RxDoctor Payments Data

Travis Bullock, MD

Urology · Saint Louis, MONPI 1699810507

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $154,296 of the $201,205 with a category attached, or 76.7%. 50 manufacturers reported payments, led by Medtronic at 54.0% of the total. Among urology clinicians in MO 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.

$201,205in general payments, 2019–2025

Across 621 payments — averaging $324.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$109K
  • AbbVie$59K
  • Astellas Pharma US Inc$16K
  • Boston Scientific$9K
  • Bluewind Medical$2K
  • Valencia Technologies Corporation$1K
  • plus $6K from 44 others
$552,063in research payments, 2019–2025

Across 126 payments — averaging $4381.45 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Bluewind Medical$318K
  • Coloplast$164K
  • Ironwood Pharmaceuticals, Inc$48K
  • Cytyc Surgical Products, LLC$20K
  • Medtronic$2K

What the payments were for

  • Consulting fees$11,1216%
  • Speaking & faculty fees$154,29677%
  • Travel & lodging$23,98212%
  • Food & beverage$11,4516%
  • Education$2640%
  • Gifts$900%

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

$201,205 in reported general payments places this provider in the 95th percentile of 250 urology providers in Missouri.

See all urology providers in Missouri

Medicare billing

Part B allowed, 2024
$763,727
Medicare patients
1,088
Services billed
51,226

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
MyrbetriqMirabegron536$325,993
GemtesaVibegron239$166,394
Mirabegron ErMirabegron59$30,550
Estradiol163$10,294
Methenamine Hippurate148$8,674
Oxybutynin Chloride ErOxybutynin Chloride322$6,604
Trimethoprim102$6,543
Trospium Chloride62$2,649
Solifenacin Succinate64$2,541
Potassium Citrate ErPotassium Citrate21$2,264
Cephalexin180$2,250
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst168$1,957
NitrofurantoinNitrofurantoin Macrocrystal57$1,293
Oxybutynin Chloride67$1,093
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen146$772

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$15,963$325,993536 claims
Sumitomo Pharma America, Inc.Gemtesa$485$166,394239 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 250 urology providers in Missouri.

Other urology in Saint Louis

See the full list for Missouri

Where these figures come from

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