Ralph Clayman, MD
Urology · Orange, CANPI 1336243922
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (49.9%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Cook Incorporated at 51.9% of the total. Reporting peaked in 2019 at $292,945 and has fallen 99.9% since, to $335 in 2025. Among urology clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 52 payments — averaging $10,062 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cook Incorporated$271K
- Johnson & Johnson$244K
- Sanofi US Services Inc.$4K
- Urogen Pharma, Inc.$2K
- Cook Medical LLC$970
- EDAP Technomed Inc$345
- plus $896 from 7 others
Across 2 payments — averaging $11,559 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.$23K
Across 7 payments — averaging $476,486 each. An ownership or investment interest held by the physician or an immediate family member.
- Applied Medical Corporation$3.3M
What the payments were for
- Royalty or licence$260,95450%
- Consulting fees$5,7501%
- Speaking & faculty fees$254,18949%
- Food & beverage$2,3440%
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 |
|---|---|---|
| Cook Incorporated | 11 | $271,489 |
| Johnson & Johnson | 10 | $243,787 |
| Sanofi US Services Inc. | 1 | $3,590 |
| Urogen Pharma, Inc. | 2 | $2,160 |
| Cook Medical LLC | 14 | $970 |
| EDAP Technomed Inc | 3 | $345 |
| Calyxo, Inc. | 4 | $272 |
| Dornier Medtech America, Inc | 2 | $163 |
| Medical Device Business Services, Inc. | 1 | $150 |
| Conmed Corporation | 1 | $147 |
| KARL Storz Endoscopy-america | 1 | $104 |
| Stryker | 1 | $35 |
| Novo Nordisk | 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.
- S~Curve$160,017
- Cook Medical Dilation/Access$106,817
- Cook Medical Urology$4,863
- JELMYTO$400
- AIRSEAL$147
- FIBER DUST$139
- NGage$128
- Lithotripters & Accessories$123
- LITHO 150$109
- Monarch Platform$105
- 16 FR. FLEXIBLE VIDEO CYSTOSCOPE$104
- CVAC Aspiration System$101
How this compares
$523,237 in reported general payments places this provider in the 95th percentile of 1,324 urology providers in California.
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.
Other urology in Orange
- Edward UchioOrange$849K
- Jaime LandmanOrange$657K
- Faysal YafiOrange$335K
- Bela DenesOrange$235K
- Stephen FreedlandWest Hollywood$1.9M
- Arie BelldegrunLos Angeles$1.8M
- Mihir DesaiLos Angeles$1.5M
- Steven WilsonIndio$1.1M
- Stuart HoldenLos Angeles$1.1M
- Elward CrawfordSan Diego$849K
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.