Rafeel Syed, MD
Nephrology · Middletown, NYNPI 1003190711
Payments from drug & device makers
Across 2 payments — averaging $1231.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- CSL Behring$2K
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 |
|---|---|---|
| CSL Behring | 2 | $2,462 |
How this compares
$2,462 in reported general payments places this provider in the 65th percentile of 935 nephrology providers in New York.
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 |
|---|---|---|
| FarxigaDapagliflozin Propanediol | 102 | $120,504 |
| JanuviaSitagliptin Phosphate | 32 | $33,975 |
| EliquisApixaban | 23 | $24,894 |
| Lanthanum Carbonate | 24 | $22,954 |
| Sevelamer Carbonate | 100 | $22,622 |
| FosrenolLanthanum Carbonate | 12 | $17,082 |
| Torsemide | 510 | $7,519 |
| VeltassaPatiromer Calcium Sorbitex | 15 | $5,789 |
| LokelmaSodium Zirconium Cyclosilicate | 13 | $4,963 |
| Potassium Chloride | 90 | $4,040 |
| Calcitriol | 229 | $3,345 |
| Spironolactone | 249 | $2,302 |
| Clonidine | 17 | $2,236 |
| Hydralazine Hcl | 232 | $2,194 |
| Sevelamer Hcl | 13 | $2,127 |
Paid to pharmacies, not to this prescriber.
Other nephrology in Middletown
- Isha GuptaMiddletown$238K
- Joji TokitaNew York$8.4M
- Krzysztof KirylukNew York$6.7M
- David BernardNew York$6M
- Andrew BombackNew York$3.4M
- Pietro CanettaNew York$3.2M
- Robert LynnBronx$2M
- Jodumutt BhatMaspeth$1.5M
- Gerald AppelNew York$1.5M
- David CharytanNew York$1.3M
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.