Roshan Patel, MD
Urology · Orange, CANPI 1760774491
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (46.2%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Cook Incorporated at 46.4% of the total. Among urology clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 52 payments — averaging $603.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cook Incorporated$15K
- Johnson & Johnson$5K
- Alnylam Pharmaceuticals Inc.$5K
- Novo Nordisk$2K
- Vascular Technology, Inc.$2K
- Cook Medical LLC$750
- plus $2K from 10 others
Across 4 payments — averaging $18,577 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.
- Cook Research Incorporated$74K
What the payments were for
- Consulting fees$14,48746%
- Speaking & faculty fees$13,61043%
- Travel & lodging$1,0423%
- Food & beverage$2,2267%
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 |
|---|---|---|
| Cook Incorporated | 6 | $14,540 |
| Johnson & Johnson | 10 | $5,344 |
| Alnylam Pharmaceuticals Inc. | 1 | $4,770 |
| Novo Nordisk | 4 | $2,437 |
| Vascular Technology, Inc. | 2 | $1,800 |
| Cook Medical LLC | 9 | $750 |
| Coloplast | 2 | $521 |
| Calyxo, Inc. | 4 | $272 |
| Boston Scientific | 4 | $206 |
| C. R. Bard, Inc. & Subsidiaries | 2 | $170 |
| KARL Storz Endoscopy-america | 2 | $152 |
| Conmed Corporation | 1 | $147 |
| Mallinckrodt Hospital Products Inc. | 2 | $144 |
| Pharmaand GmbH | 1 | $39 |
| Tolmar, Inc. | 1 | $39 |
| Sumitomo Pharma America, Inc. | 1 | $33 |
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.
- S~Curve$6,139
- Monarch Platform$5,127
- OXLUMO$4,770
- Cook Medical Dilation/Access$2,100
- Cook Medical Urology$500
- LITHO 150$162
- Bard Urinary Drainage Bag$157
- RESONANCE$149
- AIRSEAL$147
- ACTHAR$125
- Flex-X$104
- CVAC Aspiration System$101
How this compares
$31,365 in reported general payments places this provider in the 90th percentile of 1,324 urology providers in California.
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 |
|---|---|---|
| Potassium Citrate ErPotassium Citrate | 107 | $7,935 |
| Tamsulosin Hcl | 124 | $1,567 |
| Cefpodoxime Proxetil | 21 | $1,002 |
| Chlorthalidone | 55 | $738 |
| Finasteride | 37 | $682 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 14 | $267 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 19 | $135 |
| Ciprofloxacin Hcl | 34 | $104 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 34 | $64 |
| Levofloxacin | 12 | $19 |
| Diclofenac Sodium | 14 | $17 |
Paid to pharmacies, not to this prescriber.
Other urology in Orange
- Edward UchioOrange$849K
- Jaime LandmanOrange$657K
- Ralph ClaymanOrange$523K
- Faysal YafiOrange$335K
- Bela DenesOrange$235K
- Stephen FreedlandWest Hollywood$1.9M
- Arie BelldegrunLos Angeles$1.8M
- Mihir DesaiLos Angeles$1.5M
- Steven WilsonIndio$1.1M
- Stuart HoldenLos Angeles$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.