Vrushank Patel, MD
Critical Care Medicine · Indianapolis, INNPI 1063737583
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (37.5%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 75.3% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2022 at $62,983 and has fallen 100.0% since, to $14 in 2025. Among critical care medicine clinicians in IN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 230 payments — averaging $617.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$107K
- Johnson & Johnson$32K
- Pinnacle Biologics, Inc$2K
- Pulmonx Corporation$1K
- Merck$53
- GSK$46
- plus $114 from 5 others
What the payments were for
- Consulting fees$28,00020%
- Speaking & faculty fees$42,10030%
- Travel & lodging$10,6277%
- Food & beverage$7,9226%
- Education$53,21537%
- Gifts$1510%
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 |
|---|---|---|
| Intuitive Surgical | 178 | $106,931 |
| Johnson & Johnson | 27 | $31,764 |
| Pinnacle Biologics, Inc | 8 | $1,900 |
| Pulmonx Corporation | 6 | $1,207 |
| Merck | 3 | $53 |
| GSK | 3 | $46 |
| Auris Health, Inc. | 1 | $29 |
| Boston Scientific | 1 | $25 |
| Boehringer Ingelheim | 1 | $24 |
| Olympus America Inc. | 1 | $21 |
| Electromed, Inc. | 1 | $14 |
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.
- Da Vinci Surgical System$102,003
- MONARCH$17,663
- Monarch Platform$13,792
- DA VINCI SP$2,300
- Photofrin$1,676
- Pulmonx Endobronchial Valve EBV$1,010
- ION$500
How this compares
$142,015 in reported general payments places this provider in the 95th percentile of 158 critical care medicine providers in Indiana.
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 |
|---|---|---|
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 24 | $1,892 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 15 | $880 |
Paid to pharmacies, not to this prescriber.
Other critical care medicine in Indianapolis
- Christopher KnieseIndianapolis$44K
- Stanley NasrawayIndianapolis$34K
- Ryan BoenteIndianapolis$15K
- David RoeIndianapolis$7K
- Mark MastrodicasaIndianapolis$4K
- Bruce AckermanIndianapolis$3K
- Julio NoriegaIndianapolis$3K
- Nestor AnguianoIndianapolis$3K
- Tanya DevnaniIndianapolis$3K
- Damien PatelIndianapolis$3K
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.