Sagar Patel, MD
Radiation Oncology · Cape Girardeau, MONPI 1649569385
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (46.5%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Sanofi-aventis U.S. LLC at 46.5% of the total. Reporting peaked in 2024 at $2,960 and has fallen 90.9% since, to $269 in 2025.
Across 34 payments — averaging $183.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi-aventis U.S. LLC$3K
- Elekta, Inc.$1K
- Siemens Medical Solutions USA, Inc.$963
- Visionrt, Inc.$442
- Bioprotect Medical, Inc.$233
- Bristol Myers Squibb$123
- plus $443 from 7 others
What the payments were for
- Speaking & faculty fees$2,90046%
- Travel & lodging$1,87330%
- Food & beverage$1,46724%
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 |
|---|---|---|
| Sanofi-aventis U.S. LLC | 1 | $2,900 |
| Elekta, Inc. | 7 | $1,137 |
| Siemens Medical Solutions USA, Inc. | 7 | $963 |
| Visionrt, Inc. | 1 | $442 |
| Bioprotect Medical, Inc. | 2 | $233 |
| Bristol Myers Squibb | 2 | $123 |
| E.r. Squibb & Sons, L.L.C. | 2 | $107 |
| Lundbeck LLC | 1 | $100 |
| Boston Scientific | 3 | $95 |
| Abiomed | 2 | $54 |
| Novartis | 2 | $32 |
| Johnson & Johnson | 2 | $30 |
| Merck | 2 | $26 |
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.
- ELEKTA MEDICAL LINEAR ACCELERATOR$2,988
- ELEKTA UNITY$879
- Edge$684
- BIOPROTECT BALLOON IMPLANT SYSTEM$167
- TrueBeam$139
- Clarity$122
- Icon$104
- Perfection$104
How this compares
$6,241 in reported general payments places this provider in the 85th percentile of 123 radiation oncology providers in Missouri.
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 |
|---|---|---|
| Sucralfate | 12 | $228 |
Paid to pharmacies, not to this prescriber.
Other radiation oncology in Cape Girardeau
- Benjamin GoodmanCape Girardeau$3K
- Joseph MillerCape Girardeau$2K
- Clifford RobinsonSaint Louis$817K
- Carlos PerezSpringfield$103K
- Pamela SamsonSaint Louis$95K
- Jeffrey BradleySaint Louis$75K
- Christopher SpencerRolla$70K
- Matthew SprakerSaint Louis$61K
- Lauren HenkeSaint Louis$45K
- Jeff MichalskiSaint Louis$44K
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.