RxDoctor Payments Data

Lucas Jacomides, MD

Urology · Round Rock, TXNPI 1750381620

Payments from drug & device makers

$20,758in general payments, 2019–2025

Across 149 payments — averaging $139.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$15K
  • Boston Scientific$944
  • Coloplast$854
  • Axonics, Inc.$792
  • AbbVie$471
  • Antares Pharma, Inc.$310
  • plus $2K from 37 others

What the payments were for

  • Travel & lodging$390%
  • Food & beverage$5,65027%
  • Education$15,07073%

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

$20,758 in reported general payments places this provider in the 80th percentile of 878 urology providers in Texas.

See all urology providers in Texas

Medicare billing

Part B allowed, 2024
$109,362
Medicare patients
281
Services billed
1,250

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
MyrbetriqMirabegron46$43,679
GemtesaVibegron24$21,991
Mirabegron ErMirabegron18$11,031
Testosterone Cypionate141$4,788
Tamsulosin Hcl355$4,669
Trospium Chloride57$3,233
Estradiol35$2,919
Finasteride178$2,364
Alfuzosin Hcl ErAlfuzosin Hcl70$1,747
Oxybutynin Chloride94$1,494
Silodosin18$927
Oxybutynin Chloride ErOxybutynin Chloride33$763
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst33$462
Ciprofloxacin Hcl73$276
Sildenafil Citrate22$209

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 IncMyrbetriq$108$43,67946 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 80th percentile of 878 urology providers in Texas.

Other urology in Round Rock

See the full list for Texas

Where these figures come from

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