Payment overview · 2025
General Payments
$1,057.10
29 reported records · 15 companies
Healthcare provider profile · identity verified
Larry E Siref, M.D.
Allopathic & Osteopathic Physicians|Urology · OMAHA, NE · NPI 1043219546
Verified facts
What the public records show
CMS Open Payments records show Larry E Siref, M.D. received $1,057.10 in general payments during 2025 across 29 reported records.
COLOPLAST CORP accounted for 22.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 17 associated products.
Astellas Pharma US Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Myrbetriq as an associated drug or biological on 16 records involving 16 distinct recipient NPIs. Public Medicare Part D data also shows 50 claims for Myrbetriq by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| COLOPLAST CORP | Unresolved — no canonical attribution shown | $238.18 | 22.5% | 2 | 2025 |
| Calyxo, Inc. | Unresolved — no canonical attribution shown | $145.71 | 13.8% | 1 | 2025 |
| Procept Biorobotics Corporation | Unresolved — no canonical attribution shown | $109.94 | 10.4% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $97.76 | 9.2% | 4 | 2025 |
| UROGEN PHARMA, INC. | Unresolved — no canonical attribution shown | $77.87 | 7.4% | 3 | 2025 |
| Ferring Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $72.01 | 6.8% | 2 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $65.56 | 6.2% | 4 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $52.95 | 5.0% | 3 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $52.05 | 4.9% | 3 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $35.06 | 3.3% | 1 | 2025 |
| 180 Medical, Inc. | Unresolved — no canonical attribution shown | $26.18 | 2.5% | 1 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $23.58 | 2.2% | 1 | 2025 |
| Cook Medical LLC | Unresolved — no canonical attribution shown | $23.58 | 2.2% | 1 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $18.80 | 1.8% | 1 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $17.87 | 1.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,022.04 | 28 |
| Education | $35.06 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| Titan Normalized: titan |
Device | COLOPLAST CORP | $238.18 | 2 | 2025 |
Source payment records
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| CVAC ASPIRATION SYSTEM Normalized: cvac aspiration system |
Device | Calyxo, Inc. | $145.71 | 1 | 2025 |
Source payment records
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| AQUABEAM ROBOTIC SYSTEM Normalized: aquabeam robotic system |
Device | Procept Biorobotics Corporation | $109.94 | 1 | 2025 |
Source payment records
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| LUPRON DEPOT Normalized: lupron depot |
Drug | ABBVIE INC. | $97.76 | 4 | 2025 |
Source payment records
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| ADSTILADRIN Normalized: adstiladrin |
Biological | Ferring Pharmaceuticals Inc. | $72.01 | 2 | 2025 |
Source payment records
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| XTANDI Normalized: xtandi |
Drug | Astellas Pharma US Inc, PFIZER INC. | $71.75 | 4 | 2025 |
Source payment records
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| KEYTRUDA Normalized: keytruda |
Biological | Merck Sharp & Dohme LLC | $65.56 | 4 | 2025 |
Source payment records
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| JELMYTO Normalized: jelmyto |
Drug | UROGEN PHARMA, INC. | $55.68 | 2 | 2025 |
Source payment records
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| ORGOVYX Normalized: orgovyx |
Drug | PFIZER INC. | $52.95 | 3 | 2025 |
Source payment records
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| TALZENNA Normalized: talzenna |
Drug | PFIZER INC. | $52.95 | 3 | 2025 |
Source payment records
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| ERLEADA Normalized: erleada |
Drug | Janssen Biotech, Inc. | $52.05 | 3 | 2025 |
Source payment records
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| IMFINZI Normalized: imfinzi |
Biological | AstraZeneca Pharmaceuticals LP | $35.06 | 1 | 2025 |
Source payment records
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| KEYTRUDA QLEX Normalized: keytruda qlex |
Biological | Merck Sharp & Dohme LLC | $30.54 | 2 | 2025 |
Source payment records
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| RESONANCE Normalized: resonance |
Device | Cook Medical LLC | $23.58 | 1 | 2025 |
Source payment records
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| SpaceOAR VUE System - 10mL Normalized: spaceoar vue system 10ml |
Device | Boston Scientific Corporation | $23.58 | 1 | 2025 |
Source payment records
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| ZUSDURI Normalized: zusduri |
Drug | UROGEN PHARMA, INC. | $22.19 | 1 | 2025 |
Source payment records
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| PLUVICTO Normalized: pluvicto |
Drug | Novartis Pharmaceuticals Corporation | $17.87 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| Astellas Pharma US Inc Exact reporting entity; no affiliate inference |
2025 | Myrbetriq open payments reported associated product |
CMS Open Payments — General Payments 16 supporting records · 16 recipient NPIs · example record 1238599014 |
Myrbetriq · 2024 Exact normalized brand match · 1 Part D row |
50 | suppressed by CMS |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 268 | 81 |
| Finasteride | Finasteride | 217 | 59 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 72 | 20 |
| Myrbetriq | Mirabegron | 50 | suppressed |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 30 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 28 | 25 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 27 | suppressed |
| Desmopressin Acetate | Desmopressin Acetate | 18 | suppressed |
| Cephalexin | Cephalexin | 13 | suppressed |
| Trospium Chloride | Trospium Chloride | 13 | suppressed |
| Bicalutamide | Bicalutamide | 12 | suppressed |
| Dutasteride | Dutasteride | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $1,057.10 · 29 records | COLOPLAST CORP | ADSTILADRIN, AQUABEAM ROBOTIC SYSTEM, CVAC ASPIRATION SYSTEM, ERLEADA, IMFINZI, JELMYTO, KEYTRUDA, KEYTRUDA QLEX, LUPRON DEPOT, ORGOVYX, PLUVICTO, RESONANCE, SpaceOAR VUE System - 10mL, TALZENNA, Titan, XTANDI, ZUSDURI | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Astellas Pharma US Inc?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error