Reshma Patel
Pediatric Rheumatology · Madera, CANPI 1639420540
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.3% of the total across 132 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 16 manufacturers reported payments, led by Amgen at 55.3% of the total. Reporting peaked in 2019 at $1,215 and has fallen 50.2% since, to $605 in 2024.
Across 132 payments — averaging $25.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$2K
- Novartis$290
- Pfizer$230
- GSK$151
- Medexus Pharma, Inc.$133
- E.r. Squibb & Sons, L.L.C.$126
- plus $561 from 10 others
What the payments were for
- Food & beverage$3,27998%
- Education$572%
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 |
|---|---|---|
| Amgen | 62 | $1,847 |
| Novartis | 11 | $290 |
| Pfizer | 11 | $230 |
| GSK | 7 | $151 |
| Medexus Pharma, Inc. | 8 | $133 |
| E.r. Squibb & Sons, L.L.C. | 7 | $126 |
| AbbVie(2 entities) | 6 | $124 |
| Genentech USA, Inc. | 5 | $100 |
| AstraZeneca(2 entities) | 4 | $92 |
| Mallinckrodt Enterprises LLC | 5 | $80 |
| Genentech, Inc. | 1 | $50 |
| Azurity Pharmaceuticals, Inc. | 1 | $28 |
| Biocon Biologics Inc | 1 | $28 |
| Boehringer Ingelheim | 1 | $23 |
| CSL Behring | 1 | $22 |
| Masimo Corporation | 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.
How this compares
$3,337 in reported general payments places this provider in the 75th percentile of 39 pediatric rheumatology providers in California.
Other pediatric rheumatology in Madera
- Deepika SinghMadera$2K
- Sukesh SukumaranMadera$1K
- Edsel Arce-HernandezMadera$34
- William SoulsbySan Francisco$80K
- Vivian SaperPalo Alto$47K
- Jennifer FrankovichPalo Alto$45K
- Andrew ShulmanOrange$7K
- Peter ChiraseveenuprapundSan Diego$7K
- Andreas ReiffLos Angeles$6K
- Michal CidonLos Angeles$5K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.