RxDoctor Payments Data

Seshadri Kasturi, MD

Urogynecology and Reconstructive Pelvic Surgery · Sacramento, CANPI 1154555340

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (51.2%), education and food and beverage — rather than concentrated in one kind of arrangement. Coloplast accounts for 89.8% of it on its own, with 23 other manufacturers making up the rest. Reporting peaked in 2024 at $13,104 and has fallen 97.6% since, to $318 in 2025. Among urogynecology and reconstructive pelvic surgery clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$35,703in general payments, 2019–2025

Across 257 payments — averaging $138.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Coloplast$32K
  • AbbVie$819
  • Pfizer$738
  • Astellas Pharma US Inc$304
  • Sumitomo Pharma America, Inc.$283
  • Boston Scientific$249
  • plus $1K from 18 others

What the payments were for

  • Consulting fees$18,27951%
  • Travel & lodging$3,1999%
  • Food & beverage$4,60613%
  • Education$9,59027%
  • Gifts$290%

General payments by program year

19
20
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

$35,703 in reported general payments places this provider in the 90th percentile of 130 urogynecology and reconstructive pelvic surgery providers in California.

See all urogynecology and reconstructive pelvic surgery providers in California

Medicare billing

Part B allowed, 2024
$1,103,422
Medicare patients
1,099
Services billed
32,854

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
MyrbetriqMirabegron289$141,428
GemtesaVibegron48$43,215
PremarinEstrogens, Conjugated27$11,663
Estradiol135$7,988
Trospium Chloride ErTrospium Chloride57$6,441
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst353$5,524
ImvexxyEstradiol15$4,800
Fosfomycin Tromethamine12$1,477
Cephalexin290$1,390
Oxybutynin Chloride ErOxybutynin Chloride58$1,062
Cefdinir33$886
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav138$749
Oxycodone Hcl138$730
Trimethoprim18$696
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim138$669

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$304$141,428289 claims
Sumitomo Pharma America, Inc.Gemtesa$283$43,21548 claims
PfizerPremarin$738$11,66327 claims
Therapeuticsmd, Inc.Imvexxy$158$4,80015 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 90th percentile of 130 urogynecology and reconstructive pelvic surgery providers in California.

Other urogynecology and reconstructive pelvic surgery in Sacramento

See the full list for California

Where these figures come from

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