Marc Milsten, MD
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (49.8%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. It is spread thinly across 60 manufacturers, the largest accounting for just 12.3%. 2025 is the largest year on record at $8,578, 3.7 times the $2,324 reported in 2019. Among urology clinicians in OK with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 636 payments — averaging $45.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$4K
- Avyxa Pharma, LLC$3K
- Astellas Pharma Global Development$3K
- Dendreon Pharmaceuticals LLC$3K
- Bayer$2K
- AstraZeneca$2K
- plus $12K from 54 others
What the payments were for
- Consulting fees$8,60430%
- Speaking & faculty fees$4,59016%
- Travel & lodging$1,2364%
- Food & beverage$14,50050%
- Education$2121%
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.
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.
- XTANDI$6,490
- PROVENGE$1,961
- LYNPARZA$1,733
- Nubeqa$1,386
- UroLift$413
- XGEVA$246
- AquaBeam Robotic System$169
- CVAC Aspiration System$149
- Barrigel$120
How this compares
$29,141 in reported general payments places this provider in the 95th percentile of 145 urology providers in Oklahoma.
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 |
|---|---|---|
| ErleadaApalutamide | 53 | $775,501 |
| XtandiEnzalutamide | 41 | $574,597 |
| NubeqaDarolutamide | 33 | $435,438 |
| Abiraterone Acetate | 83 | $287,940 |
| MyrbetriqMirabegron | 19 | $18,679 |
| GemtesaVibegron | 29 | $18,017 |
| Bicalutamide | 235 | $6,327 |
| Finasteride | 330 | $5,587 |
| Tamsulosin Hcl | 382 | $4,952 |
| Trospium Chloride ErTrospium Chloride | 19 | $3,631 |
| Trospium Chloride | 61 | $2,923 |
| Solifenacin Succinate | 38 | $2,343 |
| Fesoterodine Fumarate ErFesoterodine Fumarate | 25 | $1,192 |
| NitrofurantoinNitrofurantoin Macrocrystal | 42 | $1,066 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 63 | $1,034 |
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 |
|---|---|---|
| Johnson & JohnsonErleada | $1,632 | $775,50153 claims |
| Astellas Pharma US IncXtandi, Myrbetriq | $1,908 | $593,27660 claims |
| BayerNubeqa | $2,260 | $435,43833 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $306 | $18,01729 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 95th percentile of 145 urology providers in Oklahoma.
Other urology in Tulsa
- Melanie KetchandjiTulsa$111K
- Scott LitwillerTulsa$27K
- Charles PritchardTulsa$23K
- Sean DoyleTulsa$17K
- Joshua VicenaTulsa$16K
- Curtis PowellTulsa$16K
- Wesley BrookoverTulsa$13K
- Thomas RashidTulsa$12K
- Dae KimTulsa$11K
- Sunshine MurrayTulsa$11K
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.