Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $17,428 | 343 | 31.2% |
| Honoraria | $17,000 | 11 | 30.5% |
| Consulting Fee | $9,550 | 4 | 17.1% |
| Travel and Lodging | $6,404 | 24 | 11.5% |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $5,178 | 5 | 9.3% |
| Education | $222.35 | 3 | 0.4% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Antares Pharma, Inc. | $18,452 | 65 | $0 (2024) |
| Boston Scientific Corporation | $11,679 | 117 | $0 (2024) |
| Endo Pharmaceuticals Inc. | $7,375 | 42 | $0 (2024) |
| Acerus Pharmaceuticals Corporation | $7,170 | 11 | $0 (2022) |
| COLOPLAST CORP | $5,508 | 58 | $0 (2024) |
| Teleflex LLC | $1,877 | 19 | $0 (2024) |
| Cook Incorporated | $743.24 | 9 | $0 (2018) |
| NeoTract Inc. | $640.43 | 8 | $0 (2019) |
| Stryker Corporation | $501.29 | 6 | $0 (2018) |
| Astellas Pharma US Inc | $271.65 | 12 | $0 (2022) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $1,559 | 30 | Teleflex LLC ($939.04) |
| 2023 | $10,540 | 62 | Antares Pharma, Inc. ($7,554) |
| 2022 | $21,825 | 74 | Antares Pharma, Inc. ($10,495) |
| 2021 | $6,824 | 58 | Endo Pharmaceuticals Inc. ($4,473) |
| 2020 | $2,262 | 38 | Boston Scientific Corporation ($1,333) |
| 2019 | $7,299 | 62 | Boston Scientific Corporation ($6,140) |
| 2018 | $4,203 | 45 | Coloplast Corp ($1,923) |
| 2017 | $1,270 | 21 | Cook Incorporated ($418.24) |
All Payment Transactions
390 individual payment records from CMS Open Payments — Page 1 of 16
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 10/18/2024 | Antares Pharma, Inc. | XYOSTED (Drug) | Food and Beverage | In-kind items and services | $66.06 | General |
| Category: TESTOSTERONE REPLACEMENT THERAPY | ||||||
| 09/04/2024 | Endo USA, Inc. | AVEED (Biological), XIAFLEX | Food and Beverage | In-kind items and services | $23.69 | General |
| Category: UROLOGY | ||||||
| 08/13/2024 | Boston Scientific Corporation | — | Food and Beverage | In-kind items and services | $142.55 | General |
| Category: General - Erectile Dysfunction_URO | ||||||
| 08/13/2024 | Boston Scientific Corporation | AMS 700 (Device) | Food and Beverage | In-kind items and services | $2.37 | General |
| Category: AMS 700_URO | ||||||
| 08/07/2024 | Antares Pharma, Inc. | XYOSTED (Drug) | Food and Beverage | In-kind items and services | $6.59 | General |
| Category: TESTOSTERONE REPLACEMENT THERAPY | ||||||
| 07/30/2024 | COLOPLAST CORP | Titan (Device) | Food and Beverage | In-kind items and services | $33.44 | General |
| Category: Men's Health | ||||||
| 07/25/2024 | Endo USA, Inc. | AVEED (Biological), XIAFLEX | Food and Beverage | In-kind items and services | $17.69 | General |
| Category: UROLOGY | ||||||
| 07/22/2024 | Novo Nordisk Inc | Rivfloza (Drug) | Food and Beverage | In-kind items and services | $24.16 | General |
| Category: Rare Disease | ||||||
| 07/19/2024 | Teleflex LLC | UROLIFT (Device) | Food and Beverage | In-kind items and services | $29.06 | General |
| Category: INTERVENTIONAL UROLOGY | ||||||
| 07/05/2024 | Teleflex LLC | UROLIFT (Device) | Travel and Lodging | Cash or cash equivalent | $140.89 | General |
| Category: INTERVENTIONAL UROLOGY | ||||||
| 07/05/2024 | Antares Pharma, Inc. | XYOSTED (Drug) | Food and Beverage | In-kind items and services | $11.69 | General |
| Category: TESTOSTERONE REPLACEMENT THERAPY | ||||||
| 07/05/2024 | Antares Pharma, Inc. | XYOSTED (Drug) | Food and Beverage | In-kind items and services | $1.93 | General |
| Category: TESTOSTERONE REPLACEMENT THERAPY | ||||||
