RxDoctor Payments Data

Kapilkumar Patel, MD

Pulmonary Disease · Winston Salem, NCNPI 1356416531

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (57.0%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Gilead accounts for 66.4% of it on its own, with 33 other manufacturers making up the rest. Reporting peaked in 2019 at $14,996 and has fallen 97.4% since, to $385 in 2025.

$21,289in general payments, 2019–2025

Across 154 payments — averaging $138.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Gilead$14K
  • United Therapeutics Corporation$1K
  • Transmedics, Inc.$706
  • La Jolla Pharmaceutical Company$577
  • Astellas Pharma US Inc$573
  • Genentech USA, Inc.$572
  • plus $3K from 28 others
$458,432in research payments, 2019–2025

Across 42 payments — averaging $10,915 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Vertex$383K
  • Transmedics, Inc.$31K
  • Sanofi US Services Inc.$31K
  • AbbVie$14K
  • Vivus LLC$405

What the payments were for

  • Consulting fees$2121%
  • Speaking & faculty fees$12,14057%
  • Travel & lodging$2,63412%
  • Food & beverage$6,23029%
  • Education$740%

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

$21,289 in reported general payments places this provider in the 85th percentile of 393 pulmonary disease providers in North Carolina.

See all pulmonary disease providers in North Carolina

Medicare billing

Part B allowed, 2024
$72,141
Medicare patients
148
Services billed
645

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
TrikaftaElexacaftor/Tezacaftor/Ivacaft160$4,168,942
PrevymisLetermovir114$794,023
OfevNintedanib Esylate49$608,376
CreonLipase/Protease/Amylase102$537,438
Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov5038$306,729
SymdekoTezacaftor/Ivacaftor11$257,048
ZenpepLipase/Protease/Amylase29$239,638
CaystonAztreonam Lysine18$209,191
CresembaIsavuconazonium Sulfate25$181,475
Prolastin CAlpha-1-Proteinase Inhibitor17$170,474
Tobi PodhalerTobramycin13$136,903
Atovaquone175$114,369
EliquisApixaban86$86,648
Itraconazole163$66,864
ForteoTeriparatide15$60,618

Paid to pharmacies, not to this prescriber.

Companies that both paid and supply prescribed drugs

These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.

CompanyPaid to this providerPart D cost of their drugs
VertexTrikafta, Symdeko$22$4,425,990171 claims
MerckPrevymis, Januvia$51$809,132140 claims
Boehringer IngelheimOfev$421$608,37649 claims
Takeda Pharmaceuticals U.S.A., Inc.Gammagard Liquid$36$306,72938 claims
GileadCayston$14,144$209,19118 claims
Astellas Pharma US IncCresemba$573$181,47525 claims
Mylan Specialty L.p.Tobi Podhaler$19$136,90313 claims
AstraZenecaLokelma, Symbicort$127$8,89033 claims

Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 85th percentile of 393 pulmonary disease providers in North Carolina.

Other pulmonary disease in Winston Salem

See the full list for North Carolina

Where these figures come from

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