Palak Patel, PA
Physician Assistant · Fargo, NDNPI 1952641987
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $909 of the $1,438 with a category attached, or 63.2%. 14 manufacturers reported payments, led by Medtronic at 38.2% of the total. Reporting peaked in 2024 at $769 and has fallen 97.6% since, to $19 in 2025.
Across 42 payments — averaging $34.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$550
- Lilly USA, LLC$403
- Sanofi$79
- Galderma Laboratories, L.p.$77
- Sanofi-aventis U.S. LLC$70
- AbbVie$53
- plus $206 from 8 others
What the payments were for
- Travel & lodging$45932%
- Food & beverage$90963%
- Education$705%
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 |
|---|---|---|
| Medtronic | 6 | $550 |
| Lilly USA, LLC | 19 | $403 |
| Sanofi | 4 | $79 |
| Galderma Laboratories, L.p. | 1 | $77 |
| Sanofi-aventis U.S. LLC | 1 | $70 |
| AbbVie | 2 | $53 |
| Novartis | 2 | $52 |
| Astellas Pharma US Inc | 1 | $32 |
| VYNE Pharmaceuticals Inc. | 1 | $27 |
| Incyte Corporation | 1 | $22 |
| E.r. Squibb & Sons, L.L.C. | 1 | $21 |
| Cormedix Inc. | 1 | $21 |
| Sun Pharmaceutical Industries Inc. | 1 | $16 |
| LEO Pharma Inc. | 1 | $16 |
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.
- Signia$418
How this compares
$1,438 in reported general payments places this provider in the 85th percentile of 355 physician assistant providers in North Dakota.
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 |
|---|---|---|
| Metronidazole | 60 | $4,380 |
| Ketoconazole | 149 | $3,636 |
| Tacrolimus | 20 | $2,084 |
| Mupirocin | 153 | $977 |
| Clindamycin Phosphate | 27 | $969 |
| Fluocinonide | 23 | $910 |
| Betamethasone Dipropionate | 16 | $709 |
| Doxycycline Hyclate | 26 | $358 |
| Clobetasol Propionate | 12 | $268 |
| Ciclopirox | 12 | $254 |
| Triamcinolone Acetonide | 28 | $191 |
| Finasteride | 15 | $100 |
| Cephalexin | 20 | $99 |
| ValacyclovirValacyclovir Hcl | 12 | $83 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Fargo
- Cristy BrosowskeFargo$8K
- Matthew HockertFargo$5K
- Megan BooseFargo$4K
- Nikki WelkFargo$4K
- Shara DiersFargo$4K
- Marc BiggerstaffFargo$3K
- Stephen AldredFargo$3K
- Breanna WuoriFargo$2K
- Stephanie HinkleFargo$2K
- Alexa PrivratskyFargo$2K
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.