Nilesh Patel, MD
Nephrology · Springfield, MONPI 1699778167
Payments from drug & device makers
Across 28 payments — averaging $104.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integrity Implants Inc.$811
- Boston Scientific$634
- EKOS Corporation$266
- Medtronic$186
- Avinger Inc.$172
- Argon Medical Devices, Inc.$146
- plus $715 from 9 others
What the payments were for
- Travel & lodging$39914%
- Food & beverage$2,53186%
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 |
|---|---|---|
| Integrity Implants Inc. | 6 | $811 |
| Boston Scientific | 4 | $634 |
| EKOS Corporation | 4 | $266 |
| Medtronic | 3 | $186 |
| Avinger Inc. | 1 | $172 |
| Argon Medical Devices, Inc. | 1 | $146 |
| Sirtex Medical Inc | 1 | $130 |
| BTG International Inc. | 1 | $125 |
| Cook Medical LLC | 1 | $121 |
| AstraZeneca | 1 | $118 |
| Brainsway USA Inc | 1 | $103 |
| Cardiovascular Systems Inc. | 1 | $42 |
| Merz North America, Inc. | 1 | $29 |
| Terumo Medical Corporation | 1 | $24 |
| ZOLL Respicardia, Inc. | 1 | $22 |
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.
- TheraSphere Y90 Glass Microspheres 10 GBq$614
- FlareHawk$559
- EKOSONIC$234
- PANTHERIS$172
- OSTEOCOOL RF ABLATION$169
- OPTION$146
- SIR-Spheres Microspheres$130
- Cook Celect$121
- SOLIRIS$118
- deep tms$103
How this compares
$2,930 in reported general payments places this provider in the 70th percentile of 253 nephrology providers in Missouri.
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 |
|---|---|---|
| EliquisApixaban | 51 | $30,598 |
| Gabapentin | 80 | $2,302 |
| Atorvastatin Calcium | 126 | $1,993 |
| Insulin Lispro Kwikpen U-100Insulin Lispro | 12 | $1,848 |
| Divalproex Sodium ErDivalproex Sodium | 15 | $1,844 |
| Rivastigmine | 11 | $1,043 |
| Megestrol Acetate | 11 | $981 |
| Lisinopril | 64 | $935 |
| Omeprazole | 44 | $900 |
| Levothyroxine Sodium | 76 | $856 |
| Mirtazapine | 45 | $851 |
| Famotidine | 44 | $846 |
| Pantoprazole Sodium | 25 | $827 |
| Divalproex Sodium | 25 | $801 |
| Montelukast Sodium | 41 | $715 |
Paid to pharmacies, not to this prescriber.
Other nephrology in Springfield
- Giselle KohlerSpringfield$7K
- Susan WoodySpringfield$5K
- Ahmed AwadKansas City$12.4M
- Benjamin HumphreysSaint Louis$1.2M
- Donovan PolackFlorissant$782K
- Derek LarsonCreve Coeur$605K
- Gary SingerSaint Peters$580K
- Daniel CoyneSaint Louis$563K
- Tarek AlhamadSaint Louis$477K
- Tingting LiSaint Louis$370K
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.