Dr. Kapilkumar Patel, M.D

NPI: 1356416531
Total Payments
$30,104
2024 Payments
$1,628
Companies
36
Transactions
176
Medicare Patients
3,496
Medicare Billing
$429,926

Payment Breakdown by Category

Other$16,295 (54.1%)
Food & Beverage$7,340 (24.4%)
Travel$3,894 (12.9%)
Consulting$2,462 (8.2%)
Education$113.37 (0.4%)

Payments by Nature

Nature of Payment Amount Transactions Share
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $16,295 9 54.1%
Food and Beverage $7,340 151 24.4%
Travel and Lodging $3,894 10 12.9%
Consulting Fee $2,462 2 8.2%
Education $113.37 4 0.4%

Top Paying Companies

Company Total Records Latest Year
Gilead Sciences, Inc. $22,285 35 $0 (2019)
United Therapeutics Corporation $1,494 20 $0 (2024)
TRANSMEDICS, INC. $705.80 1 $0 (2021)
Genentech USA, Inc. $681.35 12 $0 (2023)
Astellas Pharma US Inc $672.60 18 $0 (2024)
La Jolla Pharmaceutical Company $559.24 5 $0 (2023)
Genentech, Inc. $419.53 3 $0 (2021)
Paragonix Technologies, Inc. $395.76 4 $0 (2024)
Boehringer Ingelheim Pharmaceuticals, Inc. $392.93 7 $0 (2024)
The Medicines Company $223.42 3 $0 (2017)

Payment History by Year

Year Amount Transactions Top Company
2024 $1,628 42 Paragonix Technologies, Inc. ($330.86)
2023 $1,091 33 Vapotherm Inc ($147.02)
2022 $1,187 21 La Jolla Pharmaceutical Company ($505.48)
2021 $1,695 14 TRANSMEDICS, INC. ($705.80)
2020 $308.37 7 United Therapeutics Corporation ($235.93)
2019 $14,996 27 Gilead Sciences, Inc. ($14,144)
2018 $5,650 17 Gilead Sciences, Inc. ($5,049)
2017 $3,549 15 Gilead Sciences Inc ($3,092)

