Nirmish Singla, MD
Urology · Baltimore, MDNPI 1447510912
Payments from drug & device makers
What this record shows
15 manufacturers reported payments, led by Histosonics, Inc. at 51.6% of the total. Reporting peaked in 2024 at $1,979 and has fallen 89.5% since, to $207 in 2025. That places this record below the midpoint for urology clinicians in MD, where the typical reported total is $4,190.
Across 39 payments — averaging $84.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Histosonics, Inc.$2K
- Medtronic$381
- Urogen Pharma, Inc.$323
- Intuitive Surgical$192
- Merck$128
- Olympus America Inc.$115
- plus $458 from 9 others
Across 2 payments — averaging $13,006 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Urogen Pharma, Inc.$17K
- Histosonics, Inc.$9K
What the payments were for
- Travel & lodging$1,65650%
- Food & beverage$1,64650%
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 |
|---|---|---|
| Histosonics, Inc. | 6 | $1,704 |
| Medtronic | 4 | $381 |
| Urogen Pharma, Inc. | 9 | $323 |
| Intuitive Surgical | 3 | $192 |
| Merck | 6 | $128 |
| Olympus America Inc. | 1 | $115 |
| Dendreon Pharmaceuticals LLC | 1 | $114 |
| Astellas Pharma US Inc | 1 | $94 |
| Conmed Corporation | 1 | $49 |
| Teleflex LLC | 1 | $47 |
| Johnson & Johnson | 1 | $41 |
| Dentsply IH AB | 2 | $33 |
| Blue Earth Diagnostics | 1 | $29 |
| 180 Medical, Inc. | 1 | $28 |
| Progenics Pharmaceuticals, Inc. | 1 | $25 |
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$279
- Olympus Cystoscopes$115
- PROVENGE$114
- JELMYTO$109
How this compares
$3,302 in reported general payments places this provider in the 45th percentile of 274 urology providers in Maryland.
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 |
|---|---|---|
| Fesoterodine Fumarate ErFesoterodine Fumarate | 24 | $900 |
| Tamsulosin Hcl | 13 | $163 |
Paid to pharmacies, not to this prescriber.
Other urology in Baltimore
- Benjamin LowentrittBaltimore$549K
- Amin HeratiBaltimore$160K
- Max KatesBaltimore$139K
- Arthur BurnettBaltimore$132K
- Aaron WeinbergBaltimore$106K
- Brian MatlagaBaltimore$99K
- Ronald TutroneBaltimore$89K
- Jared WinokerBaltimore$62K
- Jason LevyBaltimore$55K
- Arvin GeorgeBaltimore$46K
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.