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.
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
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 |
|---|---|---|
| Coloplast | 49 | $32,049 |
| AbbVie(2 entities) | 40 | $819 |
| Pfizer | 65 | $738 |
| Astellas Pharma US Inc | 13 | $304 |
| Sumitomo Pharma America, Inc. | 16 | $283 |
| Boston Scientific | 9 | $249 |
| Urovant Sciences Inc | 11 | $215 |
| Caldera Medical, Inc | 4 | $183 |
| Therapeuticsmd, Inc. | 16 | $158 |
| Axonics, Inc. | 6 | $129 |
| AMAG Pharmaceuticals, Inc. | 5 | $91 |
| Hologic Sales And Service, LLC | 4 | $72 |
| C. R. Bard, Inc. & Subsidiaries | 3 | $62 |
| Femselect Inc. | 1 | $61 |
| Johnson & Johnson | 3 | $58 |
| Convatec Inc. | 2 | $54 |
| Olympus America Inc. | 2 | $42 |
| Laborie Medical Technologies Corp. | 2 | $28 |
| Merz North America, Inc. | 1 | $26 |
| 180 Medical, Inc. | 1 | $23 |
| Vertex | 1 | $21 |
| Rochester Medical Corporation | 1 | $17 |
| Baxter Healthcare | 1 | $15 |
| Mayne Pharma Commercial LLC | 1 | $6 |
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.
- ALTIS$30,919
- FEMALE INCONTINENCE$155
- BOTOX$139
- Desara$120
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
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 | 289 | $141,428 |
| GemtesaVibegron | 48 | $43,215 |
| PremarinEstrogens, Conjugated | 27 | $11,663 |
| Estradiol | 135 | $7,988 |
| Trospium Chloride ErTrospium Chloride | 57 | $6,441 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 353 | $5,524 |
| ImvexxyEstradiol | 15 | $4,800 |
| Fosfomycin Tromethamine | 12 | $1,477 |
| Cephalexin | 290 | $1,390 |
| Oxybutynin Chloride ErOxybutynin Chloride | 58 | $1,062 |
| Cefdinir | 33 | $886 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 138 | $749 |
| Oxycodone Hcl | 138 | $730 |
| Trimethoprim | 18 | $696 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 138 | $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.
| Company | Paid to this provider | Part 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
- Andrew BrillSan Francisco$345K
- Bilal KaakiRiverside$301K
- Savitha KrishnanMountain View$243K
- Peter CastilloLos Gatos$95K
- Bruce Kahnla Jolla$79K
- Jennifer GruenenfelderOrange$76K
- Traci ItoSan Francisco$68K
- Tanaz FerzandiLos Angeles$60K
- Sadikah BehbehaniCosta Mesa$53K
- Christopher TarnayLos Angeles$41K
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.