All Payment Transactions

176 individual payment records from CMS Open Payments — Page 1 of 8

Date Company Product Nature Form Amount Type
12/12/2024 Boehringer Ingelheim Pharmaceuticals, Inc. OFEV (Drug) Food and Beverage In-kind items and services $29.15 General
Category: RESPIRATORY
11/13/2024 United Therapeutics Corporation TYVASO (Drug) Food and Beverage In-kind items and services $13.31 General
Category: Pulmonary Arterial Hypertension and Pulmonary Hypertension with Interstitial Lung Disease
11/07/2024 Mallinckrodt Hospital Products Inc. ACTHAR (Biological) Food and Beverage In-kind items and services $29.95 General
Category: IMMUNOLOGY
11/05/2024 United Therapeutics Corporation REMODULIN (Drug), ORENITRAM Food and Beverage In-kind items and services $27.50 General
Category: Pulmonary Arterial Hypertension
10/29/2024 ANI Pharmaceuticals, Inc. PURIFIED CORTROPHIN GEL (Drug) Food and Beverage In-kind items and services $32.48 General
Category: Treatment of certain chronic autoimmune disorders including acute exacerbations of MS and RA
10/23/2024 Actelion Pharmaceuticals US, Inc. UPTRAVI (Drug), OPSUMIT Food and Beverage In-kind items and services $31.77 General
Category: Cardiology
10/23/2024 Actelion Pharmaceuticals US, Inc. UPTRAVI (Drug), OPSUMIT Food and Beverage In-kind items and services $1.84 General
Category: Cardiology
09/18/2024 Boehringer Ingelheim Pharmaceuticals, Inc. Food and Beverage In-kind items and services $124.99 General
09/10/2024 Tactile Systems Technology Inc Flexitouch Plus (Device), Entre Plus Food and Beverage In-kind items and services $19.73 General
Category: PNEUMATIC COMPRESSOR
09/09/2024 United Therapeutics Corporation ORENITRAM (Drug), REMODULIN Food and Beverage In-kind items and services $26.53 General
Category: Pulmonary Arterial Hypertension
08/21/2024 ANI Pharmaceuticals, Inc. PURIFIED CORTROPHIN GEL (Drug) Food and Beverage In-kind items and services $32.63 General
Category: Treatment of certain chronic autoimmune disorders including acute exacerbations of MS and RA
08/21/2024 ANI Pharmaceuticals, Inc. PURIFIED CORTROPHIN GEL (Drug) Food and Beverage In-kind items and services $1.58 General
Category: Treatment of certain chronic autoimmune disorders including acute exacerbations of MS and RA
08/19/2024 United Therapeutics Corporation Food and Beverage In-kind items and services $112.50 General
07/10/2024 ANI Pharmaceuticals, Inc. PURIFIED CORTROPHIN GEL (Drug) Food and Beverage In-kind items and services $9.08 General
Category: Treatment of certain chronic autoimmune disorders including acute exacerbations of MS and RA
07/03/2024 Astellas Pharma US Inc Cresemba (Drug) Food and Beverage In-kind items and services $24.35 General
Category: Infectious Diseases
06/26/2024 Actelion Pharmaceuticals US, Inc. OPSUMIT (Drug), UPTRAVI Education In-kind items and services $61.99 General
Category: Cardiology
06/26/2024 Actelion Pharmaceuticals US, Inc. OPSUMIT (Drug), UPTRAVI Food and Beverage In-kind items and services $2.15 General
Category: Cardiology
06/25/2024 United Therapeutics Corporation Steen Solution (Device), TYVASO Food and Beverage In-kind items and services $52.57 General
Category: Lung Transplant
06/24/2024 Actelion Pharmaceuticals US, Inc. OPSUMIT (Drug), UPTRAVI Food and Beverage In-kind items and services $22.37 General
Category: Cardiology
06/20/2024 ANI Pharmaceuticals, Inc. PURIFIED CORTROPHIN GEL (Drug) Food and Beverage In-kind items and services $33.90 General
Category: Treatment of certain chronic autoimmune disorders including acute exacerbations of MS and RA
06/13/2024 United Therapeutics Corporation ORENITRAM (Drug), REMODULIN Food and Beverage In-kind items and services $33.47 General
Category: Pulmonary Arterial Hypertension
06/11/2024 Boehringer Ingelheim Pharmaceuticals, Inc. OFEV (Drug) Food and Beverage In-kind items and services $22.85 General
Category: RESPIRATORY
05/29/2024 Actelion Pharmaceuticals US, Inc. UPTRAVI (Drug), OPSUMIT Food and Beverage In-kind items and services $11.65 General
Category: Cardiology
05/29/2024 Actelion Pharmaceuticals US, Inc. UPTRAVI (Drug), OPSUMIT Food and Beverage In-kind items and services $1.36 General
Category: Cardiology
05/14/2024 Paragonix Technologies, Inc. SherpaPak (Device), LiverGuard, LungGuard Food and Beverage In-kind items and services $208.55 General
Category: Cardiology

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 15 710 1,251 $326,296 $85,374
2022 19 1,282 2,387 $584,710 $147,691
2021 20 972 1,698 $407,494 $108,141
2020 12 532 1,015 $342,171 $88,720
Total Patients
3,496
Total Services
6,351
Medicare Billing
$429,926
Procedure Codes
67

