Lester Wang, MD
Urology · Killeen, TXNPI 1497733984
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 35 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 20 manufacturers, the largest accounting for just 22.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $669 and has fallen 71.0% since, to $194 in 2025. That places this record below the midpoint for urology clinicians in TX, where the typical reported total is $3,394.
Across 35 payments — averaging $43.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$345
- Coloplast$202
- Axonics, Inc.$134
- Biotissue Holdings Inc.$129
- Urogen Pharma, Inc.$124
- Intuitive Surgical$96
- plus $477 from 14 others
What the payments were for
- Food & beverage$1,505100%
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 |
|---|---|---|
| Boston Scientific | 8 | $345 |
| Coloplast | 4 | $202 |
| Axonics, Inc. | 1 | $134 |
| Biotissue Holdings Inc. | 1 | $129 |
| Urogen Pharma, Inc. | 1 | $124 |
| Intuitive Surgical | 1 | $96 |
| Ferring Pharmaceuticals Inc. | 3 | $67 |
| Medtronic | 1 | $54 |
| Checkpoint Surgical, Inc | 1 | $41 |
| Myriad Genetic Laboratories, Inc. | 2 | $40 |
| Cook Medical LLC | 1 | $36 |
| Photocure Inc | 1 | $36 |
| Immunitybio, Inc. | 2 | $35 |
| Angiodynamics, Inc. | 1 | $33 |
| Antares Pharma, Inc. | 2 | $31 |
| Caldera Medical, Inc | 1 | $29 |
| Olympus America Inc. | 1 | $22 |
| Pfizer | 1 | $19 |
| Accord Healthcare, Inc. | 1 | $17 |
| Tolmar, 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.
How this compares
$1,505 in reported general payments places this provider in the 30th percentile of 878 urology providers in Texas.
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 | 28 | $18,196 |
| Tamsulosin Hcl | 215 | $7,017 |
| Finasteride | 51 | $1,020 |
| Estradiol | 11 | $819 |
| Oxybutynin Chloride ErOxybutynin Chloride | 30 | $491 |
| Oxybutynin Chloride | 11 | $359 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 23 | $334 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 23 | $104 |
| Ciprofloxacin Hcl | 20 | $48 |
| Amoxicillin | 13 | $19 |
Paid to pharmacies, not to this prescriber.
Other urology in Killeen
- Andrew von EschenbachMontgomery$3.2M
- Brian MazzarellaLakeway$1.2M
- Arun RaiHouston$920K
- Allen MoreyDallas$914K
- Donald GriffithHouston$732K
- Michael TrotterAustin$590K
- Vitaly MargulisDallas$555K
- Daniel SaltzsteinSan Antonio$547K
- Leroy JonesSan Antonio$506K
- Jonathan Clavell HernandezHouston$500K
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.