Manish Patel, MD
Orthopaedic Surgery · Franklin, VANPI 1851389852
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (57.5%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. Ortho Development Corporation accounts for 96.1% of it on its own, with 26 other manufacturers making up the rest. 2025 is the largest year on record at $321,939, more than ten times the $8,422 reported in 2019. Among orthopaedic surgery clinicians in VA 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 293 payments — averaging $2677.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ortho Development Corporation$754K
- Medical Device Business Services, Inc.$21K
- Johnson & Johnson$2K
- Medacta USA, Inc.$2K
- Advita Ortho, LLC$1K
- Sanara Medtech Inc.$843
- plus $3K from 21 others
Across 2 payments — averaging $27,958 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.
- Medical Device Business Services, Inc.$56K
What the payments were for
- Royalty or licence$451,08257%
- Consulting fees$310,67740%
- Speaking & faculty fees$5850%
- Travel & lodging$9,7231%
- Food & beverage$12,5682%
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 |
|---|---|---|
| Ortho Development Corporation | 141 | $754,133 |
| Medical Device Business Services, Inc. | 19 | $21,403 |
| Johnson & Johnson | 57 | $2,292 |
| Medacta USA, Inc. | 8 | $1,876 |
| Advita Ortho, LLC | 2 | $1,000 |
| Sanara Medtech Inc. | 3 | $843 |
| Zimmer Biomet | 9 | $502 |
| Heraeus Medical, LLC. | 7 | $384 |
| Stryker | 6 | $363 |
| Corentec America Inc | 1 | $328 |
| Pacira Pharmaceuticals Incorporated | 2 | $203 |
| UOC USA Inc | 2 | $190 |
| Nalu Medical, Inc. | 1 | $147 |
| Smith+Nephew | 4 | $127 |
| Orthalign Inc | 1 | $120 |
| Bioventus LLC | 4 | $119 |
| Daiichi Sankyo Inc. | 6 | $116 |
| Heron Therapeutics, Inc. | 2 | $86 |
| Ferring Pharmaceuticals Inc. | 5 | $86 |
| AbbVie | 2 | $66 |
| Electronic Waveform Lab, Inc. | 2 | $63 |
| Davol Inc. | 2 | $56 |
| Baxter Healthcare | 3 | $47 |
| Coloplast | 1 | $29 |
| Pacira Therapeutics, Inc. | 1 | $26 |
| Genentech USA, Inc. | 1 | $15 |
| Sanofi-aventis U.S. 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.
- BKS TriMax$352,878
- Balanced Knee System$176,550
- ATTUNE$20,112
- Balance Knee Revision System$2,951
- GMK SPHERE$1,255
- TRULIANT$1,000
- CellerateRx$843
- ACTIS$699
- Balanced Knee Revision System$574
- PRIMARY SHOULDER$405
- Corentec$328
- PALACOS$212
- Entrada Hip Stem$149
- Nalu Neurostimulation System$147
- Persona$139
- MAKO$123
- ORTHALIGN PLUS$120
- UTS, Conformity, U-MII, U2 Revision Stem, PSA, USTAR, U2 Knee$113
- EXPAREL$111
How this compares
$784,635 in reported general payments places this provider in the 95th percentile of 473 orthopaedic surgery providers in Virginia.
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 |
|---|---|---|
| Diclofenac Sodium | 30 | $1,711 |
| Cephalexin | 263 | $670 |
| Ondansetron OdtOndansetron | 59 | $574 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 73 | $505 |
| Methylprednisolone | 44 | $304 |
| Clindamycin Hcl | 57 | $133 |
| Hydromorphone Hcl | 17 | $88 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Franklin
- Dale YoungNorth Chesterfield$10.9M
- James DowdVirginia Beach$6.1M
- Mark de BloisNorth Chesterfield$4M
- Cato LaurencinCharlottesville$3.5M
- Randall PeytonSterling$2.9M
- William MihalkoCharlottesville$2M
- David MillerNorth Chesterfield$1.7M
- Keith LawhornFairfax$1.6M
- Joseph GonduskyVirginia Beach$1.2M
- Joshua HerzogNorth Chesterfield$1M
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.