RxDoctor Payments Data

Lance Wiebusch, MD

Urology · Lincoln, NENPI 1154442507

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (43.7%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Astellas Pharma US Inc at 45.1% of the total. Reporting peaked in 2019 at $7,397 and has fallen 77.1% since, to $1,695 in 2025.

$13,202in general payments, 2019–2025

Across 82 payments — averaging $161.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Astellas Pharma US Inc$6K
  • Coloplast$6K
  • Valencia Technologies Corporation$991
  • Pfizer$128
  • AbbVie$116
  • Medtronic$114
  • plus $292 from 9 others
$50,000in ownership & investment interests, 2019–2025

Across 4 payments — averaging $12,500 each. An ownership or investment interest held by the physician or an immediate family member.

  • Valencia Technologies Corporation$50K

What the payments were for

  • Speaking & faculty fees$5,77544%
  • Travel & lodging$5,55242%
  • Food & beverage$1,81114%
  • Education$640%

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

$13,202 in reported general payments places this provider in the 85th percentile of 79 urology providers in Nebraska.

See all urology providers in Nebraska

Medicare billing

Part B allowed, 2024
$247,538
Medicare patients
575
Services billed
4,935

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
XtandiEnzalutamide23$322,982
MyrbetriqMirabegron71$43,640
GemtesaVibegron72$39,343
Tamsulosin Hcl466$6,095
Potassium Citrate ErPotassium Citrate41$4,120
Methenamine Hippurate46$2,653
Estradiol27$1,874
Fesoterodine Fumarate ErFesoterodine Fumarate19$1,732
Testosterone14$1,461
Finasteride121$1,238
Solifenacin Succinate39$1,100
Trospium Chloride25$989
NitrofurantoinNitrofurantoin Macrocrystal29$958
Oxybutynin Chloride29$761
Trimethoprim19$594

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
Astellas Pharma US IncXtandi, Myrbetriq$5,960$366,62294 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 85th percentile of 79 urology providers in Nebraska.

Other urology in Lincoln

See the full list for Nebraska

Where these figures come from

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