Julien Dagenais, MD
Urology · Denver, CONPI 1649579228
Payments from drug & device makers
What this record shows
This record is dominated by education: $7,560 of the $10,981 with a category attached, or 68.9%. Intuitive Surgical accounts for 83.3% of it on its own, with 18 other manufacturers making up the rest. 2025 is the largest year on record at $8,525, 8.7 times the $984 reported in 2019.
Across 110 payments — averaging $99.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$9K
- Astellas Pharma US Inc$583
- Johnson & Johnson$207
- Endo Pharmaceuticals Inc.$177
- Bayer$162
- Myriad Genetic Laboratories, Inc.$117
- plus $589 from 13 others
What the payments were for
- Travel & lodging$1892%
- Food & beverage$3,21129%
- Education$7,56069%
- Gifts$190%
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 | 31 | $9,146 |
| Astellas Pharma US Inc | 28 | $583 |
| Johnson & Johnson | 4 | $207 |
| Endo Pharmaceuticals Inc. | 10 | $177 |
| Bayer | 8 | $162 |
| Myriad Genetic Laboratories, Inc. | 1 | $117 |
| Procept Biorobotics Corporation | 1 | $112 |
| AbbVie | 7 | $104 |
| Urogen Pharma, Inc. | 3 | $61 |
| Amgen | 3 | $59 |
| Pfizer | 3 | $57 |
| Travere Therapeutics, Inc. | 3 | $46 |
| Dendreon Pharmaceuticals LLC | 1 | $30 |
| Ferring Pharmaceuticals Inc. | 2 | $28 |
| Progenics Pharmaceuticals, Inc. | 1 | $24 |
| Blue Earth Diagnostics | 1 | $20 |
| Boston Scientific | 1 | $18 |
| AstraZeneca | 1 | $18 |
| Richard Wolf Medical Instruments Corp. | 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$7,322
- DAVINCI XI$1,500
- RYBREVANT$145
- CARVYKTI$145
- Prolaris$117
- AquaBeam Robotic System$112
How this compares
$10,981 in reported general payments places this provider in the 80th percentile of 225 urology providers in Colorado.
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 | 34 | $33,235 |
| GemtesaVibegron | 27 | $31,641 |
| Tamsulosin Hcl | 300 | $3,839 |
| Finasteride | 230 | $2,772 |
| Testosterone | 19 | $2,291 |
| Solifenacin Succinate | 48 | $2,194 |
| Methenamine Hippurate | 13 | $1,733 |
| Estradiol | 20 | $1,508 |
| Fesoterodine Fumarate ErFesoterodine Fumarate | 13 | $1,482 |
| Testosterone Cypionate | 26 | $1,000 |
| Dutasteride | 26 | $867 |
| Desmopressin Acetate | 12 | $420 |
| Oxybutynin Chloride | 54 | $326 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 14 | $273 |
| Ciprofloxacin Hcl | 28 | $224 |
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 |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $583 | $33,23534 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 225 urology providers in Colorado.
Other urology in Denver
- Lawrence KarshDenver$706K
- Elizabeth SnyderDenver$53K
- Juan MontoyaDenver$50K
- Elias HsuDenver$23K
- John TillettDenver$21K
- Milford PainterDenver$13K
- Nina CasanovaDenver$12K
- Stephen RuyleDenver$9K
- Brian SmithDenver$8K
- Richard HeppeDenver$8K
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.