Michael Severance, MD
Urology · Jefferson City, MONPI 1790708907
Payments from drug & device makers
Across 240 payments — averaging $18.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$561
- Boston Scientific$492
- Sumitomo Pharma America, Inc.$479
- AbbVie$357
- Johnson & Johnson$302
- Pfizer$249
- plus $2K from 29 others
What the payments were for
- Food & beverage$4,546100%
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 |
|---|---|---|
| Astellas Pharma US Inc | 35 | $561 |
| Boston Scientific | 15 | $492 |
| Sumitomo Pharma America, Inc. | 31 | $479 |
| AbbVie | 23 | $357 |
| Johnson & Johnson | 18 | $302 |
| Pfizer | 15 | $249 |
| Dendreon Pharmaceuticals LLC | 12 | $218 |
| Medtronic | 5 | $193 |
| Calyxo, Inc. | 9 | $177 |
| Amgen | 10 | $173 |
| Bayer | 7 | $154 |
| Procept Biorobotics Corporation | 6 | $132 |
| Ferring Pharmaceuticals Inc. | 4 | $118 |
| Urogen Pharma, Inc. | 6 | $110 |
| Tolmar, Inc. | 5 | $100 |
| Myovant Sciences Inc. | 5 | $93 |
| 180 Medical, Inc. | 4 | $92 |
| Merck | 4 | $82 |
| Travere Therapeutics, Inc. | 3 | $63 |
| Myriad Genetic Laboratories, Inc. | 3 | $44 |
| Tolmar Pharmaceuticals, Inc. | 2 | $41 |
| Immunitybio, Inc. | 2 | $40 |
| Dentsply IH Inc. | 2 | $34 |
| Teleflex LLC | 2 | $30 |
| Accord Healthcare, Inc. | 1 | $30 |
| Olympus America Inc. | 1 | $29 |
| Urovant Sciences Inc | 2 | $26 |
| Coloplast | 1 | $25 |
| ABC Home Medical Supply, Inc. | 1 | $20 |
| C. R. Bard, Inc. & Subsidiaries | 1 | $17 |
| Progenics Pharmaceuticals, Inc. | 1 | $16 |
| Convatec Inc. | 1 | $15 |
| Zyla Life Sciences, Inc. | 1 | $12 |
| Endo Pharmaceuticals Inc. | 1 | $11 |
| Rochester Medical Corporation | 1 | $11 |
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$111
- GENERAL - THERAPIES$107
How this compares
$4,546 in reported general payments places this provider in the 50th percentile of 250 urology providers in Missouri.
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 | 45 | $38,798 |
| MyrbetriqMirabegron | 45 | $21,712 |
| Tamsulosin Hcl | 217 | $3,533 |
| Methenamine Hippurate | 16 | $2,212 |
| Solifenacin Succinate | 21 | $1,232 |
| Finasteride | 83 | $1,032 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 27 | $570 |
| Bicalutamide | 16 | $527 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 11 | $346 |
| Cefdinir | 17 | $316 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 31 | $233 |
| Doxycycline Hyclate | 11 | $218 |
| Dutasteride | 15 | $211 |
| Doxazosin Mesylate | 18 | $164 |
| Cephalexin | 22 | $135 |
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 | $479 | $38,79845 claims |
| Astellas Pharma US IncMyrbetriq | $561 | $21,71245 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 50th percentile of 250 urology providers in Missouri.
Other urology in Jefferson City
- Travis BullockSaint Louis$751K
- Michael JohnsonSaint Louis$471K
- Gregory AuffenbergSaint Louis$468K
- Gerald AndrioleSaint Louis$308K
- Hing LaiSaint Louis$173K
- Samuel KuykendallKansas City$141K
- Donald NeffKansas City$141K
- Gerald ParkNorth Kansas City$136K
- Mark WakefieldColumbia$122K
- Gautum AgarwalSaint Louis$111K
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.