Nathaniel Ballek, MD
Urology · Overland Park, KSNPI 1043419872
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (51.1%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 42 manufacturers reported payments, led by Endo Pharmaceuticals Inc. at 45.8% of the total.
Across 235 payments — averaging $45.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Endo Pharmaceuticals Inc.$5K
- Boston Scientific$3K
- Endo USA, Inc.$507
- Coloplast$482
- AbbVie$344
- Antares Pharma, Inc.$139
- plus $2K from 36 others
What the payments were for
- Consulting fees$2,85027%
- Travel & lodging$2,35922%
- Food & beverage$5,48051%
- Education$390%
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.
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.
- XIAFLEX$4,226
- GENERAL ERECTILE DYSFUNCTION$1,709
- TITAN$243
- BOTOX$106
How this compares
$10,728 in reported general payments places this provider in the 80th 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 |
|---|---|---|
| GemtesaVibegron | 71 | $73,377 |
| MyrbetriqMirabegron | 34 | $40,220 |
| Tamsulosin Hcl | 320 | $5,335 |
| Potassium Citrate ErPotassium Citrate | 13 | $2,124 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 138 | $955 |
| Silodosin | 12 | $807 |
| Finasteride | 60 | $711 |
| Oxybutynin Chloride ErOxybutynin Chloride | 12 | $615 |
| Doxycycline Hyclate | 104 | $538 |
| Allopurinol | 11 | $171 |
| Dutasteride | 11 | $134 |
| Anastrozole | 28 | $110 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 13 | $103 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 16 | $43 |
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 | $28 | $73,37771 claims |
| Astellas Pharma US IncMyrbetriq | $97 | $40,22034 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 111 urology providers in Kansas.
Other urology in Overland Park
- Jason AnastOverland Park$31K
- Christian HettingerOverland Park$14K
- Mirian BociOverland Park$7K
- Andrew FlumOverland Park$6K
- David BockOverland Park$6K
- Andrew MorrisOverland Park$6K
- Lindsay HertzigOverland Park$3K
- Bradley DavisOverland Park$3K
- Timothy RichardsonWichita$493K
- Wilson MolinaKansas City$239K
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.