Loren Smith, MD
Urology · Topeka, KSNPI 1194792572
Payments from drug & device makers
What this record shows
This record is dominated by education: $3,012 of the $4,066 with a category attached, or 74.1%. Intuitive Surgical accounts for 73.8% of it on its own, with 19 other manufacturers making up the rest. Reporting peaked in 2020 at $3,144 and has fallen 96.7% since, to $102 in 2025.
Across 65 payments — averaging $62.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$3K
- Astellas Pharma US Inc$209
- 180 Medical, Inc.$204
- AbbVie$137
- Convatec Inc.$78
- Pfizer$70
- plus $370 from 14 others
What the payments were for
- Food & beverage$1,05526%
- Education$3,01274%
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 | 1 | $3,000 |
| Astellas Pharma US Inc | 14 | $209 |
| 180 Medical, Inc. | 9 | $204 |
| AbbVie(2 entities) | 7 | $137 |
| Convatec Inc. | 4 | $78 |
| Pfizer | 6 | $70 |
| Johnson & Johnson | 4 | $62 |
| Tolmar Pharmaceuticals, Inc. | 3 | $44 |
| Travere Therapeutics, Inc. | 2 | $44 |
| Neotract Inc. | 2 | $33 |
| Boston Scientific | 2 | $29 |
| Endo Pharmaceuticals Inc. | 2 | $26 |
| Coloplast | 2 | $26 |
| Olympus America Inc. | 1 | $18 |
| Agiliti Surgical, Inc. | 1 | $18 |
| Jazz Pharmaceuticals Inc. | 1 | $16 |
| Cook Medical LLC | 1 | $15 |
| Laborie Medical Technologies Corp. | 1 | $14 |
| Smith+Nephew | 1 | $13 |
| Melinta Therapeutics, LLC | 1 | $13 |
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$3,000
How this compares
$4,066 in reported general payments places this provider in the 65th percentile of 111 urology providers in Kansas.
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 | 112 | $73,316 |
| Tolterodine Tartrate ErTolterodine Tartrate | 203 | $22,322 |
| GemtesaVibegron | 32 | $18,319 |
| Tamsulosin Hcl | 689 | $9,082 |
| Oxybutynin Chloride ErOxybutynin Chloride | 218 | $7,738 |
| Fesoterodine Fumarate ErFesoterodine Fumarate | 71 | $7,569 |
| Trospium Chloride ErTrospium Chloride | 33 | $5,767 |
| Methenamine Hippurate | 46 | $4,327 |
| Solifenacin Succinate | 106 | $4,186 |
| Silodosin | 37 | $3,166 |
| Estradiol | 40 | $3,070 |
| Trospium Chloride | 40 | $2,983 |
| Finasteride | 177 | $2,949 |
| Potassium Citrate ErPotassium Citrate | 38 | $1,789 |
| YuvafemEstradiol | 15 | $1,106 |
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 | $209 | $73,316112 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 65th percentile of 111 urology providers in Kansas.
Other urology in Topeka
- Bradley RuppTopeka$3K
- Timothy RichardsonWichita$493K
- Wilson MolinaKansas City$239K
- Bristol WhilesKansas City$163K
- Jeffrey HolzbeierleinKansas City$78K
- Ahmad El-ArabiKansas City$55K
- David DucheneKansas City$33K
- Jason AnastOverland Park$31K
- Son NguyenMerriam$27K
- Joshua BroghammerKansas City$24K
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.