Maria Victoria Estanol, MD
Urogynecology and Reconstructive Pelvic Surgery · Kissimmee, FLNPI 1306068978
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,045 of the $3,389 with a category attached, or 60.3%. 15 manufacturers reported payments, led by Medtronic at 45.7% of the total. 2025 is the largest year on record at $1,711, more than ten times the $14 reported in 2019. That places this record below the midpoint for urogynecology and reconstructive pelvic surgery clinicians in FL, where the typical reported total is $5,437.
Across 47 payments — averaging $72.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Applied Medical Resources Corporation$897
- Escala Medical Inc.$208
- Boston Scientific$157
- Axonics, Inc.$124
- Pfizer$85
- plus $371 from 9 others
What the payments were for
- Travel & lodging$1,34540%
- Food & beverage$2,04560%
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 |
|---|---|---|
| Medtronic | 15 | $1,547 |
| Applied Medical Resources Corporation | 2 | $897 |
| Escala Medical Inc. | 1 | $208 |
| Boston Scientific | 2 | $157 |
| Axonics, Inc. | 6 | $124 |
| Pfizer | 4 | $85 |
| AbbVie | 4 | $78 |
| Caldera Medical, Inc | 1 | $76 |
| Sumitomo Pharma America, Inc. | 4 | $71 |
| Exact Sciences | 2 | $43 |
| Gynesonics, Inc. | 2 | $33 |
| Hologic Sales And Service, LLC | 1 | $21 |
| Millicent US Inc | 1 | $18 |
| Dentsply IH AB | 1 | $18 |
| Therapeuticsmd, Inc. | 1 | $14 |
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.
- INTERSTIM$1,271
- GelPOINT V-Path$855
- UPSYLON$143
How this compares
$3,389 in reported general payments places this provider in the 30th percentile of 81 urogynecology and reconstructive pelvic surgery providers in Florida.
See all urogynecology and reconstructive pelvic surgery providers in Florida →
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 |
|---|---|---|
| GemtesaVibegron | 139 | $125,238 |
| MyrbetriqMirabegron | 68 | $40,380 |
| Estradiol | 444 | $25,215 |
| Mirabegron ErMirabegron | 16 | $7,893 |
| Methenamine Hippurate | 46 | $2,870 |
| Trospium Chloride ErTrospium Chloride | 19 | $2,652 |
| Tolterodine Tartrate ErTolterodine Tartrate | 13 | $1,210 |
| Fosfomycin Tromethamine | 12 | $1,120 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 66 | $830 |
| Methocarbamol | 15 | $60 |
| Ibuprofen | 18 | $60 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 17 | $45 |
| Oxycodone Hcl | 18 | $28 |
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 |
|---|---|---|
| Sumitomo Pharma America, Inc.Gemtesa | $71 | $125,238139 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 30th percentile of 81 urogynecology and reconstructive pelvic surgery providers in Florida.
Other urogynecology and reconstructive pelvic surgery in Kissimmee
- Alejandro Gomez-VisoKissimmee$5K
- Nathan KowOrlando$116K
- Amir ShariatiCoconut Creek$106K
- Charbel SalamonOrlando$100K
- Allison WymanTampa$69K
- Nicole SzellLargo$54K
- Jose Lazaro WeissOviedo$28K
- Paul PettitJacksonville$27K
- Arash RahiCoconut Creek$23K
- Moises VirellesWellington$21K
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.