Noel Patel, DPM
Foot Surgery · Richmond, VANPI 1922035815
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.7% of the total across 78 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 25 manufacturers reported payments, led by Amgen at 27.9% of the total. Reporting peaked in 2022 at $1,212 and has fallen 51.2% since, to $592 in 2025.
Across 78 payments — averaging $64.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$1K
- Stryker$635
- AbbVie$577
- Paratek Pharmaceuticals, Inc.$471
- Smith+Nephew$339
- Cardiovascular Systems Inc.$169
- plus $1K from 19 others
What the payments were for
- Food & beverage$5,010100%
- Education$160%
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 |
|---|---|---|
| Amgen(2 entities) | 17 | $1,400 |
| Stryker(2 entities) | 8 | $635 |
| AbbVie | 12 | $577 |
| Paratek Pharmaceuticals, Inc. | 7 | $471 |
| Smith+Nephew | 4 | $339 |
| Cardiovascular Systems Inc. | 1 | $169 |
| Convatec Inc. | 2 | $158 |
| Kerecis Limited | 2 | $153 |
| KCI USA, Inc. | 3 | $132 |
| Medtronic | 1 | $129 |
| Averitas Pharma Inc. | 3 | $128 |
| Melinta Therapeutics, LLC | 1 | $125 |
| Integra Lifesciences Corporation | 2 | $120 |
| Pacira Pharmaceuticals Incorporated | 1 | $118 |
| Osteomed LLC | 1 | $96 |
| Organogenesis Inc. | 2 | $60 |
| ANI Pharmaceuticals, Inc. | 2 | $46 |
| Reprise Biomedical, Inc. | 1 | $28 |
| Zyla Life Sciences, Inc. | 2 | $28 |
| SPR Therapeutics, Inc | 1 | $24 |
| Fortis Surgical, LLC | 1 | $22 |
| Bioventus LLC | 1 | $21 |
| Vertex | 1 | $20 |
| Nabriva Therapeutics, PLC | 1 | $13 |
| Merck | 1 | $12 |
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.
- KRYSTEXXA$1,286
- Kerecis SurgiClose$543
- DALVANCE$362
- NUZYRA$250
- Diamondback Peripheral$169
- HOFFMANN$149
- ORTHOLOC 3DI CROSSCHECK$144
- Kerecis GraftGuide$136
- InnovaMatrix AC$134
- VenaSeal$129
- Baxdela$125
- Santyl$122
- REGRANEX$122
- Oasis$122
- EXPAREL$118
- TEFLARO$113
- CARTIVA$110
- PICO$103
- RENASYS GO v2 HOME$103
- RENASYS TOUCH$103
How this compares
$5,026 in reported general payments places this provider in the 70th percentile of 34 foot surgery providers in Virginia.
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 |
|---|---|---|
| Ammonium Lactate | 276 | $6,401 |
| Griseofulvin Ultramicrosize | 20 | $4,379 |
| Ketoconazole | 69 | $1,513 |
| Diclofenac Sodium | 72 | $865 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 17 | $735 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 11 | $399 |
| Ciclopirox | 18 | $283 |
| Mupirocin | 33 | $277 |
| Prednisone | 13 | $29 |
Paid to pharmacies, not to this prescriber.
Other foot surgery in Richmond
- Mitchell WaskinRichmond$2K
- Stacia JonesRichmond$1K
- Munketh SalemRichmond$1K
- Franklin OgnelodhRichmond$250
- Vickie DriverFairfax$177K
- Corine CreechFairfax$73K
- Srikanth MahavadiProvidence Forge$12K
- Kenneth WilhelmCentreville$8K
- Asif ShahGlen Allen$8K
- Michael ChungVirginia Beach$7K
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.