Joshua Pagar, MD
Urology · Columbia, MONPI 1669679064
Payments from drug & device makers
Across 31 payments — averaging $32.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Urogen Pharma, Inc.$151
- Sumitomo Pharma America, Inc.$145
- AbbVie$132
- C. R. Bard, Inc. & Subsidiaries$129
- Accord Healthcare, Inc.$73
- Ferring Pharmaceuticals Inc.$73
- plus $303 from 9 others
What the payments were for
- Food & beverage$1,007100%
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 |
|---|---|---|
| Urogen Pharma, Inc. | 4 | $151 |
| Sumitomo Pharma America, Inc. | 2 | $145 |
| AbbVie | 6 | $132 |
| C. R. Bard, Inc. & Subsidiaries | 2 | $129 |
| Accord Healthcare, Inc. | 3 | $73 |
| Ferring Pharmaceuticals Inc. | 3 | $73 |
| Boston Scientific | 1 | $68 |
| Endo USA, Inc. | 2 | $59 |
| Agiliti Surgical, Inc. | 2 | $41 |
| Laborie Medical Technologies Corp. | 1 | $31 |
| Civco Medical Instruments | 1 | $26 |
| Teleflex LLC | 1 | $24 |
| Myriad Genetic Laboratories, Inc. | 1 | $20 |
| Merck | 1 | $17 |
| Baudax Bio Inc. | 1 | $16 |
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.
- GEMTESA$125
- Bard Urinary Drainage Bag$112
How this compares
$1,007 in reported general payments places this provider in the 20th percentile of 250 urology 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 |
|---|---|---|
| MyrbetriqMirabegron | 126 | $82,105 |
| TestopelTestosterone | 12 | $14,370 |
| GemtesaVibegron | 20 | $13,507 |
| Tamsulosin Hcl | 461 | $10,758 |
| Finasteride | 243 | $4,443 |
| Testosterone | 33 | $3,715 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 136 | $3,307 |
| Trospium Chloride ErTrospium Chloride | 23 | $3,000 |
| Tolterodine Tartrate ErTolterodine Tartrate | 12 | $2,450 |
| Trospium Chloride | 40 | $2,354 |
| Methenamine Hippurate | 11 | $1,696 |
| Potassium Citrate ErPotassium Citrate | 17 | $1,590 |
| Oxybutynin Chloride ErOxybutynin Chloride | 35 | $816 |
| Betamethasone Dipropionate | 14 | $502 |
| Cephalexin | 82 | $324 |
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 | $145 | $13,50720 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 20th percentile of 250 urology providers in Missouri.
Other urology in Columbia
- Mark WakefieldColumbia$122K
- Jack CampbellColumbia$54K
- Eliza DefrodaColumbia$18K
- Julie RileyColumbia$10K
- Travis BullockSaint Louis$751K
- Michael JohnsonSaint Louis$471K
- Gregory AuffenbergSaint Louis$468K
- Gerald AndrioleSaint Louis$308K
- Hing LaiSaint Louis$173K
- Samuel KuykendallKansas City$141K
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.