Ryan Schulte, MD
Urology · Des Moines, IANPI 1669598942
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.7% of the total across 88 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 29 manufacturers, the largest accounting for just 14.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $698 and has fallen 53.7% since, to $323 in 2025.
Across 88 payments — averaging $38.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$475
- Boston Scientific$414
- Dornier Medtech America, Inc$291
- Neotract Inc.$288
- Olympus America Inc.$191
- Johnson & Johnson$183
- plus $2K from 23 others
What the payments were for
- Food & beverage$3,23396%
- Education$1444%
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 |
|---|---|---|
| Medtronic(2 entities) | 4 | $475 |
| Boston Scientific | 10 | $414 |
| Dornier Medtech America, Inc | 2 | $291 |
| Neotract Inc. | 6 | $288 |
| Olympus America Inc. | 4 | $191 |
| Johnson & Johnson | 6 | $183 |
| Teleflex LLC | 2 | $174 |
| Intuitive Surgical | 1 | $154 |
| AbbVie | 7 | $135 |
| Merck | 4 | $129 |
| Procept Biorobotics Corporation | 1 | $108 |
| KARL Storz Endoscopy-america | 2 | $93 |
| Axonics, Inc. | 4 | $89 |
| Pfizer | 5 | $85 |
| Urogen Pharma, Inc. | 3 | $84 |
| Myriad Genetic Laboratories, Inc. | 4 | $77 |
| Coloplast | 5 | $70 |
| Verity Pharmaceuticals Inc. | 3 | $55 |
| Travere Therapeutics, Inc. | 2 | $46 |
| Endo Pharmaceuticals Inc. | 3 | $37 |
| Cook Medical LLC | 2 | $34 |
| Conmed Corporation | 1 | $33 |
| Profound Medical Corp. | 1 | $27 |
| Calyxo, Inc. | 1 | $25 |
| Tolmar Pharmaceuticals, Inc. | 1 | $19 |
| Vertex | 1 | $17 |
| Myovant Sciences Inc. | 1 | $16 |
| E.r. Squibb & Sons, L.L.C. | 1 | $15 |
| Valencia Technologies Corporation | 1 | $12 |
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.
- INTERSTIM$301
- Dornier MedTech$195
- Da Vinci Surgical System$154
- AMS$120
- iTIND System$117
- REZUM$117
- AquaBeam Robotic System$108
- UroLift$102
How this compares
$3,376 in reported general payments places this provider in the 60th percentile of 114 urology providers in Iowa.
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 |
|---|---|---|
| ErleadaApalutamide | 18 | $263,772 |
| OrgovyxRelugolix | 33 | $83,760 |
| MyrbetriqMirabegron | 98 | $41,260 |
| Tamsulosin Hcl | 311 | $2,391 |
| Solifenacin Succinate | 116 | $2,361 |
| Oxybutynin Chloride ErOxybutynin Chloride | 69 | $1,176 |
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 13 | $830 |
| Finasteride | 98 | $689 |
| Ciprofloxacin Hcl | 95 | $368 |
| Levofloxacin | 102 | $209 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 35 | $179 |
| Cephalexin | 22 | $106 |
| Imipramine Hcl | 15 | $83 |
| Tramadol Hcl | 82 | $73 |
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 |
|---|---|---|
| Johnson & JohnsonErleada | $183 | $263,77218 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 60th percentile of 114 urology providers in Iowa.
Other urology in Des Moines
- Kevin BirusinghDes Moines$59K
- Richard GlowackiDes Moines$12K
- Vignesh PackiamIowa City$112K
- Annah VollstedtIowa City$66K
- Bradley EricksonIowa City$65K
- Michael OdonnellIowa City$62K
- Ryan DornbierClive$55K
- Alexandria HertzIowa City$53K
- John BuieIowa City$52K
- Charles SchlaepferIowa City$51K
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.