Tomas Paneque, MD
Urology · Virginia Beach, VANPI 1598224925
Payments from drug & device makers
What this record shows
This record is dominated by grants: $20,000 of the $22,621 with a category attached, or 88.4%. Boston Scientific accounts for 91.4% of it on its own, with 21 other manufacturers making up the rest. 2025 is the largest year on record at $20,435, more than ten times the $220 reported in 2021. Among urology clinicians in VA 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 58 payments — averaging $390.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$21K
- Cook Medical LLC$294
- Medtronic$293
- Astellas Pharma US Inc$223
- Olympus America Inc.$155
- Calyxo, Inc.$138
- plus $837 from 16 others
What the payments were for
- Grants$20,00088%
- Food & beverage$2,49111%
- Education$1301%
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 |
|---|---|---|
| Boston Scientific | 10 | $20,681 |
| Cook Medical LLC | 5 | $294 |
| Medtronic | 4 | $293 |
| Astellas Pharma US Inc | 6 | $223 |
| Olympus America Inc. | 2 | $155 |
| Calyxo, Inc. | 1 | $138 |
| Endo Pharmaceuticals Inc. | 6 | $131 |
| Johnson & Johnson | 1 | $118 |
| Procept Biorobotics Corporation | 1 | $77 |
| Intuitive Surgical | 2 | $69 |
| Sumitomo Pharma America, Inc. | 2 | $67 |
| Pfizer | 4 | $67 |
| Urogen Pharma, Inc. | 2 | $51 |
| Tolmar, Inc. | 2 | $49 |
| Bayer | 2 | $45 |
| Immunitybio, Inc. | 2 | $36 |
| Palette Life Sciences, Inc. | 1 | $24 |
| Progenics Pharmaceuticals, Inc. | 1 | $23 |
| Axonics, Inc. | 1 | $22 |
| Conmed Corporation | 1 | $22 |
| Merck | 1 | $19 |
| KCI USA, Inc. | 1 | $17 |
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.
- GENERAL BPH$20,000
- LithoVue$290
- Cook$248
- CVAC Aspiration System$138
- Soltive$124
- GENERAL KIDNEY STONE DISEASE$120
- INTERSTIM$111
How this compares
$22,621 in reported general payments places this provider in the 90th percentile of 300 urology providers in Virginia.
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 urology in Virginia Beach
- Michael FabrizioVirginia Beach$1.5M
- Gregg EureVirginia Beach$1.4M
- Jessica DelongVirginia Beach$578K
- Robert GivenVirginia Beach$157K
- Michael WilliamsVirginia Beach$144K
- Ilya SobolVirginia Beach$55K
- Joshua LangstonVirginia Beach$54K
- Nilay GandhiWoodbridge$138K
- Shawn MarhamatiWoodbridge$130K
- Patrick WhelanSuffolk$114K
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.