Kara de Winter, MD
Urogynecology and Reconstructive Pelvic Surgery · Long Beach, CANPI 1376989392
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (45.4%), travel and lodging and education — rather than concentrated in one kind of arrangement. 26 manufacturers reported payments, led by Intuitive Surgical at 52.6% of the total. 2025 is the largest year on record at $3,908, more than ten times the $86 reported in 2020.
Across 111 payments — averaging $60.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- AbbVie$610
- Medtronic$440
- Caldera Medical, Inc$419
- Astellas Pharma US Inc$330
- Sumitomo Pharma America, Inc.$300
- plus $1K from 20 others
What the payments were for
- Travel & lodging$2,54038%
- Food & beverage$3,05445%
- Education$1,10016%
- Gifts$361%
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 | 12 | $3,540 |
| AbbVie(2 entities) | 23 | $610 |
| Medtronic | 11 | $440 |
| Caldera Medical, Inc | 8 | $419 |
| Astellas Pharma US Inc | 12 | $330 |
| Sumitomo Pharma America, Inc. | 11 | $300 |
| Axonics, Inc. | 6 | $199 |
| Teleflex LLC | 4 | $169 |
| Boston Scientific | 4 | $164 |
| AstraZeneca | 1 | $119 |
| Femselect Inc. | 1 | $62 |
| Mayne Pharma Commercial LLC | 3 | $60 |
| Therapeuticsmd, Inc. | 2 | $42 |
| Bluewind Medical | 1 | $28 |
| Mimedx Group, Inc. | 1 | $27 |
| Myovant Sciences Inc. | 1 | $26 |
| Exeltis, USA Inc. | 1 | $25 |
| Hollister Incorporated | 1 | $22 |
| Merck | 1 | $22 |
| Mycovia Pharmaceuticals, Inc. | 1 | $20 |
| 180 Medical, Inc. | 1 | $19 |
| Urovant Sciences Inc | 1 | $19 |
| Pfizer | 1 | $18 |
| Aspira Women's Health Inc | 1 | $18 |
| Bayer | 1 | $16 |
| Sagent Pharmaceuticals | 1 | $15 |
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$2,461
- DAVINCI XI$1,000
- INTERSTIM$135
- ORIAHNN$125
- Orilissa$125
- AIRSUPRA$119
- Desara$113
How this compares
$6,730 in reported general payments places this provider in the 70th percentile of 130 urogynecology and reconstructive pelvic surgery providers in California.
See all urogynecology and reconstructive pelvic surgery providers in California →
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 |
|---|---|---|
| GemtesaVibegron | 116 | $101,146 |
| MyrbetriqMirabegron | 146 | $99,846 |
| Estradiol | 242 | $16,786 |
| Fosfomycin Tromethamine | 36 | $4,515 |
| Methenamine Hippurate | 30 | $2,879 |
| YuvafemEstradiol | 12 | $2,250 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 43 | $799 |
| Metronidazole | 31 | $674 |
| Cephalexin | 49 | $647 |
| Terconazole | 19 | $613 |
| Nystatin-TriamcinoloneNystatin/Triamcinolone Acet | 21 | $602 |
| Baclofen | 26 | $298 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 68 | $284 |
| Pregabalin | 11 | $201 |
| Amitriptyline Hcl | 35 | $185 |
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 | $300 | $101,146116 claims |
| Astellas Pharma US IncMyrbetriq | $330 | $99,846146 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 70th percentile of 130 urogynecology and reconstructive pelvic surgery providers in California.
Other urogynecology and reconstructive pelvic surgery in Long Beach
- Soorena FatehchehrLong Beach$9K
- Jocelyn CraigLong Beach$5K
- Andrew BrillSan Francisco$345K
- Bilal KaakiRiverside$301K
- Savitha KrishnanMountain View$243K
- Peter CastilloLos Gatos$95K
- Bruce Kahnla Jolla$79K
- Jennifer GruenenfelderOrange$76K
- Traci ItoSan Francisco$68K
- Tanaz FerzandiLos Angeles$60K
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.