Shiro Urayama, MD
Gastroenterology · Sacramento, CANPI 1679520407
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $11,117 of the $16,697 with a category attached, or 66.6%. 8 manufacturers reported payments, led by Olympus Medical Systems Corporation at 37.3% of the total. 2025 is the largest year on record at $5,213, more than ten times the $211 reported in 2019.
Across 33 payments — averaging $505.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Olympus Medical Systems Corporation$6K
- Covidien LP$3K
- Olympus Corporation$2K
- Olympus Corporation Of The Americas$2K
- Merit Medical Systems Inc$1K
- Creo Medical Inc.$857
- plus $226 from 2 others
What the payments were for
- Consulting fees$11,11767%
- Speaking & faculty fees$4,10125%
- Travel & lodging$7765%
- Food & beverage$7034%
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 |
|---|---|---|
| Olympus Medical Systems Corporation | 6 | $6,228 |
| Covidien LP | 3 | $3,411 |
| Olympus Corporation | 3 | $2,481 |
| Olympus Corporation Of The Americas | 6 | $2,068 |
| Merit Medical Systems Inc | 8 | $1,427 |
| Creo Medical Inc. | 2 | $857 |
| Boston Scientific | 2 | $162 |
| Olympus America Inc. | 3 | $64 |
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.
- Single Use Repositionable Clip$3,889
- SPEEDBOAT$857
- Single Use Electrosurgical Snare SD-400$550
- Transmaxx$350
- Beacon$161
- EXALT Model D$116
How this compares
$16,697 in reported general payments places this provider in the 85th percentile of 1,885 gastroenterology 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.
Other gastroenterology in Sacramento
- Christopher BowlusSacramento$168K
- Bennett RothLos Angeles$2.8M
- Douglas NguyenMission Viejo$2M
- Sammy SaabLos Angeles$1.9M
- Kenneth ChangNewport Beach$1.3M
- Joo HwangStanford$1M
- Drew SchembreWalnut Creek$659K
- Quan Nhula Jolla$641K
- Sadeea AbbasiLos Angeles$556K
- Ali RezaieWest Hollywood$519K
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.