Larry Sirls, MD
Urology · Royal Oak, MINPI 1841272085
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,414 of the $2,245 with a category attached, or 63.0%. Coloplast accounts for 65.3% of it on its own, with 6 other manufacturers making up the rest. 2024 is the largest year on record at $941, 2.6 times the $368 reported in 2019. That places this record below the midpoint for urology clinicians in MI, where the typical reported total is $2,586.
Across 26 payments — averaging $86.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Coloplast$1K
- Astellas Pharma US Inc$226
- EDAP Technomed Inc$198
- Photocure Inc$134
- Axonics, Inc.$112
- AbbVie$54
- plus $54 from 1 others
What the payments were for
- Travel & lodging$1,41463%
- Food & beverage$73233%
- Education$1004%
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 |
|---|---|---|
| Coloplast | 7 | $1,467 |
| Astellas Pharma US Inc | 9 | $226 |
| EDAP Technomed Inc | 1 | $198 |
| Photocure Inc | 1 | $134 |
| Axonics, Inc. | 3 | $112 |
| AbbVie(2 entities) | 4 | $54 |
| Boston Scientific | 1 | $54 |
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.
- Cysview$134
How this compares
$2,245 in reported general payments places this provider in the 45th percentile of 400 urology providers in Michigan.
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.
Other urology in Royal Oak
- Richard BennettRoyal Oak$361K
- Kenneth PetersRoyal Oak$28K
- Adam GadzinskiRoyal Oak$22K
- Ashok ReddySterling Heights$4.9M
- William RobertsAnn Arbor$973K
- Kenneth KernenTroy$910K
- William JohnstonLivonia$675K
- Jason HafronWest Bloomfield$490K
- Khurshid GhaniAnn Arbor$413K
- Ryan NelsonUtica$296K
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.