Neil Patel, MD
Otology & Neurotology · Rochester, MNNPI 1902244940
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (59.8%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. 7 manufacturers reported payments, led by Cochlear Americas at 44.2% of the total. 2025 is the largest year on record at $31,406, more than ten times the $187 reported in 2019.
Across 79 payments — averaging $524.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cochlear Americas$18K
- Med-el Corporation$15K
- Stryker$3K
- Carl Zeiss Meditec USA, Inc.$3K
- Iotamotion, Inc.$2K
- Advanced Bionics, LLC$1K
- plus $127 from 1 others
Across 9 payments — averaging $31,146 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.
- Med-el Corporation$272K
- Cochlear Americas$8K
What the payments were for
- Consulting fees$6,62516%
- Speaking & faculty fees$5,50913%
- Travel & lodging$24,77060%
- Food & beverage$3,4238%
- Education$1,0783%
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 |
|---|---|---|
| Cochlear Americas | 11 | $18,311 |
| Med-el Corporation | 21 | $14,606 |
| Stryker | 31 | $2,606 |
| Carl Zeiss Meditec USA, Inc. | 4 | $2,500 |
| Iotamotion, Inc. | 3 | $2,042 |
| Advanced Bionics, LLC | 8 | $1,213 |
| Integra Lifesciences Corporation | 1 | $127 |
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.
- Cochlear Nucleus CI632 cochlear implant with Slim Modiolar electrode$17,998
- Baha$17,998
- OSIA OSI300 IMPLANT$17,998
- Mi1250 SYNCHRONY 2 FLEXsoft$14,332
- BCI 602 Kit$14,178
- ADHEAR Professional Kit$6,773
- iotaSOFT Insertion System$1,879
- OPMI PENTERO 800$1,500
- CORE$1,216
- HIRES ULTRA CI HIFOCUS MS ELECTRODE$1,030
- KINEVO 900$1,000
- N/A$429
- iotaSOFT$163
- CODMAN CERTAS$127
- CUSA CLARITY$127
- DURAGEN$127
- DURASEAL EXACT$127
- CODMAN HAKIM PRECISION VALVE$127
- SONOPET IQ$102
- SPETZLER-MALIS$102
How this compares
Too few otology & neurotology providers in Minnesotato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 14 | $202 |
Paid to pharmacies, not to this prescriber.
Other otology & neurotology in Rochester
- John MarinelliRochester$3K
- Madison EppersonRochester$2K
- Margaret EngelhardtMinneapolis$3K
- Tina HuangMinneapolis$1K
- William GarvisMinneapolis$327
- John MecciaWaconia$198
- John LarsenWaconia$37
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.