Manesh Patel, MD
Internal Medicine · Durham, NCNPI 1487696365
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $332,626 of the $435,408 with a category attached, or 76.4%. 19 manufacturers reported payments, led by Roche Molecular Systems, Inc. at 43.2% of the total. 2025 is the largest year on record at $201,460, 4.1 times the $49,020 reported in 2019. Among internal medicine clinicians in NC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 152 payments — averaging $2864.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Roche Molecular Systems, Inc.$188K
- Johnson & Johnson$154K
- Esperion Therapeutics, Inc.$17K
- Idorsia Pharmaceuticals US Inc$16K
- Regeneron$13K
- Bayer$11K
- plus $37K from 13 others
Across 174 payments — averaging $153,978 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.
- CSL Behring$25.7M
- Regeneron$422K
- Medtronic$397K
- Amgen$205K
- Bayer$27K
- Gilead$11K
- plus $10K from 5 others
What the payments were for
- Consulting fees$332,62676%
- Speaking & faculty fees$92,64721%
- Travel & lodging$5,3171%
- Food & beverage$4,7511%
- Education$670%
General payments by program year
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.
| Company | Payments | Total |
|---|---|---|
| Roche Molecular Systems, Inc. | 1 | $188,290 |
| Johnson & Johnson | 48 | $154,422 |
| Esperion Therapeutics, Inc. | 9 | $16,577 |
| Idorsia Pharmaceuticals US Inc | 2 | $15,878 |
| Regeneron | 22 | $12,702 |
| Bayer | 18 | $10,757 |
| Amgen(2 entities) | 11 | $7,934 |
| Novartis | 11 | $7,652 |
| Janssen Global Services, LLC | 4 | $6,061 |
| Modernatx, Inc. | 11 | $6,000 |
| Philips North America LLC | 4 | $4,229 |
| Novo Nordisk AS | 1 | $3,000 |
| Janssen Scientific Affairs, LLC | 2 | $1,265 |
| Astrazeneca UK Limited | 2 | $205 |
| United Therapeutics Corporation | 1 | $128 |
| Novo Nordisk | 1 | $120 |
| Abbott | 1 | $109 |
| Coloplast | 2 | $67 |
| Janssen Research & Development, LLC | 1 | $14 |
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
$435,408 in reported general payments places this provider in the 95th percentile of 3,302 internal medicine providers in North Carolina.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 13 | $13,520 |
| JardianceEmpagliflozin | 19 | $12,975 |
| EntrestoSacubitril/Valsartan | 15 | $10,653 |
| Ezetimibe | 19 | $646 |
| Metoprolol Succinate | 26 | $424 |
| Atorvastatin Calcium | 39 | $300 |
| Rosuvastatin Calcium | 39 | $253 |
| Carvedilol | 25 | $220 |
| Metoprolol Tartrate | 11 | $187 |
| Losartan Potassium | 23 | $181 |
| Lisinopril | 19 | $132 |
| Spironolactone | 17 | $132 |
| Amlodipine Besylate | 24 | $79 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| NovartisEntresto | $7,652 | $10,65315 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 95th percentile of 3,302 internal medicine providers in North Carolina.
Other internal medicine in Durham
- Nirmish ShahDurham$862K
- Mary KlotmanDurham$478K
- Patricia LugarDurham$197K
- Rebecca RichDurham$160K
- Adam DevoreDurham$112K
- Kevin ThomasDurham$101K
- Julius WilderDurham$97K
- Richard RiedelDurham$95K
- Jennifer RymerDurham$73K
- Jamie ToddDurham$69K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.