Patrick Carpenter
Otolaryngology · Roanoke, VANPI 1154718179
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (42.0%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 66.7% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2023 at $3,934 and has fallen 87.1% since, to $508 in 2025.
Across 25 payments — averaging $237.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- AbbVie$1K
- Johnson & Johnson$559
- Acera Surgical, Inc.$166
- Stryker$106
- Polarityte, Inc.$50
What the payments were for
- Speaking & faculty fees$1,00017%
- Travel & lodging$1,36723%
- Food & beverage$1,08218%
- Education$2,50042%
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 |
|---|---|---|
| Intuitive Surgical | 12 | $3,967 |
| AbbVie | 2 | $1,101 |
| Johnson & Johnson(2 entities) | 8 | $559 |
| Acera Surgical, Inc. | 1 | $166 |
| Stryker | 1 | $106 |
| Polarityte, Inc. | 1 | $50 |
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.
- DA VINCI SP$2,500
- Da Vinci Surgical System$1,329
- DALVANCE$1,101
- Restrata Wound Matrix$166
- MATRIXMANDIBLE$147
- PATIENT-FITTED TMJ RECONSTRUCTIVE PROSTHESIS SYSTEM$106
- IMF$103
How this compares
$5,949 in reported general payments places this provider in the 85th percentile of 241 otolaryngology 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 |
|---|---|---|
| Omeprazole | 66 | $552 |
| Pentoxifylline | 11 | $212 |
| Pantoprazole Sodium | 42 | $167 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 16 | $132 |
| Oxycodone Hcl | 28 | $116 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Roanoke
- Paul LenkowskiRoanoke$282K
- Hosai Todd HeshamRoanoke$7K
- John SinacoriRoanoke$6K
- Laurence OhalloranAnnandale$2.9M
- Joseph HanNorfolk$1.8M
- Ryan NordRichmond$454K
- Nipun ChhabraLeesburg$178K
- Kent LamNorfolk$127K
- Spencer PayneCharlottesville$45K
- Jose MattosCharlottesville$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.