Nilamadhab Mishra, MD
Rheumatology · Winston Salem, NCNPI 1104801232
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $23,424 of the $30,947 with a category attached, or 75.7%. 28 manufacturers reported payments, led by Janssen Scientific Affairs, LLC at 24.6% of the total. Reporting peaked in 2022 at $11,751 and has fallen 67.0% since, to $3,879 in 2025.
Across 1,230 payments — averaging $25.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Janssen Scientific Affairs, LLC$8K
- Amgen$5K
- AbbVie$3K
- UCB, Inc.$3K
- Novartis$2K
- Johnson & Johnson$2K
- plus $8K from 22 others
Across 2 payments — averaging $6825.50 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.
- Biogen$14K
What the payments were for
- Consulting fees$5,62518%
- Travel & lodging$1,6175%
- Food & beverage$23,42476%
- Education$2811%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Janssen Scientific Affairs, LLC | 10 | $7,599 |
| Amgen(2 entities) | 240 | $5,058 |
| AbbVie | 159 | $3,334 |
| UCB, Inc. | 219 | $2,672 |
| Novartis | 106 | $2,056 |
| Johnson & Johnson | 98 | $2,031 |
| Lilly USA, LLC | 103 | $1,689 |
| AstraZeneca | 49 | $1,253 |
| GSK | 49 | $1,236 |
| Mallinckrodt Hospital Products Inc. | 39 | $1,060 |
| E.r. Squibb & Sons, L.L.C. | 42 | $670 |
| Pfizer | 29 | $535 |
| Aurinia Pharma U.S., Inc. | 15 | $451 |
| Organon | 17 | $355 |
| Genentech USA, Inc. | 13 | $213 |
| Sandoz | 8 | $146 |
| ANI Pharmaceuticals, Inc. | 7 | $121 |
| Mallinckrodt Enterprises LLC | 7 | $116 |
| Scilex Pharmaceuticals Inc. | 4 | $85 |
| Octapharma USA, Inc. | 4 | $56 |
| Boehringer Ingelheim | 2 | $42 |
| Sobi, Inc | 2 | $42 |
| Fresenius Kabi USA, LLC | 2 | $36 |
| Bristol Myers Squibb | 2 | $24 |
| Hikma Pharmaceuticals USA | 1 | $23 |
| Radius Health, Inc. | 1 | $19 |
| Merck | 1 | $12 |
| Daiichi Sankyo Inc. | 1 | $11 |
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
$30,947 in reported general payments places this provider in the 85th percentile of 210 rheumatology 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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 43 | $403,948 |
| Cosentyx Sensoready (2 Pens)Secukinumab | 30 | $225,675 |
| Enbrel MiniEtanercept | 16 | $137,796 |
| RinvoqUpadacitinib | 19 | $122,818 |
| BenlystaBelimumab | 31 | $114,980 |
| Cosentyx (2 Syringes)Secukinumab | 11 | $80,191 |
| Orencia ClickjectAbatacept | 12 | $79,142 |
| Hydroxychloroquine Sulfate | 318 | $13,934 |
| MethotrexateMethotrexate Sodium | 390 | $6,633 |
| Prednisone | 359 | $2,465 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 93 | $1,763 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 25 | $1,021 |
| Colchicine | 17 | $1,008 |
| Pregabalin | 23 | $808 |
| Pilocarpine Hcl | 14 | $774 |
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 |
|---|---|---|
| AbbVieRinvoq | $3,334 | $122,81819 claims |
| GSKBenlysta | $1,236 | $114,98031 claims |
| NovartisCosentyx (2 Syringes) | $2,056 | $80,19111 claims |
| Scilex Pharmaceuticals Inc.Colchicine | $85 | $1,00817 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 210 rheumatology providers in North Carolina.
Other rheumatology in Winston Salem
- Julio BravoWinston Salem$52K
- Elliott SembleWinston Salem$9K
- Gordon LamCharlotte$2.7M
- Ralph SnydermanDurham$1.3M
- Wendy SimmonsWilmington$462K
- Andrew LasterCharlotte$421K
- Ana RossRaleigh$417K
- Gwenesta MeltonFayetteville$410K
- Joseph ShanahanDurham$407K
- Jill ZouzoulasCharlotte$377K
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.