Payment overview · 2025
General Payments
$8,578.18
86 reported records · 25 companies
Healthcare provider profile · identity verified
Marc Steven Milsten, MD
Allopathic & Osteopathic Physicians|Urology · TULSA, OK · NPI 1952323362
Verified facts
What the public records show
CMS Open Payments records show Marc Steven Milsten, MD received $8,578.18 in general payments during 2025 across 86 reported records.
AVYXA PHARMA, LLC accounted for 39.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 29 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Erleada, Gemtesa, Nubeqa, Xtandi.
Astellas Pharma Global Development reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Xtandi as an associated drug or biological on 160 records involving 130 distinct recipient NPIs. Public Medicare Part D data also shows 41 claims for Xtandi by this doctor in 2024.
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 19 claims for Myrbetriq by this doctor in 2024.
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 Xtandi as an associated drug or biological on 11345 records involving 5418 distinct recipient NPIs. Public Medicare Part D data also shows 41 claims for Xtandi by this doctor in 2024.
Bayer Healthcare Pharmaceuticals 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 Nubeqa as an associated drug or biological on 24369 records involving 9557 distinct recipient NPIs. Public Medicare Part D data also shows 33 claims for Nubeqa by this doctor in 2024.
Janssen Biotech, 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 ERLEADA as an associated drug or biological on 32382 records involving 10919 distinct recipient NPIs. Public Medicare Part D data also shows 53 claims for Erleada by this doctor in 2024.
PFIZER 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 XTANDI as an associated drug or biological on 19368 records involving 7657 distinct recipient NPIs. Public Medicare Part D data also shows 41 claims for Xtandi by this doctor in 2024.
Sumitomo Pharma America, 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 GEMTESA as an associated drug or biological on 61692 records involving 22152 distinct recipient NPIs. Public Medicare Part D data also shows 29 claims for Gemtesa 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 |
|---|---|---|---|---|---|
| AVYXA PHARMA, LLC | Unresolved — no canonical attribution shown | $3,423.99 | 39.9% | 5 | 2025 |
| Astellas Pharma Global Development | Unresolved — no canonical attribution shown | $3,000.00 | 35.0% | 1 | 2025 |
| Dendreon Pharmaceuticals LLC | Unresolved — no canonical attribution shown | $273.57 | 3.2% | 7 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $268.06 | 3.1% | 9 | 2025 |
| Teleflex LLC | Unresolved — no canonical attribution shown | $256.29 | 3.0% | 8 | 2025 |
| Calyxo, Inc. | Unresolved — no canonical attribution shown | $149.40 | 1.7% | 1 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $147.47 | 1.7% | 7 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $141.27 | 1.6% | 5 | 2025 |
| ACCORD HEALTHCARE, INC. | Unresolved — no canonical attribution shown | $119.44 | 1.4% | 7 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $115.05 | 1.3% | 5 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $114.35 | 1.3% | 4 | 2025 |
| Verity Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $104.06 | 1.2% | 6 | 2025 |
| IMMUNITYBIO, INC. | Unresolved — no canonical attribution shown | $76.20 | 0.9% | 2 | 2025 |
| UROGEN PHARMA, INC. | Unresolved — no canonical attribution shown | $75.57 | 0.9% | 4 | 2025 |
| Sumitomo Pharma America, Inc. | Unresolved — no canonical attribution shown | $64.88 | 0.8% | 3 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $52.29 | 0.6% | 2 | 2025 |
| PROGENICS PHARMACEUTICALS, INC. | Unresolved — no canonical attribution shown | $42.97 | 0.5% | 2 | 2025 |
| Myriad Genetic Laboratories, Inc. | Unresolved — no canonical attribution shown | $25.43 | 0.3% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $25.16 | 0.3% | 1 | 2025 |
| Telix Pharmaceuticals | Unresolved — no canonical attribution shown | $21.26 | 0.2% | 1 | 2025 |
| COLOPLAST CORP | Unresolved — no canonical attribution shown | $18.82 | 0.2% | 1 | 2025 |
| Endo USA, Inc. | Unresolved — no canonical attribution shown | $18.23 | 0.2% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $15.32 | 0.2% | 1 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $14.92 | 0.2% | 1 | 2025 |
| Antares Pharma, Inc. | Unresolved — no canonical attribution shown | $14.18 | 0.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Consulting Fee | $3,000.00 | 1 |
| Food and Beverage | $2,342.30 | 82 |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $2,000.00 | 1 |
| Travel and Lodging | $1,235.88 | 2 |
