Ryan Tubre, MD
Payments from drug & device makers
Across 121 payments — averaging $44.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Procept Biorobotics Corporation$1K
- Axonics, Inc.$685
- Photocure Inc$616
- Boston Scientific$383
- Intuitive Surgical$318
- AbbVie$209
- plus $2K from 26 others
What the payments were for
- Travel & lodging$1,09420%
- Food & beverage$4,24780%
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 |
|---|---|---|
| Procept Biorobotics Corporation | 9 | $1,136 |
| Axonics, Inc. | 15 | $685 |
| Photocure Inc | 3 | $616 |
| Boston Scientific | 9 | $383 |
| Intuitive Surgical | 6 | $318 |
| AbbVie | 11 | $209 |
| Olympus America Inc. | 2 | $193 |
| Avanos Medical | 3 | $169 |
| Astellas Pharma US Inc | 10 | $157 |
| Urovant Sciences Inc | 4 | $147 |
| Caldera Medical, Inc | 3 | $137 |
| Teleflex LLC | 5 | $134 |
| Urogen Pharma, Inc. | 5 | $102 |
| Johnson & Johnson | 1 | $97 |
| Agiliti Surgical, Inc. | 1 | $95 |
| 180 Medical, Inc. | 4 | $95 |
| ABC Home Medical Supply, Inc. | 4 | $90 |
| Sumitomo Pharma America, Inc. | 4 | $80 |
| Coloplast | 4 | $80 |
| Myovant Sciences Inc. | 4 | $72 |
| Hollister Incorporated | 3 | $69 |
| Avation Medical, Inc. | 1 | $50 |
| Koelis Inc. | 1 | $41 |
| Histosonics, Inc. | 1 | $34 |
| Immunitybio, Inc. | 1 | $25 |
| Calyxo, Inc. | 1 | $24 |
| Exelixis Inc. | 1 | $22 |
| Civco Medical Instruments | 1 | $19 |
| Siemens Medical Solutions USA, Inc. | 1 | $18 |
| Tolmar, Inc. | 1 | $15 |
| Accord Healthcare, Inc. | 1 | $15 |
| Bioprotect Medical, Inc. | 1 | $13 |
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.
- AquaBeam Robotic System$999
- Cysview$600
- Axonics$276
- iTIND System$174
- Bulkamid$150
- Moses 550 DFL$142
- ON-Q* PUMP AND ACCESSORIES$139
- Desara$110
- GENERAL KIDNEY STONE DISEASE$110
- Da Vinci Surgical System$101
How this compares
$5,341 in reported general payments places this provider in the 55th percentile of 878 urology providers in Texas.
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 |
|---|---|---|
| MyrbetriqMirabegron | 44 | $23,833 |
| Estradiol | 17 | $960 |
| Tamsulosin Hcl | 39 | $576 |
| Finasteride | 25 | $374 |
| Oxybutynin Chloride ErOxybutynin Chloride | 21 | $302 |
| NitrofurantoinNitrofurantoin Macrocrystal | 11 | $120 |
| Cephalexin | 21 | $62 |
| Levofloxacin | 24 | $60 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $49 |
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 IncMyrbetriq | $157 | $23,83344 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 55th percentile of 878 urology providers in Texas.
Other urology in Tyler
- Zvi SchiffmanHouston$17.8M
- Jose de la CerdaSan Antonio$9M
- Daniel SaltzsteinSan Antonio$5.8M
- Jose KaramHouston$5.7M
- Daniel ZainfeldSan Antonio$4.7M
- Brian MazzarellaLakeway$4.5M
- Andrew von EschenbachMontgomery$3.2M
- Raj SatkunasivamHouston$2.6M
- Alan SkolnickHouston$2.4M
- Homa PorterDallas$1.8M
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.