RxDoctor Payments Data

Amit Patel, MD

Otolaryngology · Hermitage, TNNPI 1528401676

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (53.1%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 26 manufacturers reported payments, led by Inspire Medical Systems, Inc. at 47.9% of the total. Reporting peaked in 2024 at $5,731 and has fallen 68.6% since, to $1,797 in 2025. Among otolaryngology clinicians in TN with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$11,116in general payments, 2019–2025

Across 205 payments — averaging $54.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Inspire Medical Systems, Inc.$5K
  • Medtronic$831
  • Stryker$803
  • Sanofi$543
  • Regeneron Healthcare Solutions, Inc.$540
  • GSK$486
  • plus $3K from 20 others

What the payments were for

  • Consulting fees$4,58841%
  • Travel & lodging$6296%
  • Food & beverage$5,89953%

Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.

General payments by program year

19
20
21
22
23
24
25

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.

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.

How this compares

$11,116 in reported general payments places this provider in the 90th percentile of 191 otolaryngology providers in Tennessee.

See all otolaryngology providers in Tennessee

Medicare billing

Part B allowed, 2024
$117,341
Medicare patients
291
Services billed
2,821

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

DrugClaimsCost to plans & patients
Advair HfaFluticasone Propion/Salmeterol17$6,260
Ipratropium Bromide78$2,278
Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth18$2,100
Fluticasone Propionate39$463
Famotidine30$420
Azelastine Hcl11$410
Mometasone Furoate13$212
Mupirocin30$190
Omeprazole12$177
Ciprofloxacin Hcl19$124
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen18$106
Ondansetron OdtOndansetron16$83
Azithromycin11$32
Promethazine Hcl15$8

Paid to pharmacies, not to this prescriber.

Other otolaryngology in Hermitage

See the full list for Tennessee

Where these figures come from

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