Vikram Patel, MD
Otolaryngology · Midland, TXNPI 1588672943
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (52.6%), travel and lodging and education — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Stryker at 44.2% of the total. Reporting peaked in 2019 at $3,874 and has fallen 84.7% since, to $593 in 2025. Among otolaryngology clinicians in TX 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 115 payments — averaging $100.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$5K
- Medical Device Business Services, Inc.$3K
- Acclarent, Inc$1K
- Integra Lifesciences Corporation$782
- Smith+Nephew$278
- GSK$207
- plus $709 from 8 others
What the payments were for
- Travel & lodging$5,39347%
- Food & beverage$6,05553%
- Education$651%
- Gifts$40%
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 |
|---|---|---|
| Stryker | 46 | $5,086 |
| Medical Device Business Services, Inc. | 11 | $3,044 |
| Acclarent, Inc | 21 | $1,412 |
| Integra Lifesciences Corporation | 9 | $782 |
| Smith+Nephew | 11 | $278 |
| GSK | 5 | $207 |
| Regeneron Healthcare Solutions, Inc. | 3 | $196 |
| Intersect ENT, Inc. | 2 | $163 |
| Baxter Healthcare | 1 | $89 |
| Alk-abello, Inc | 2 | $75 |
| Veran Medical Technologies, Inc. | 1 | $58 |
| Xoran Technologies LLC | 1 | $55 |
| Inspire Medical Systems, Inc. | 1 | $53 |
| Arbor Pharmaceuticals, Inc. | 1 | $20 |
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.
- ENTELLUS - XPRESS ENT DILATION SYSTEM$2,877
- TruDi Navigation System$1,082
- TruDi Nav Suction$1,082
- TruDi Nav Cable$1,082
- ACCLARENT NAVWIRE Sinus Navigation Guidewire$1,082
- Acclarent Aera$982
- Inspira Air$703
- RELIEVA SPINPLUS NAV$703
- TruDi Probe$703
- XPRESS ENT DILATION SYSTEM$669
- MEDLINE INDUSTRIES, INC.$282
- ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM$173
- FIAGON NAVIGATION UNIT$168
- ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM$133
- FOCESS HD WIRELESS CAMERA$118
- Acclarent Navwire$110
- NUCALA$106
- Relieva Spinplus$105
How this compares
$11,518 in reported general payments places this provider in the 90th percentile of 729 otolaryngology providers in Texas.
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 |
|---|---|---|
| Azelastine Hcl | 125 | $3,327 |
| Montelukast Sodium | 308 | $1,642 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 36 | $1,366 |
| Olopatadine Hcl | 18 | $1,055 |
| Pantoprazole Sodium | 72 | $350 |
| Methylprednisolone | 45 | $307 |
| Ipratropium Bromide | 13 | $302 |
| Pilocarpine Hcl | 12 | $283 |
| Cefdinir | 20 | $265 |
| Clindamycin Hcl | 24 | $231 |
| Fluticasone Propionate | 17 | $222 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 13 | $108 |
| Levofloxacin | 13 | $51 |
| Ondansetron OdtOndansetron | 12 | $14 |
| Lorazepam | 13 | $13 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Midland
- Marc DeanFort Worth$486K
- Amber LuongHouston$426K
- Arjuna KuperanHouston$348K
- Ronald KuppersmithCollege Station$325K
- Ron KarniHouston$317K
- Philip ChenSan Antonio$305K
- Jordan RihaniSouthlake$280K
- Keith MathenyFrisco$269K
- Martin CitardiHouston$245K
- James AtkinsSan Antonio$205K
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.