Rafeel Syed, MD
Nephrology · Middletown, NYNPI 1003190711
Payments from drug & device makers
What this record shows
That places this record below the midpoint for nephrology clinicians in NY, where the typical reported total is $564.
No general payments reported
No drug or device maker reported general payments to this provider for 2019–2025. That is a common and unremarkable result.
Across 2 payments — averaging $1231.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- CSL Behring$2K
How this compares
$0 in reported general payments places this provider in the 5th 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$42K
- Payam ShakouriPoughkeepsie$930K
- Gerald AppelNew York$842K
- Richard ChanNew York$514K
- Bruce SpinowitzBronx$465K
- Steven CocaNew York$445K
- Joseph RoglieriTroy$425K
- Jai RadhakrishnanNew York$369K
- Savneek ChughHawthorne$325K
- Gerard TepedinoManhasset$308K
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.