Rakesh Patel, MD
Pain Medicine · Hamden, CTNPI 1053355693
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.2% of the total across 179 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 22 manufacturers reported payments, led by Salix Pharmaceuticals, A Division Of Bausch Health US, LLC at 32.8% of the total. Reporting peaked in 2019 at $766 and has fallen 96.2% since, to $29 in 2025. That places this record below the midpoint for pain medicine clinicians in CT, where the typical reported total is $2,061.
Across 179 payments — averaging $12.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$745
- Collegium Pharmaceutical, Inc.$332
- SPR Therapeutics, Inc$139
- Scilex Pharmaceuticals Inc.$137
- Novo Nordisk$123
- Relievant Medsystems, Inc.$123
- plus $672 from 16 others
What the payments were for
- Food & beverage$2,18696%
- Education$864%
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 |
|---|---|---|
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 94 | $745 |
| Collegium Pharmaceutical, Inc. | 45 | $332 |
| SPR Therapeutics, Inc | 1 | $139 |
| Scilex Pharmaceuticals Inc. | 9 | $137 |
| Novo Nordisk | 1 | $123 |
| Relievant Medsystems, Inc. | 2 | $123 |
| Olympus America Inc. | 1 | $120 |
| Livanova USA, Inc. | 1 | $100 |
| Biodelivery Sciences International, Inc. | 6 | $89 |
| Vertex | 2 | $46 |
| Tactile Systems Technology Inc | 2 | $43 |
| Valinor Pharma, LLC | 2 | $42 |
| Pfizer | 2 | $34 |
| Cvrx, Inc. | 1 | $34 |
| Sentynl Therapeutics, Inc. | 2 | $28 |
| Kaleo, Inc. | 2 | $25 |
| Boehringer Ingelheim | 1 | $24 |
| Endo Pharmaceuticals Inc. | 1 | $24 |
| GRT US Holding, Inc. | 1 | $20 |
| Nevro Corp. | 1 | $17 |
| Shionogi Inc | 1 | $13 |
| Amgen | 1 | $13 |
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.
- SPRINT PNS System$139
- Saxenda$123
- EVIS EXERA$120
How this compares
$2,271 in reported general payments places this provider in the 50th percentile of 69 pain medicine providers in Connecticut.
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 |
|---|---|---|
| OxycontinOxycodone Hcl | 63 | $42,205 |
| Oxycodone Hcl | 327 | $7,316 |
| Fentanyl | 36 | $3,732 |
| Morphine Sulfate ErMorphine Sulfate | 94 | $3,312 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 123 | $3,217 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 131 | $2,608 |
| Morphine Sulfate | 34 | $1,869 |
| Gabapentin | 118 | $1,516 |
| Pregabalin | 68 | $1,214 |
| Tramadol Hcl | 147 | $990 |
| Tizanidine Hcl | 56 | $747 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 12 | $561 |
| Hydromorphone Hcl | 25 | $377 |
| Methocarbamol | 32 | $325 |
| Baclofen | 13 | $222 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Hamden
- Sandeep JoharWaterbury$329K
- David GutierrezNew Haven$151K
- Brian GrosbergWest Hartford$99K
- Ofer WellischStamford$18K
- Yili HuangNew Haven$18K
- Jared RosenbergGreenwich$12K
- Sandhya MehlaWest Hartford$12K
- Hans KnoppMiddlebury$11K
- Daniel HaddadNew Haven$10K
- Rahul AnandFairfield$9K
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.