Nilesh Patel, MD
Orthopaedic Surgery of the Spine · Dearborn, MINPI 1952374282
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $305,573 of the $449,484 with a category attached, or 68.0%. 32 manufacturers reported payments, led by Orthofix Medical, Inc. at 27.8% of the total. Among orthopaedic surgery of the spine clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 350 payments — averaging $1284.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$125K
- Choice Spine, LLC$124K
- Seaspine Orthopedics Corporation$85K
- The Institute Of Musculoskeletal Science And Education$27K
- Surgalign Spine Technologies, Inc.$25K
- Nanohive Medical LLC$21K
- plus $43K from 26 others
Across 1 payment — averaging $11,600 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.
- Medtronic$12K
What the payments were for
- Royalty or licence$305,57368%
- Consulting fees$122,52827%
- Speaking & faculty fees$1,4800%
- Travel & lodging$10,8162%
- Food & beverage$9,0862%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 70 | $124,984 |
| Choice Spine, LLC | 12 | $123,827 |
| Seaspine Orthopedics Corporation | 87 | $85,435 |
| The Institute Of Musculoskeletal Science And Education | 16 | $26,625 |
| Surgalign Spine Technologies, Inc. | 15 | $25,237 |
| Nanohive Medical LLC | 5 | $20,663 |
| Xtant Medical Inc | 8 | $14,115 |
| Stryker | 32 | $13,168 |
| Baylis Medical Company Inc | 8 | $9,846 |
| Medtronic(2 entities) | 55 | $2,909 |
| Baylis Medical Technologies Inc. | 1 | $400 |
| Nevro Corp. | 5 | $369 |
| Si-bone, Inc. | 4 | $315 |
| Boston Scientific | 1 | $291 |
| Centinel Spine, LLC | 3 | $217 |
| Globus Medical | 6 | $176 |
| Spinal Elements, Inc. | 2 | $156 |
| 7d Surgical ULC | 1 | $142 |
| Camber Spine Technologies LLC | 1 | $132 |
| Relievant Medsystems, Inc. | 1 | $119 |
| Abbott | 3 | $64 |
| Nalu Medical, Inc. | 2 | $49 |
| Vertex | 2 | $48 |
| Vertiflex, Inc. | 1 | $34 |
| Painteq LLC | 1 | $31 |
| Amgen | 2 | $30 |
| Hydrocision, Inc. | 1 | $20 |
| Scilex Pharmaceuticals Inc. | 1 | $20 |
| SPR Therapeutics, Inc | 1 | $18 |
| Baxter Healthcare | 1 | $17 |
| Bristol Myers Squibb | 1 | $15 |
| Radius Health, Inc. | 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.
- Harrier SA Lumbar Interbody System$102,135
- Reef TO$60,987
- WaveForm TO$28,857
- Physio-Stim$28,462
- Mariner$26,229
- Harrier SA$19,128
- Spira$16,662
- FORZA$16,088
- CERVALIGN ANTERIOR CERVICAL PLATE SYSTEM$12,282
- CervAlign Anterior Cervical Plate$8,170
- FORZA PEEK Spacer System$7,255
- FORZA PTC Spacer System$7,255
- Daytona Small Stature$6,750
- Anchor Knot$6,600
- Spira-C Integrated$5,258
- STRYKER NAV3$5,200
- coflex$4,696
- NAVIGATION$3,900
- Laminoplasty$3,000
- STRYKER NAV3I$2,925
How this compares
$449,484 in reported general payments places this provider in the 90th percentile of 37 orthopaedic surgery of the spine providers in Michigan.
See all orthopaedic surgery of the spine providers in Michigan →
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 | 106 | $1,182 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 118 | $889 |
| Gabapentin | 86 | $509 |
| Methylprednisolone | 68 | $356 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 32 | $354 |
| Tramadol Hcl | 63 | $172 |
| Meloxicam | 25 | $67 |
| Methocarbamol | 13 | $44 |
| Cyclobenzaprine Hcl | 18 | $28 |
| Diazepam | 13 | $9 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Dearborn
- Peter BonoSouthfield$786K
- Joseph BrownGrand Rapids$565K
- Michael KastenKalamazoo$261K
- John LamacchiaRochester$179K
- Joshua EllwitzKalamazoo$150K
- Michael KapsokavathisBirmingham$120K
- Michael DonahueAuburn Hills$96K
- Matthew KarekGrand Rapids$90K
- Jeffrey WingateWarren$57K
- Rasheed AbiolaLivonia$43K
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.