Robert Larke, MD
Urology · Crestview Hills, KYNPI 1881919744
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $14,910 of the $21,662 with a category attached, or 68.8%. 60 manufacturers reported payments, led by Bayer at 37.1% of the total. Reporting peaked in 2022 at $8,779 and has fallen 71.1% since, to $2,539 in 2025. Among urology clinicians in KY 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 666 payments — averaging $32.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bayer$8K
- Astellas Pharma US Inc$1K
- Calyxo, Inc.$1K
- Dendreon Pharmaceuticals LLC$985
- Merck$677
- Axonics, Inc.$654
- plus $9K from 54 others
What the payments were for
- Consulting fees$5,26924%
- Travel & lodging$1,2116%
- Food & beverage$14,91069%
- Education$2731%
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.
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
$21,662 in reported general payments places this provider in the 95th percentile of 139 urology providers in Kentucky.
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 |
|---|---|---|
| XtandiEnzalutamide | 213 | $2,790,284 |
| NubeqaDarolutamide | 75 | $956,448 |
| Abiraterone Acetate | 346 | $814,712 |
| ErleadaApalutamide | 34 | $425,854 |
| OrgovyxRelugolix | 117 | $311,997 |
| LynparzaOlaparib | 13 | $203,192 |
| MyrbetriqMirabegron | 62 | $55,679 |
| EligardLeuprolide Acetate | 21 | $52,970 |
| XgevaDenosumab | 14 | $43,353 |
| ProliaDenosumab | 17 | $28,127 |
| GemtesaVibegron | 11 | $11,547 |
| Tamsulosin Hcl | 559 | $6,279 |
| Finasteride | 344 | $4,079 |
| Silodosin | 31 | $3,414 |
| Prednisone | 302 | $1,204 |
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 |
|---|---|---|
| Astellas Pharma US IncXtandi, Myrbetriq | $1,287 | $2,845,963275 claims |
| BayerNubeqa | $8,047 | $956,44875 claims |
| Janssen Scientific Affairs, LLCAbiraterone Acetate | $271 | $814,712346 claims |
| Johnson & JohnsonErleada | $555 | $425,85434 claims |
| Sumitomo Pharma America, Inc.Orgovyx, Gemtesa | $544 | $323,545128 claims |
| AstraZenecaLynparza | $491 | $203,19213 claims |
| AmgenXgeva, Prolia | $88 | $71,48031 claims |
| Tolmar Pharmaceuticals, Inc.Eligard | $253 | $52,97021 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 139 urology providers in Kentucky.
Other urology in Crestview Hills
- Brooke EdwardsCrestview Hills$45K
- Brian ShayCrestview Hills$14K
- Michael DusingCrestview Hills$13K
- Christopher CirulliCrestview Hills$7K
- Thomas SlabaughLexington$102K
- Uzoma AneleLouisville$60K
- Lee EvansHopkinsville$56K
- Patrick HensleyLexington$50K
- Stephen MonnigLexington$18K
- Kellen ChoiLouisville$17K
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.