Manish Patel, MD
Hand Surgery · Austin, TXNPI 1114031929
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (40.5%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 26 manufacturers reported payments, led by Arthrex at 40.9% of the total. Reporting peaked in 2019 at $4,004 and has fallen 72.9% since, to $1,086 in 2025.
Across 69 payments — averaging $123.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$3K
- Medinc Of Texas$2K
- Alafair Biosciences, Inc.$819
- Core Surgical Group$561
- Abbott$395
- Nalu Medical, Inc.$310
- plus $1K from 20 others
What the payments were for
- Consulting fees$7008%
- Travel & lodging$1,99623%
- Food & beverage$2,38028%
- Education$3,45641%
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 |
|---|---|---|
| Arthrex | 18 | $3,489 |
| Medinc Of Texas | 4 | $1,905 |
| Alafair Biosciences, Inc. | 2 | $819 |
| Core Surgical Group | 3 | $561 |
| Abbott | 7 | $395 |
| Nalu Medical, Inc. | 2 | $310 |
| Medtronic | 2 | $281 |
| Bioventus LLC | 3 | $122 |
| Orthofix Medical, Inc. | 4 | $92 |
| Axogen | 3 | $90 |
| Skeletal Dynamics Inc | 1 | $72 |
| Endo Pharmaceuticals Inc. | 3 | $49 |
| Forte Bio-pharma LLC | 2 | $43 |
| Zimmer Biomet | 1 | $37 |
| Si-bone, Inc. | 1 | $33 |
| ERMI LLC | 2 | $30 |
| Dynasplint Systems Inc. | 1 | $27 |
| Endo USA, Inc. | 1 | $24 |
| Amgen | 2 | $24 |
| Checkpoint Surgical, Inc | 1 | $22 |
| AbbVie | 1 | $21 |
| Integra Lifesciences Corporation | 1 | $21 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $18 |
| Smith+Nephew | 1 | $17 |
| Biohaven Pharmaceuticals, Inc. | 1 | $16 |
| Kuros Biosciences USA, Inc | 1 | $15 |
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.
- VersaWrap Tendon Protector$700
- Nalu Neurostimulation System$310
- INTELLIS ADAPTIVESTIM$281
- KNEE & HIP INSTRUMENTS REUSABLE INSTRUMENTS GRAFT PREP$121
- VersaWrap$119
- Exogen Ultrasound Bone Healing System$111
- PROCLAIM$108
How this compares
$8,532 in reported general payments places this provider in the 65th percentile of 170 hand surgery providers in Texas.
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 |
|---|---|---|
| Celecoxib | 17 | $656 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 43 | $374 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 39 | $283 |
| Ondansetron OdtOndansetron | 18 | $206 |
| Meloxicam | 38 | $126 |
| Tramadol Hcl | 41 | $92 |
| Methylprednisolone | 14 | $83 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Austin
- David RingAustin$536K
- Luke SeekerAustin$18K
- Harris RoseAustin$12K
- Ronald BuczekAustin$12K
- Jeffrey JobeAustin$10K
- Kourosh JafarniaHouston$278K
- Brendan MackayLubbock$274K
- John FaillaceWoodway$212K
- Daniel KoehlerDallas$208K
- Timothy NiacarisArlington$160K
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.