Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Marc Milsten

Urology Tulsa, OK Medical Doctor

NPI 1952323362 CMS profile 178834

10901 E 48Th St, Tulsa, OK 74146

Open in the dashboard

General payments

$29,141

636 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$340,127

7 holdings reported · through program year 2025

Through program year 2025, Marc Milsten of Tulsa, OK is reported in the CMS Open Payments database as having received $29,141 across 636 general payments and $0 in research payments paid to them. They also declared ownership or investment interests valued at $340,127 across 7 holdings.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 91st percentile of Urology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

13 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $8,578 86
2024 General $2,271 89
2023 General $2,376 92
2022 General $2,088 83
2021 General $7,446 90
2020 General $4,059 77
2019 General $2,324 119
2024 Ownership $75,371 2
2023 Ownership $73,895 1
2022 Ownership $35,674 1
2021 Ownership $33,125 1
2020 Ownership $84,937 1
2019 Ownership $37,125 1

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Marc Milsten
  • Urology median
  • Middle half of Urology
  • National median

In program year 2025, general payments to Marc Milsten were reported at $8,578. Among 9,461 Urology profiles paid that year, the median was $629 and the middle half received between $190 and $1,620.

Show as a table
Year Marc Milsten Urology median Middle half National median
2019 $2,324 $480 $147–$1,201 $163
2020 $4,059 $246 $87–$645 $114
2021 $7,446 $358 $111–$1,000 $132
2022 $2,088 $476 $143–$1,263 $149
2023 $2,376 $560 $168–$1,461 $160
2024 $2,271 $563 $170–$1,464 $164
2025 $8,578 $629 $190–$1,620 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Pfizer Inc. $3,576 55 payments
  2. Avyxa Pharma, LLC $3,424 5 payments
  3. Astellas Pharma Global Development $3,000 1 payment
  4. Dendreon Pharmaceuticals LLC $2,648 32 payments
  5. Bayer HealthCare Pharmaceuticals Inc. $2,260 44 payments
  6. AstraZeneca Pharmaceuticals LP $1,932 13 payments
  7. Astellas Pharma US Inc $1,908 56 payments
  8. Janssen Biotech, Inc. $1,632 66 payments
  9. Teleflex LLC $911 29 payments
  10. Coloplast Corp $672 30 payments
  11. Other $7,178 305 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $14,500 623 payments
  2. Consulting Fee $8,604 5 payments
  3. Honoraria $2,590 1 payment
  4. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $2,000 1 payment
  5. Travel and Lodging $1,236 2 payments
  6. Education $212 4 payments
Products named General payments · program years 2019–2025
  1. XTANDI $7,959 85 payments
  2. PROVENGE $2,648 32 payments
  3. Nubeqa $2,192 40 payments
  4. LYNPARZA Oncology $1,932 13 payments
  5. ERLEADA $1,547 64 payments
  6. UROLIFT $901 27 payments
  7. Xofigo $723 35 payments
  8. ORGOVYX $621 29 payments
  9. XGEVA $602 21 payments
  10. LYNPARZA Oncology $487 25 payments
  11. Other $8,645 423 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 28 drugs

Part D claims

1,771

Median for Urology: 1,053

Drug cost

$2,143,438

Median for Urology: $101,464

Branded share of claims

23%

Median for Urology: 27.1%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Erleada Apalutamide Brand 53 $775,501
Xtandi Enzalutamide Brand 41 $574,597
Nubeqa Darolutamide Brand 33 $435,438
Abiraterone Acetate Generic 83 $287,940
Myrbetriq Mirabegron Brand 19 $18,679
Gemtesa Vibegron Brand 29 $18,017
Bicalutamide Generic 235 $6,327
Finasteride Generic 330 $5,587
Tamsulosin Hcl Generic 382 $4,952
Trospium Chloride Er Trospium Chloride Brand 19 $3,631

The 10 drugs with the highest cost, of 28 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 10,221 Part D prescribers listed as Urology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 115 billing codes

Paid by Medicare

$455,995

Of which drugs: $201,177

Medicare patients

1,104

Average age 75

Services billed

21,558

168 women, 936 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 49%
Cancer 44%
Ischemic heart disease 37%
Diabetes 29%
Chronic kidney disease 26%
Atrial fibrillation 20%
Heart failure 18%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Leuprolide injectable, camcevi, 1 mg J1952 Office 22 1,344 $57,268
Leuprolide acetate (for depot suspension), 7.5 mg J9217 Office 35 207 $28,363
Injection, degarelix, 1 mg J9155 Office 14 3,121 $10,374
Injection, testosterone cypionate, 1 mg J1071 Office 27 7,720 $122
Injection, heparin sodium, per 1000 units J1644 Office 11 264 $49

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 23 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
ERLEADA
  • Janssen Biotech, Inc. $236
$236 53 —
PROVENGE
  • Dendreon Pharmaceuticals LLC $210
$210 — —
ORGOVYX
  • Sumitomo Pharma America, Inc. $97
  • PFIZER INC. $57
$154 — —
ADSTILADRIN
  • Ferring Pharmaceuticals Inc. $147
$147 — —
Trelstar
  • Verity Pharmaceuticals Inc. $99
$99 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See all 23 in the dashboard with a free account

Records

636 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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