RxDoctor Payments Data

Stephen Monnig, MD

Urology · Lexington, KYNPI 1790703007

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $11,550 of the $17,849 with a category attached, or 64.7%. 41 manufacturers reported payments, led by Medtronic at 31.3% of the total. Among urology clinicians in KY with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$17,849in general payments, 2019–2025

Across 378 payments — averaging $47.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$6K
  • Teleflex LLC$3K
  • Axonics, Inc.$2K
  • Procept Biorobotics Corporation$2K
  • Astellas Pharma US Inc$911
  • Neotract Inc.$672
  • plus $4K from 35 others

What the payments were for

  • Travel & lodging$6,09434%
  • Food & beverage$11,55065%
  • Education$2051%

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

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

$17,849 in reported general payments places this provider in the 95th percentile of 139 urology providers in Kentucky.

See all urology providers in Kentucky

Medicare billing

Part B allowed, 2024
$259,182
Medicare patients
836
Services billed
9,402

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
MyrbetriqMirabegron313$208,060
GemtesaVibegron37$27,515
Mirabegron ErMirabegron21$17,958
Oxybutynin Chloride ErOxybutynin Chloride684$12,473
Tamsulosin Hcl1,082$11,365
Methenamine Hippurate98$7,477
Finasteride526$6,075
Bethanechol Chloride96$5,459
Testosterone38$4,316
Estradiol53$3,175
Potassium Citrate ErPotassium Citrate34$2,899
Alfuzosin Hcl ErAlfuzosin Hcl82$1,854
Testosterone Cypionate48$1,836
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst86$1,535
CefuroximeCefuroxime Axetil79$1,335

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$911$208,060313 claims
Sumitomo Pharma America, Inc.Gemtesa$217$27,51537 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 95th percentile of 139 urology providers in Kentucky.

Other urology in Lexington

See the full list for Kentucky

Where these figures come from

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