, Inc.$2K
  • Procept Biorobotics Corporation$1K
  • Uromedica, Incorporated$1K
  • plus $1K from 9 others
$5,172in research payments, 2019–2025

Across 5 payments — averaging $1034.40 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Coloplast$4K
  • AbbVie$852
$0in ownership & investment interests, 2019–2025

Across 3 payments — averaging $0.00 each. An ownership or investment interest held by the physician or an immediate family member.

  • SWAN Valley Medical Incorporated$0

What the payments were for

  • Consulting fees$5,00030%
  • Speaking & faculty fees$1,1527%
  • Travel & lodging$3,24719%
  • Food & beverage$7,45144%

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

$16,850 in reported general payments places this provider in the 90th percentile of 434 urology providers in North Carolina.

See all urology providers in North Carolina

Medicare billing

Part B allowed, 2024
$152,941
Medicare patients
380
Services billed
6,041

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
MyrbetriqMirabegron128$84,039
GemtesaVibegron38$24,601
PremarinEstrogens, Conjugated39$16,850
AvodartDutasteride12$13,424
Methenamine Hippurate123$6,797
Estradiol62$3,551
Trimethoprim101$3,385
Solifenacin Succinate83$2,343
Cefdinir193$2,301
Tolterodine Tartrate ErTolterodine Tartrate26$1,557
Tamsulosin Hcl95$1,396
Oxybutynin Chloride ErOxybutynin Chloride113$1,385
Finasteride96$870
Ciprofloxacin Hcl191$794
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst43$745

Paid to pharmacies, not to this prescriber.

Other urology in Winston Salem

See the full list for North Carolina

Where these figures come from

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