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 |
|---|---|---|---|---|---|
| XTANDI Normalized: xtandi |
Drug | Astellas Pharma Global Development, Astellas Pharma US Inc, PFIZER INC. | $3,156.19 | 7 | 2025 |
Source payment records
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| PROVENGE Normalized: provenge |
Drug | Dendreon Pharmaceuticals LLC | $273.57 | 7 | 2025 |
Source payment records
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| ERLEADA Normalized: erleada |
Drug | Janssen Biotech, Inc. | $268.06 | 9 | 2025 |
Source payment records
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| BARRIGEL Normalized: barrigel |
Device | Teleflex LLC | $224.58 | 6 | 2025 |
Source payment records
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| ORGOVYX Normalized: orgovyx |
Drug | PFIZER INC., Sumitomo Pharma America, Inc. | $165.77 | 6 | 2025 |
Source payment records
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| CVAC ASPIRATION SYSTEM Normalized: cvac aspiration system |
Device | Calyxo, Inc. | $149.40 | 1 | 2025 |
Source payment records
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| Nubeqa Normalized: nubeqa |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $147.47 | 7 | 2025 |
Source payment records
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| Xofigo Normalized: xofigo |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $147.47 | 7 | 2025 |
Source payment records
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| TALZENNA Normalized: talzenna |
Drug | PFIZER INC. | $141.27 | 5 | 2025 |
Source payment records
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| LYNPARZA Normalized: lynparza |
Biological, Drug | AstraZeneca Pharmaceuticals LP, Merck Sharp & Dohme LLC | $140.21 | 6 | 2025 |
Source payment records
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| Camcevi Normalized: camcevi |
Drug | ACCORD HEALTHCARE, INC. | $119.44 | 7 | 2025 |
Source payment records
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| KEYTRUDA Normalized: keytruda |
Biological | Merck Sharp & Dohme LLC | $115.05 | 5 | 2025 |
Source payment records
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| PLUVICTO Normalized: pluvicto |
Drug | Novartis Pharmaceuticals Corporation | $114.35 | 4 | 2025 |
Source payment records
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| Trelstar Normalized: trelstar |
Drug | Verity Pharmaceuticals Inc. | $104.06 | 6 | 2025 |
Source payment records
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| ANKTIVA Normalized: anktiva |
Drug | IMMUNITYBIO, INC. | $76.20 | 2 | 2025 |
Source payment records
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| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $52.29 | 2 | 2025 |
Source payment records
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| KEYTRUDA QLEX Normalized: keytruda qlex |
Biological | Merck Sharp & Dohme LLC | $44.21 | 2 | 2025 |
Source payment records
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| PYLARIFY Normalized: pylarify |
Drug | PROGENICS PHARMACEUTICALS, INC. | $42.97 | 2 | 2025 |
Source payment records
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| GEMTESA Normalized: gemtesa |
Drug | Sumitomo Pharma America, Inc. | $40.38 | 2 | 2025 |
Source payment records
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| JELMYTO Normalized: jelmyto |
Drug | UROGEN PHARMA, INC. | $39.78 | 2 | 2025 |
Source payment records
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| ZUSDURI Normalized: zusduri |
Drug | UROGEN PHARMA, INC. | $35.79 | 2 | 2025 |
Source payment records
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| UROLIFT Normalized: urolift |
Device | Teleflex LLC | $31.71 | 2 | 2025 |
Source payment records
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| PROLARIS Normalized: prolaris |
Device | Myriad Genetic Laboratories, Inc. | $25.43 | 1 | 2025 |
Source payment records
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| WELIREG Normalized: welireg |
Drug | Merck Sharp & Dohme LLC | $23.85 | 1 | 2025 |
Source payment records
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| ILLUCCIX Normalized: illuccix |
Drug | Telix Pharmaceuticals | $21.26 | 1 | 2025 |
Source payment records
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| Luja Coude Normalized: luja coude |
Device | COLOPLAST CORP | $18.82 | 1 | 2025 |
Source payment records
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| XIAFLEX Normalized: xiaflex |
Biological | Endo USA, Inc. | $18.23 | 1 | 2025 |
Source payment records
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| BOTOX Normalized: botox |
Biological | ABBVIE INC. | $15.32 | 1 | 2025 |
Source payment records
