Parasbhai Patel, MD
Infectious Disease · Johnson City, TNNPI 1245217504
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,588 of the $1,807 with a category attached, or 87.9%. It is spread thinly across 12 manufacturers, the largest accounting for just 22.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $638 and has fallen 66.1% since, to $216 in 2025.
Across 26 payments — averaging $69.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$409
- Merck$317
- Astellas Pharma US Inc$310
- Shionogi Inc$194
- Melinta Therapeutics, LLC$125
- Philips North America LLC$113
- plus $339 from 6 others
What the payments were for
- Food & beverage$1,58888%
- Education$21812%
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 |
|---|---|---|
| AbbVie(2 entities) | 7 | $409 |
| Merck | 4 | $317 |
| Astellas Pharma US Inc | 4 | $310 |
| Shionogi Inc | 2 | $194 |
| Melinta Therapeutics, LLC | 1 | $125 |
| Philips North America LLC | 1 | $113 |
| La Jolla Pharmaceutical Company | 1 | $97 |
| Sunovion Pharmaceuticals Inc. | 1 | $89 |
| Tetraphase Pharmaceuticals, Inc. | 1 | $83 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $34 |
| Biogen | 1 | $19 |
| Insmed, 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.
How this compares
$1,807 in reported general payments places this provider in the 70th percentile of 156 infectious disease providers in Tennessee.
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 | 275 | $75,847 |
| BiktarvyBictegrav/Emtricit/Tenofov Ala | 17 | $68,032 |
| Daptomycin | 59 | $45,358 |
| IsentressRaltegravir Potassium | 13 | $24,401 |
| ErtapenemErtapenem Sodium | 52 | $17,192 |
| Etravirine | 13 | $16,619 |
| CeftriaxoneCeftriaxone Sodium | 161 | $13,996 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 17 | $11,488 |
| GemtesaVibegron | 40 | $9,658 |
| XareltoRivaroxaban | 34 | $9,518 |
| Vancomycin Hcl | 55 | $9,340 |
| JanuviaSitagliptin Phosphate | 32 | $8,925 |
| NamzaricMemantine Hcl/Donepezil Hcl | 25 | $7,363 |
| ZenpepLipase/Protease/Amylase | 14 | $6,275 |
| Pantoprazole Sodium | 90 | $5,008 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| MerckIsentress, Januvia | $317 | $33,32645 claims |
| AbbVieNamzaric | $409 | $7,36325 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 70th percentile of 156 infectious disease providers in Tennessee.
Other infectious disease in Johnson City
- Michael GelfandMemphis$486K
- Kerry ClevelandMemphis$426K
- Mark PierceCookeville$246K
- Michael DeckerBaxter$108K
- James SizemoreChattanooga$101K
- John KoetheNashville$91K
- Elizabeth PhillipsNashville$71K
- Kassem BourgiNashville$34K
- Stephen ThrelkeldMemphis$27K
- Celestine WanjallaNashville$24K
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.