| 06/28/2024 | Sumitomo Pharma America, Inc. | GEMTESA (Drug) | Food and Beverage | In-kind items and services | $27.83 | General |
| Category: UROLOGY | ||||||
| 06/12/2024 | Antares Pharma, Inc. | XYOSTED (Drug) | Food and Beverage | In-kind items and services | $6.86 | General |
| Category: TESTOSTERONE REPLACEMENT THERAPY | ||||||
| 05/08/2024 | Antares Pharma, Inc. | XYOSTED (Drug) | Food and Beverage | In-kind items and services | $7.26 | General |
| Category: TESTOSTERONE REPLACEMENT THERAPY | ||||||
| 04/11/2024 | Teleflex LLC | UROLIFT (Device) | Travel and Lodging | In-kind items and services | $212.31 | General |
| Category: INTERVENTIONAL UROLOGY | ||||||
| 04/11/2024 | Teleflex LLC | UROLIFT (Device) | Food and Beverage | In-kind items and services | $37.50 | General |
| Category: INTERVENTIONAL UROLOGY | ||||||
| 04/11/2024 | Teleflex LLC | UROLIFT (Device) | Food and Beverage | In-kind items and services | $12.79 | General |
| Category: INTERVENTIONAL UROLOGY | ||||||
| 04/03/2024 | Sumitomo Pharma America, Inc. | GEMTESA (Drug) | Food and Beverage | In-kind items and services | $21.06 | General |
| Category: UROLOGY | ||||||
| 04/03/2024 | Antares Pharma, Inc. | XYOSTED (Drug) | Food and Beverage | In-kind items and services | $6.15 | General |
| Category: TESTOSTERONE REPLACEMENT THERAPY | ||||||
| 03/15/2024 | Antares Pharma, Inc. | XYOSTED (Drug) | Food and Beverage | In-kind items and services | $16.61 | General |
| Category: TESTOSTERONE REPLACEMENT THERAPY | ||||||
| 02/21/2024 | Antares Pharma, Inc. | XYOSTED (Drug) | Food and Beverage | In-kind items and services | $6.29 | General |
| Category: TESTOSTERONE REPLACEMENT THERAPY | ||||||
| 02/14/2024 | Endo Pharmaceuticals Inc. | XIAFLEX (Biological) | Food and Beverage | In-kind items and services | $52.47 | General |
| Category: UROLOGY | ||||||
| 02/05/2024 | Endo Pharmaceuticals Inc. | AVEED (Biological), XIAFLEX | Food and Beverage | In-kind items and services | $15.88 | General |
| Category: UROLOGY | ||||||
| 01/31/2024 | Antares Pharma, Inc. | XYOSTED (Drug) | Food and Beverage | In-kind items and services | $5.35 | General |
| Category: TESTOSTERONE REPLACEMENT THERAPY | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 11 | 522 | 705 | $298,694 | $60,605 |
| 2022 | 13 | 627 | 874 | $452,753 | $96,723 |
| 2021 | 15 | 840 | 1,204 | $981,016 | $188,651 |
| 2020 | 17 | 826 | 1,141 | $767,447 | $136,915 |
All Medicare Procedures & Services
56 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 304 | 399 | $125,286 | $32,894 | 26.3% |
| 54405 | Insertion of multicomponent inflatable penile implant | Facility | 2023 | 14 | 14 | $59,878 | $8,068 | 13.5% |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | Office | 2023 | 39 | 41 | $44,321 | $6,645 | 15.0% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2023 | 33 | 33 | $13,893 | $3,977 | 28.6% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 35 | 35 | $16,905 | $3,583 | 21.2% |
| 55700 | Biopsy of prostate gland | Office | 2023 | 13 | 13 | $15,418 | $2,335 | 15.1% |
| 76872 | Ultrasound scan of pelvic region through rectum | Office | 2023 | 14 | 14 | $6,972 | $1,352 | 19.4% |
| 54235 | Injection procedure to cause erection | Office | 2023 | 11 | 11 | $5,170 | $771.10 | 14.9% |
| 96372 | Injection of drug or substance under skin or into muscle | Office | 2023 | 16 | 63 | $6,111 | $650.37 | 10.6% |
