RxDoctor Payments Data

Jordan Kramer, MD

Urology · Mount Vernon, WANPI 1104302447

Payments from drug & device makers

What this record shows

This record is dominated by education: $6,011 of the $7,496 with a category attached, or 80.2%. Intuitive Surgical accounts for 80.0% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2024 at $6,232 and has fallen 95.0% since, to $313 in 2025.

$7,496in general payments, 2019–2025

Across 23 payments — averaging $325.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$6K
  • Boston Scientific$555
  • Urogen Pharma, Inc.$492
  • Procept Biorobotics Corporation$258
  • Sumitomo Pharma America, Inc.$109
  • Medtronic$36
  • plus $46 from 2 others

What the payments were for

  • Travel & lodging$2583%
  • Food & beverage$1,22716%
  • Education$6,01180%

General payments by program year

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

$7,496 in reported general payments places this provider in the 80th percentile of 274 urology providers in Washington.

See all urology providers in Washington

Medicare billing

Part B allowed, 2024
$86,028
Medicare patients
372
Services billed
1,250

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
GemtesaVibegron66$49,766
MyrbetriqMirabegron57$49,718
Tamsulosin Hcl221$4,111
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst66$2,179
Fosfomycin Tromethamine12$1,869
Solifenacin Succinate24$1,651
Finasteride110$1,169
Cefdinir56$1,081
Silodosin25$986
Trospium Chloride13$982
Oxybutynin Chloride ErOxybutynin Chloride30$942
Estradiol12$846
Alfuzosin Hcl ErAlfuzosin Hcl24$594
Terazosin Hcl27$435
Ciprofloxacin Hcl48$382

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.Gemtesa$109$49,76666 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 80th percentile of 274 urology providers in Washington.

Other urology in Mount Vernon

See the full list for Washington

Where these figures come from

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