Trinity Bivalacqua, MD
Urology · Philadelphia, PANPI 1265579254
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $81,042 of the $100,120 with a category attached, or 80.9%. 15 manufacturers reported payments, led by Urogen Pharma, Inc. at 26.6% of the total. Reporting peaked in 2019 at $28,698 and has fallen 69.7% since, to $8,695 in 2025. Among urology clinicians in PA 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.
Across 73 payments — averaging $1371.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Urogen Pharma, Inc.$27K
- Ferring Pharmaceuticals Inc.$19K
- Photocure Inc$17K
- Ferring Pharmaceuticals AS$16K
- Pfizer$6K
- Verity Pharmaceuticals Inc.$5K
- plus $11K from 9 others
Across 12 payments — averaging $21,778 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.
- Merck$156K
- KARL Storz Endoscopy-america$78K
- Janssen Research & Development, LLC$28K
What the payments were for
- Consulting fees$81,04281%
- Speaking & faculty fees$13,05513%
- Travel & lodging$3,0603%
- Food & beverage$2,9633%
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 |
|---|---|---|
| Urogen Pharma, Inc. | 17 | $26,628 |
| Ferring Pharmaceuticals Inc. | 16 | $18,845 |
| Photocure Inc | 10 | $17,427 |
| Ferring Pharmaceuticals AS | 3 | $15,650 |
| Pfizer | 11 | $6,402 |
| Verity Pharmaceuticals Inc. | 2 | $4,600 |
| Janssen Global Services, LLC | 2 | $3,746 |
| Regeneron | 1 | $3,450 |
| E.r. Squibb & Sons, L.L.C. | 1 | $1,192 |
| Merck | 1 | $1,000 |
| Johnson & Johnson(2 entities) | 2 | $622 |
| Coloplast | 3 | $300 |
| Seagen Inc. | 1 | $163 |
| Baxter Healthcare | 2 | $59 |
| Astellas Pharma US Inc | 1 | $38 |
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.
- Cysview$17,296
- ADSTILADRIN$10,850
- JELMYTO$10,537
- PADCEV$6,289
- LIBTAYO$3,450
- TRELSTAR$3,000
- TITAN$144
- SenSura Mio$122
- RYBREVANT$117
- CARVYKTI$117
How this compares
$100,120 in reported general payments places this provider in the 95th percentile of 596 urology providers in Pennsylvania.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Methenamine Hippurate | 15 | $1,266 |
| Tamsulosin Hcl | 70 | $771 |
| Dutasteride | 11 | $743 |
| Oxybutynin Chloride | 36 | $394 |
| Levofloxacin | 14 | $115 |
| Finasteride | 15 | $22 |
Paid to pharmacies, not to this prescriber.
Other urology in Philadelphia
- Demetrius BagleyPhiladelphia$739K
- Daniel EunPhiladelphia$226K
- Leonard GomellaPhiladelphia$190K
- Phillip GinsbergPhiladelphia$145K
- Edouard TrabulsiPhiladelphia$137K
- Siobhan HartiganPhiladelphia$121K
- Paul ChungPhiladelphia$120K
- William JaffePhiladelphia$119K
- Robert UzzoPhiladelphia$111K
- Jay SimhanPhiladelphia$110K
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.