| 51798 | Ultrasound measurement of bladder capacity after voiding | Office | 2023 | 29 | 38 | $4,256 | $312.12 | 7.3% |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | Office | 2023 | 14 | 44 | $484.00 | $17.73 | 3.7% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 344 | 508 | $159,512 | $46,030 | 28.9% |
| 52441 | Insertion of implant in urethra within prostate gland using an endoscope, 1 implant | Office | 2022 | 11 | 11 | $70,181 | $12,095 | 17.2% |
| 54405 | Insertion of multicomponent inflatable penile implant | Facility | 2022 | 18 | 18 | $76,986 | $11,811 | 15.3% |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | Office | 2022 | 46 | 50 | $54,050 | $9,845 | 18.2% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 67 | 67 | $32,361 | $7,776 | 24.0% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2022 | 24 | 28 | $11,788 | $3,605 | 30.6% |
| 93980 | Complete ultrasound of penis artery and vein blood flow | Office | 2022 | 20 | 20 | $15,140 | $1,703 | 11.2% |
| 54235 | Injection procedure to cause erection | Office | 2022 | 21 | 21 | $9,870 | $1,383 | 14.0% |
| 76872 | Ultrasound scan of pelvic region through rectum | Office | 2022 | 11 | 11 | $5,478 | $1,172 | 21.4% |
| 96372 | Injection of drug or substance under skin or into muscle | Office | 2022 | 17 | 85 | $8,245 | $941.52 | 11.4% |
| 51798 | Ultrasound measurement of bladder capacity after voiding | Office | 2022 | 24 | 30 | $3,360 | $242.79 | 7.2% |
| 51741 | Electronic assessment of bladder emptying | Office | 2022 | 12 | 13 | $5,746 | $96.82 | 1.7% |
| J1580 | Injection, garamycin, gentamicin, up to 80 mg | Office | 2022 | 12 | 12 | $36.00 | $21.15 | 58.8% |
| 52442 | Insertion of implant in bladder canal (urethra) within prostate gland using an endoscope, each additional implant | Office | 2021 | 19 | 77 | $375,795 | $61,161 | 16.3% |
About Dr. Nathan Starke, MD
Dr. Nathan Starke, MD is a Urology healthcare provider based in Houston, Texas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/05/2011. The National Provider Identifier (NPI) number assigned to this provider is 1386936680.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Nathan Starke, MD has received a total of $55,781 in payments from pharmaceutical and medical device companies, with $1,559 received in 2024. These payments were reported across 390 transactions from 29 companies. The most common payment nature is "Food and Beverage" ($17,428).
As a Medicare-enrolled provider, Starke has provided services to 2,815 Medicare beneficiaries, totaling 3,924 services with total Medicare billing of $482,892. Data is available for 4 years (2020–2023), covering 56 distinct procedure/service records.
Practice Information
- Specialty Urology
- Other Specialties Urology
- Location Houston, TX
- Active Since 05/05/2011
- Last Updated 08/15/2018
- Taxonomy Code 208800000X
- Entity Type Individual
- NPI Number 1386936680
Products in Payments
- TLANDO (Drug) $11,923
- Natesto (Drug) $7,170
- XIAFLEX (Biological) $7,106
- XYOSTED (Drug) $6,387
- AMS (Device) $5,389
- Titan (Device) $2,695
- TITAN (Device) $2,612
- AMBICOR (Device) $2,121
- UROLIFT (Device) $1,682
- AMS 700 CXR RTE KIT (Device) $900.49
- LITHOVUE (Device) $553.31
- UroLift (Device) $506.67
- AMS 700 CXR RTE Kit (Device) $440.56
- Cook Medical Extractors (Device) $331.28
- GENERAL KIDNEY STONE DISEASE (Device) $319.86
- AMS 700 (Device) $306.25
- TREVO (Device) $298.91
- AVEED (Biological) $294.97
- GENERAL KIDNEY STONE DISEASE (Device) $243.40
- Axonics r-SNM System (Device) $227.68
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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