RxDoctor Payments Data

Ricky Smith, MD

Urology · Cookeville, TNNPI 1578670477

Payments from drug & device makers

$1,920in general payments, 2019–2025

Across 33 payments — averaging $58.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$1K
  • Procept Biorobotics Corporation$370
  • Astellas Pharma US Inc$149
  • Axonics, Inc.$126
  • Sumitomo Pharma America, Inc.$115
  • Valencia Technologies Corporation$58
  • plus $82 from 5 others

What the payments were for

  • Travel & lodging$1,02954%
  • Food & beverage$79141%
  • Education$1005%

General payments by program year

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

$1,920 in reported general payments places this provider in the 40th percentile of 276 urology providers in Tennessee.

See all urology providers in Tennessee

Medicare billing

Part B allowed, 2024
$212,286
Medicare patients
701
Services billed
34,284

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
MyrbetriqMirabegron48$31,879
GemtesaVibegron37$26,151
Tamsulosin Hcl593$7,989
Finasteride254$3,223
Silodosin25$2,939
Bethanechol Chloride46$2,185
Oxybutynin Chloride ErOxybutynin Chloride81$2,051
Solifenacin Succinate20$1,827
Alfuzosin Hcl ErAlfuzosin Hcl43$993
Oxybutynin Chloride21$717
NitrofurantoinNitrofurantoin Macrocrystal37$699
Ketorolac Tromethamine80$655
Ciprofloxacin Hcl91$643
Dutasteride11$609
Cefdinir38$485

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
Astellas Pharma US IncMyrbetriq$149$31,87948 claims
Sumitomo Pharma America, Inc.Gemtesa$115$26,15137 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 40th percentile of 276 urology providers in Tennessee.

Other urology in Cookeville

See the full list for Tennessee

Where these figures come from

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