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Nilamadhab Mishra, MD

Rheumatology · Winston Salem, NCNPI 1104801232

Payments from drug & device makers

$44,598in general payments, 2019–2025

Across 1,232 payments — averaging $36.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Biogen$14K
  • Janssen Scientific Affairs, LLC$8K
  • Amgen$5K
  • AbbVie$3K
  • UCB, Inc.$3K
  • Novartis$2K
  • plus $10K from 23 others

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

19
20
21
22
23
24
25

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.

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

$44,598 in reported general payments places this provider in the 75th percentile of 210 rheumatology providers in North Carolina.

See all rheumatology providers in North Carolina

Medicare billing

Part B allowed, 2024
$1,228,590
Medicare patients
123
Services billed
27,126

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

DrugClaimsCost to plans & patients
Humira(Cf) PenAdalimumab43$403,948
Cosentyx Sensoready (2 Pens)Secukinumab30$225,675
Enbrel MiniEtanercept16$137,796
RinvoqUpadacitinib19$122,818
BenlystaBelimumab31$114,980
Cosentyx (2 Syringes)Secukinumab11$80,191
Orencia ClickjectAbatacept12$79,142
Hydroxychloroquine Sulfate318$13,934
MethotrexateMethotrexate Sodium390$6,633
Prednisone359$2,465
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen93$1,763
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen25$1,021
Colchicine17$1,008
Pregabalin23$808
Pilocarpine Hcl14$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.

CompanyPaid to this providerPart 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 75th percentile of 210 rheumatology providers in North Carolina.

Other rheumatology in Winston Salem

See the full list for North Carolina

Where these figures come from

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