RxDoctor Payments Data

Peter Lotze, MD

Urogynecology and Reconstructive Pelvic Surgery · Houston, TXNPI 1639171903

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (59.4%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. Boston Scientific accounts for 83.8% of it on its own, with 29 other manufacturers making up the rest. Reporting peaked in 2022 at $17,516 and has fallen 72.0% since, to $4,901 in 2025. Among urogynecology and reconstructive pelvic surgery clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$48,349in general payments, 2019–2025

Across 243 payments — averaging $198.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Boston Scientific$41K
  • Intuitive Surgical$4K
  • Caldera Medical, Inc$633
  • Sumitomo Pharma America, Inc.$579
  • Axonics, Inc.$523
  • Medtronic$522
  • plus $1K from 24 others

What the payments were for

  • Consulting fees$4,5009%
  • Speaking & faculty fees$28,70359%
  • Travel & lodging$2,4795%
  • Food & beverage$8,43617%
  • Education$4,0518%
  • Gifts$1800%

General payments by program year

19
20
21
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

$48,349 in reported general payments places this provider in the 90th percentile of 74 urogynecology and reconstructive pelvic surgery providers in Texas.

See all urogynecology and reconstructive pelvic surgery providers in Texas

Medicare billing

Part B allowed, 2024
$316,902
Medicare patients
452
Services billed
2,079

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
GemtesaVibegron222$169,257
MyrbetriqMirabegron74$63,169
PremarinEstrogens, Conjugated30$12,563
Estradiol (Twice Weekly)Estradiol90$9,330
Mirabegron ErMirabegron11$8,100
Estradiol93$7,702
EstringEstradiol11$5,802
LyllanaEstradiol30$2,453
DottiEstradiol17$1,750
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst96$1,502
ProgesteroneProgesterone, Micronized26$1,465
Trimethoprim14$1,434
Tramadol Hcl143$320
Metronidazole16$262
Clobetasol Propionate15$179

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$579$169,257222 claims
Astellas Pharma US IncMyrbetriq$261$63,16974 claims
PfizerPremarin, Estring$172$18,36541 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 90th percentile of 74 urogynecology and reconstructive pelvic surgery providers in Texas.

Other urogynecology and reconstructive pelvic surgery in Houston

See the full list for Texas

Where these figures come from

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