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| XYOSTED Normalized: xyosted |
Drug | Antares Pharma, Inc. | $14.18 | 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
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| ERLEADA erleada |
2025 | Erleada | 2024 | 53 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| GEMTESA gemtesa |
2025 | Gemtesa | 2024 | 29 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| Nubeqa nubeqa |
2025 | Nubeqa | 2024 | 33 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| XTANDI xtandi |
2025 | Xtandi | 2024 | 41 Beneficiary count suppressed |
exact normalized | Medicare Part D |
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 Global Development Exact reporting entity; no affiliate inference |
2025 | Xtandi open payments reported associated product |
CMS Open Payments — General Payments 160 supporting records · 130 recipient NPIs · example record 1234123543 |
Xtandi · 2024 Exact normalized brand match · 1 Part D row |
41 | suppressed by CMS |
| 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 |
19 | suppressed by CMS |
| Astellas Pharma US Inc Exact reporting entity; no affiliate inference |
2025 | Xtandi open payments reported associated product |
CMS Open Payments — General Payments 11345 supporting records · 5418 recipient NPIs · example record 1238560686 |
Xtandi · 2024 Exact normalized brand match · 1 Part D row |
41 | suppressed by CMS |
| Bayer Healthcare Pharmaceuticals Inc. Exact reporting entity; no affiliate inference |
2025 | Nubeqa open payments reported associated product |
CMS Open Payments — General Payments 24369 supporting records · 9557 recipient NPIs · example record 1225434669 |
Nubeqa · 2024 Exact normalized brand match · 1 Part D row |
33 | suppressed by CMS |
| Janssen Biotech, Inc. Exact reporting entity; no affiliate inference |
2025 | ERLEADA open payments reported associated product |
CMS Open Payments — General Payments 32382 supporting records · 10919 recipient NPIs · example record 1174257499 |
Erleada · 2024 Exact normalized brand match · 1 Part D row |
53 | suppressed by CMS |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | XTANDI open payments reported associated product |
CMS Open Payments — General Payments 19368 supporting records · 7657 recipient NPIs · example record 1228794230 |
Xtandi · 2024 Exact normalized brand match · 1 Part D row |
41 | suppressed by CMS |
| Sumitomo Pharma America, Inc. Exact reporting entity; no affiliate inference |
2025 | GEMTESA open payments reported associated product |
CMS Open Payments — General Payments 61692 supporting records · 22152 recipient NPIs · example record 1176593503 |
Gemtesa · 2024 Exact normalized brand match · 1 Part D row |
29 | 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 | 382 | 116 |
| Finasteride | Finasteride | 330 | 88 |
| Bicalutamide | Bicalutamide | 235 | 73 |
| Prednisone | Prednisone | 84 | 13 |
| Abiraterone Acetate | Abiraterone Acetate | 83 | 12 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 63 | 19 |
| Trospium Chloride | Trospium Chloride | 61 | 23 |
| Erleada | Apalutamide | 53 | suppressed |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 42 | 21 |
| Xtandi | Enzalutamide | 41 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 38 | suppressed |
| Nubeqa | Darolutamide | 33 | suppressed |
| Levofloxacin | Levofloxacin | 31 | 27 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 31 | 16 |
| Gemtesa | Vibegron | 29 | suppressed |
| Fesoterodine Fumarate Er | Fesoterodine Fumarate | 25 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 23 | 13 |
| Megestrol Acetate | Megestrol Acetate | 20 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 20 | 15 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 19 | 14 |
| Myrbetriq | Mirabegron | 19 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 19 | suppressed |
| Trospium Chloride Er | Trospium Chloride | 19 | suppressed |
| Dutasteride | Dutasteride | 16 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 15 | 13 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 14 | suppressed |
| Diazepam | Diazepam | 13 | 12 |
| Imipramine Hcl | Imipramine Hcl | 13 | 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 | $8,578.18 · 86 records | AVYXA PHARMA, LLC | ANKTIVA, BARRIGEL, BOTOX, CVAC ASPIRATION SYSTEM, Camcevi, ERLEADA, GEMTESA, ILLUCCIX, JELMYTO, JOURNAVX, KEYTRUDA, KEYTRUDA QLEX, LYNPARZA, Luja Coude, Nubeqa, ORGOVYX, PLUVICTO, PROLARIS, PROVENGE, PYLARIFY, TALZENNA, Trelstar, UROLIFT, WELIREG, XIAFLEX, XTANDI, XYOSTED, Xofigo, ZUSDURI | 7 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Erleada play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Astellas Pharma Global Development?
- 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