All Medicare Procedures & Services

67 procedure records from CMS Medicare Utilization — Page 1 of 3

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
99215 Established patient office or other outpatient visit, 40-54 minutes Facility 2023 135 272 $120,496 $30,119 25.0%
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes Facility 2023 38 313 $99,063 $28,930 29.2%
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes Facility 2023 22 78 $17,870 $4,760 26.6%
99239 Hospital discharge day management, more than 30 minutes Facility 2023 35 49 $15,621 $4,088 26.2%
99214 Established patient office or other outpatient visit, 30-39 minutes Facility 2023 49 51 $15,106 $3,789 25.1%
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes Facility 2023 20 27 $16,146 $3,414 21.1%
99204 New patient office or other outpatient visit, 45-59 minutes Facility 2023 25 25 $10,350 $2,691 26.0%
99213 Established patient office or other outpatient visit, 20-29 minutes Facility 2023 37 46 $9,420 $2,269 24.1%
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes Facility 2023 14 14 $5,665 $1,309 23.1%
99212 Established patient office or other outpatient visit, 10-19 minutes Facility 2023 33 45 $5,040 $1,190 23.6%
94010 Test to measure expiratory airflow and volume Facility 2023 102 130 $3,250 $838.40 25.8%
94618 Test for exercise-induced lung stress Facility 2023 45 45 $3,081 $759.81 24.7%
94729 Test to examine how well the lungs exchange gases Facility 2023 80 81 $2,331 $554.61 23.8%
94726 Test to determine lung volumes using sensors Facility 2023 50 50 $1,974 $465.99 23.6%
94060 Test to measure expiratory airflow and volume changes before and after medication administration Facility 2023 25 25 $883.00 $195.84 22.2%
99215 Established patient office or other outpatient visit, 40-54 minutes Facility 2022 185 469 $208,817 $54,445 26.1%
99233 Follow-up hospital inpatient care per day, typically 35 minutes Facility 2022 69 549 $172,602 $46,566 27.0%
99223 Initial hospital inpatient care per day, typically 70 minutes Facility 2022 31 46 $28,054 $7,454 26.6%
31628 Biopsy of lobe of lung using an endoscope, 1 lobe Facility 2022 31 51 $27,762 $7,176 25.8%
99239 Hospital discharge day management, more than 30 minutes Facility 2022 45 62 $19,926 $5,194 26.1%
31624 Irrigation and suction of lung airways to obtain cells using an endoscope Facility 2022 39 93 $37,343 $4,145 11.1%
99214 Established patient office or other outpatient visit, 30-39 minutes Facility 2022 43 44 $13,453 $3,474 25.8%
99204 New patient office or other outpatient visit, 45-59 minutes Facility 2022 28 28 $11,628 $3,114 26.8%
99205 New patient office or other outpatient visit, 60-74 minutes Facility 2022 20 20 $11,271 $3,016 26.8%
94010 Test to measure expiratory airflow and volume Facility 2022 265 437 $11,556 $2,903 25.1%

About Dr. Kapilkumar Patel, M.D

Dr. Kapilkumar Patel, M.D is a Pulmonary Disease healthcare provider based in Winston Salem, North Carolina. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 11/22/2006. The National Provider Identifier (NPI) number assigned to this provider is 1356416531.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Kapilkumar Patel, M.D has received a total of $30,104 in payments from pharmaceutical and medical device companies, with $1,628 received in 2024. These payments were reported across 176 transactions from 36 companies. The most common payment nature is "Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program" ($16,295).

As a Medicare-enrolled provider, Patel has provided services to 3,496 Medicare beneficiaries, totaling 6,351 services with total Medicare billing of $429,926. Data is available for 4 years (2020–2023), covering 67 distinct procedure/service records.

Practice Information

  • Specialty Pulmonary Disease
  • Other Specialties Pulmonary Disease, Critical Care Medicine
  • Location Winston Salem, NC
  • Active Since 11/22/2006
  • Last Updated 01/13/2026
  • Taxonomy Code 207RP1001X
  • Entity Type Individual
  • NPI Number 1356416531

Products in Payments

  • Cayston (Drug) $21,308
  • ORGAN CARE SYSTEM (Device) $705.80
  • Cresemba (Drug) $596.47
  • ORENITRAM (Drug) $568.72
  • GIAPREZA (Drug) $559.24
  • Actemra (Biological) $419.53
  • SherpaPak (Device) $330.86
  • ACTHAR (Biological) $292.22
  • XARELTO (Drug) $204.44
  • PURIFIED CORTROPHIN GEL (Drug) $187.32
  • OFEV (Drug) $184.67
  • ORBACTIV (Drug) $159.41
  • TYVASO (Drug) $156.06
  • NONE (Drug) $155.00
  • OPSUMIT (Drug) $152.31
  • VAPOTHERM (Device) $147.02
  • BREZTRI (Drug) $127.04
  • METRA (Device) $126.80
  • Adempas (Drug) $125.00
  • REMODULIN (Drug) $124.79

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

Pulmonary Disease Doctors in Winston Salem