Pragnesh Patel, DPM
Foot & Ankle Surgery · Philadelphia, PANPI 1346604345
Payments from drug & device makers
Across 81 payments — averaging $37.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$695
- Treace Medical Concepts, Inc.$501
- Zimmer Biomet$428
- Averitas Pharma Inc.$358
- Stryker$280
- Johnson & Johnson$112
- plus $659 from 17 others
What the payments were for
- Travel & lodging$1966%
- Food & beverage$2,83894%
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 |
|---|---|---|
| Smith+Nephew | 19 | $695 |
| Treace Medical Concepts, Inc. | 10 | $501 |
| Zimmer Biomet | 6 | $428 |
| Averitas Pharma Inc. | 11 | $358 |
| Stryker | 4 | $280 |
| Johnson & Johnson | 4 | $112 |
| AstraZeneca | 1 | $106 |
| Integra Lifesciences Corporation | 3 | $82 |
| Bioventus LLC | 3 | $73 |
| Paratek Pharmaceuticals, Inc. | 3 | $59 |
| Vertex | 2 | $50 |
| Orthofix Medical, Inc. | 2 | $38 |
| Convatec Inc. | 1 | $34 |
| Paladin Technology Solutions | 2 | $31 |
| Paragon 28, Inc. | 2 | $30 |
| Deroyal Industries, Inc. | 1 | $27 |
| Triad Life Sciences Inc. | 1 | $23 |
| Radius Health, Inc. | 1 | $20 |
| Solventum Corporation | 1 | $19 |
| Heron Therapeutics, Inc. | 1 | $18 |
| GRT US Holding, Inc. | 1 | $18 |
| Carbofix Orthopedics Inc | 1 | $16 |
| Medtronic | 1 | $14 |
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.
- Lapiplasty System$196
- Nextremity General Instrument$186
- Qutenza$154
- VARIAX$138
- Stratum Foot Plating System$109
- Hat-Trick$102
How this compares
$3,034 in reported general payments places this provider in the 55th percentile of 575 foot & ankle surgery providers in Pennsylvania.
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 |
|---|---|---|
| SantylCollagenase Clostridium Hist. | 13 | $4,443 |
| Ammonium Lactate | 125 | $2,197 |
| Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort | 35 | $2,035 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 87 | $1,383 |
| Gabapentin | 105 | $1,379 |
| Diclofenac Sodium | 21 | $848 |
| Pregabalin | 12 | $827 |
| Clindamycin Phosphate | 23 | $704 |
| Mupirocin | 84 | $626 |
| Doxycycline Hyclate | 39 | $606 |
| Ciclopirox | 14 | $300 |
| Cephalexin | 44 | $269 |
| Terbinafine Hcl | 14 | $251 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 37 | $157 |
| Triamcinolone Acetonide | 29 | $128 |
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 |
|---|---|---|
| Smith+NephewSantyl | $695 | $4,44313 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 55th percentile of 575 foot & ankle surgery providers in Pennsylvania.
Other foot & ankle surgery in Philadelphia
- William BrownellPhiladelphia$43K
- Michael TroianoPhiladelphia$38K
- Jenna BrkichPhiladelphia$25K
- Jennifer vanPhiladelphia$17K
- Roshmi BhattacharyaPhiladelphia$17K
- Ali AnaimPhiladelphia$17K
- William DecarboBelle Vernon$3.5M
- David PedowitzBryn Mawr$1.7M
- Noman SiddiquiScranton$1.3M
- Peter MangonePittsburgh$1.1M
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.