RxDoctor Payments Data

Teresa Irwin, MD

Urogynecology and Reconstructive Pelvic Surgery · San Marcos, TXNPI 1255330064

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (45.6%), food and beverage and education — rather than concentrated in one kind of arrangement. 24 manufacturers reported payments, led by Astellas Pharma US Inc at 48.6% of the total. Reporting peaked in 2023 at $9,390 and has fallen 92.7% since, to $683 in 2025.

$19,677in general payments, 2019–2025

Across 221 payments — averaging $89.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Astellas Pharma US Inc$10K
  • Intuitive Surgical$5K
  • Axonics, Inc.$3K
  • AbbVie$1K
  • Coloplast$639
  • Sumitomo Pharma America, Inc.$154
  • plus $652 from 18 others

What the payments were for

  • Speaking & faculty fees$8,97346%
  • Travel & lodging$1,90110%
  • Food & beverage$4,80224%
  • Education$4,00020%

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

$19,677 in reported general payments places this provider in the 85th percentile of 74 urogynecology and reconstructive pelvic surgery providers in Texas.

See all urogynecology and reconstructive pelvic surgery providers in Texas

Medicare billing

Part B allowed, 2024
$280,205
Medicare patients
318
Services billed
6,079

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
GemtesaVibegron126$86,788
MyrbetriqMirabegron43$20,942
Estradiol678$10,597
Mirabegron ErMirabegron21$6,126
PremarinEstrogens, Conjugated11$4,477
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst180$1,892
ProgesteroneProgesterone, Micronized14$818
Clobetasol Propionate36$784
Ondansetron OdtOndansetron86$557
NitrofurantoinNitrofurantoin Macrocrystal16$485
Lidocaine11$453
Acetaminophen-CodeineAcetaminophen With Codeine69$385
Ibuprofen77$190
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim57$176
Ciprofloxacin Hcl20$156

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
Sumitomo Pharma America, Inc.Gemtesa$154$86,788126 claims
Astellas Pharma US IncMyrbetriq$9,557$20,94243 claims
PfizerPremarin$42$4,47711 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 85th percentile of 74 urogynecology and reconstructive pelvic surgery providers in Texas.

Other urogynecology and reconstructive pelvic surgery in San Marcos

See the full list for Texas

Where these figures come from

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