Richard Graham, MD
Urology · White River Junction, VTNPI 1225092794
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (56.0%), travel and lodging and education — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Teleflex LLC at 56.7% of the total. 2025 is the largest year on record at $928, more than ten times the $55 reported in 2019. Among urology clinicians in VT 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 60 payments — averaging $49.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Teleflex LLC$2K
- AbbVie$203
- Blue Earth Diagnostics$189
- Astellas Pharma US Inc$155
- Boston Scientific$125
- Antares Pharma, Inc.$122
- plus $490 from 12 others
What the payments were for
- Travel & lodging$1,14839%
- Food & beverage$1,66156%
- Education$1555%
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.
| Company | Payments | Total |
|---|---|---|
| Teleflex LLC | 14 | $1,680 |
| AbbVie | 10 | $203 |
| Blue Earth Diagnostics | 5 | $189 |
| Astellas Pharma US Inc | 2 | $155 |
| Boston Scientific | 5 | $125 |
| Antares Pharma, Inc. | 2 | $122 |
| Laborie Medical Technologies Corp. | 2 | $82 |
| Coloplast | 4 | $77 |
| Merck | 2 | $55 |
| Sumitomo Pharma America, Inc. | 2 | $47 |
| Bayer | 2 | $40 |
| Endo Pharmaceuticals Inc. | 2 | $38 |
| Axonics, Inc. | 2 | $37 |
| Novartis | 2 | $31 |
| Ambu Inc. | 1 | $26 |
| Progenics Pharmaceuticals, Inc. | 1 | $22 |
| Urovant Sciences Inc | 1 | $20 |
| Innovation Technologies Inc | 1 | $15 |
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
$2,964 in reported general payments places this provider in the 95th percentile of 31 urology providers in Vermont.
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 |
|---|---|---|
| OrgovyxRelugolix | 15 | $40,123 |
| GemtesaVibegron | 51 | $33,393 |
| MyrbetriqMirabegron | 29 | $14,116 |
| Estradiol | 79 | $4,527 |
| Oxybutynin Chloride ErOxybutynin Chloride | 114 | $2,775 |
| Silodosin | 34 | $2,584 |
| Tamsulosin Hcl | 153 | $1,622 |
| Bicalutamide | 32 | $1,404 |
| Dutasteride | 19 | $1,173 |
| Bethanechol Chloride | 21 | $1,033 |
| Finasteride | 58 | $946 |
| Potassium Citrate ErPotassium Citrate | 11 | $894 |
| Testosterone Cypionate | 26 | $768 |
| Ciprofloxacin Hcl | 88 | $651 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 98 | $521 |
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.Orgovyx, Gemtesa | $47 | $73,51666 claims |
| Astellas Pharma US IncMyrbetriq | $155 | $14,11629 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 95th percentile of 31 urology providers in Vermont.
Other urology in White River Junction
- Florian SchroeckWhite River Junction$12
- Andrew MahoneyBurlington$3K
- Jenna WinebaumBurlington$3K
- Kevan SternbergSaint Albans$2K
- Brian IrwinBurlington$1K
- Daniel SackettBerlin$994
- Ernest BoveRutland$587
- Elizabeth PerezMorrisville$335
- Scott PerrapatoBurlington$293
- Curtis ClevelandBurlington$271
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.