RxDoctor Payments Data

Paul Rizk, MD

Urology · Shenandoah, TXNPI 1053816702

Payments from drug & device makers

$6,767in general payments, 2019–2025

Across 116 payments — averaging $58.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Axonics, Inc.$2K
  • Boston Scientific$1K
  • Stryker$1K
  • Teleflex LLC$429
  • Olympus America Inc.$389
  • Myriad Genetic Laboratories, Inc.$312
  • plus $2K from 17 others

What the payments were for

  • Travel & lodging$1,78026%
  • Food & beverage$4,98774%

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

20
22
23
24
25

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.

How this compares

$6,767 in reported general payments places this provider in the 60th percentile of 878 urology providers in Texas.

See all urology providers in Texas

Medicare billing

Part B allowed, 2024
$343,357
Medicare patients
895
Services billed
7,123

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

DrugClaimsCost to plans & patients
GemtesaVibegron87$80,979
MyrbetriqMirabegron79$56,359
Mirabegron ErMirabegron11$9,136
XyostedTestosterone Enanthate11$7,987
Tamsulosin Hcl378$6,519
Trospium Chloride ErTrospium Chloride17$3,270
Estradiol41$2,551
Testosterone15$1,995
Testosterone Cypionate26$1,866
Dutasteride26$1,418
Finasteride89$1,240
Tadalafil20$1,132
Alfuzosin Hcl ErAlfuzosin Hcl20$491
Ciprofloxacin Hcl110$406
NitrofurantoinNitrofurantoin Macrocrystal18$380

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.

CompanyPaid to this providerPart D cost of their drugs
Sumitomo Pharma America, Inc.Gemtesa$242$80,97987 claims
Astellas Pharma US IncMyrbetriq$21$56,35979 claims
Antares Pharma, Inc.Xyosted$48$7,98711 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 60th percentile of 878 urology providers in Texas.

Other urology in Shenandoah

See the full list for Texas

Where these figures come from

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