Total Payments
$2,130
2024 Payments
$247.20
Companies
19
Transactions
61
Medicare Patients
2,722
Medicare Billing
$912,694
Payment Breakdown by Category
Food & Beverage$2,127 (99.8%)
Education$3.26 (0.2%)
Other$0.00 (0.0%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $2,127 | 60 | 99.8% |
| Education | $3.26 | 1 | 0.2% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Horizon Therapeutics plc | $278.17 | 7 | $0 (2023) |
| Mallinckrodt Enterprises LLC | $244.50 | 2 | $0 (2019) |
| GlaxoSmithKline, LLC. | $242.05 | 14 | $0 (2023) |
| Fresenius USA Marketing, Inc. | $225.00 | 4 | $0 (2020) |
| AstraZeneca Pharmaceuticals LP | $223.90 | 3 | $0 (2020) |
| Amgen Inc. | $189.14 | 10 | $0 (2024) |
| Otsuka America Pharmaceutical, Inc. | $139.52 | 3 | $0 (2019) |
| Keryx Biopharmaceuticals, Inc. | $136.34 | 2 | $0 (2018) |
| OPKO Pharmaceuticals, LLC | $105.45 | 3 | $0 (2022) |
| AbbVie, Inc. | $93.47 | 1 | $0 (2018) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $247.20 | 12 | Amgen Inc. ($173.08) |
| 2023 | $103.04 | 4 | Horizon Therapeutics plc ($80.82) |
| 2022 | $232.67 | 11 | GlaxoSmithKline, LLC. ($77.08) |
| 2021 | $153.16 | 9 | GlaxoSmithKline, LLC. ($123.18) |
| 2020 | $208.19 | 3 | AstraZeneca Pharmaceuticals LP ($95.86) |
| 2019 | $667.08 | 12 | Mallinckrodt Enterprises LLC ($244.50) |
| 2018 | $518.54 | 10 | Keryx Biopharmaceuticals, Inc. ($136.34) |
All Payment Transactions
61 individual payment records from CMS Open Payments — Page 1 of 3
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 09/05/2024 | Amgen Inc. | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $17.98 | General |
| Category: Inflammation/Rare Disease | ||||||
| 08/29/2024 | Amgen Inc. | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $20.38 | General |
| Category: Inflammation/Rare Disease | ||||||
| 08/19/2024 | Amgen Inc. | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $22.96 | General |
| Category: Inflammation/Rare Disease | ||||||
| 08/14/2024 | Amgen Inc. | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $24.39 | General |
| Category: Inflammation/Rare Disease | ||||||
| 08/02/2024 | Amgen Inc. | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $2.79 | General |
| Category: Inflammation/Rare Disease | ||||||
| 07/16/2024 | Amgen Inc. | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $25.56 | General |
| Category: Inflammation/Rare Disease | ||||||
| 06/11/2024 | Amgen Inc. | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $19.08 | General |
| Category: Inflammation/Rare Disease | ||||||
| 05/28/2024 | Novartis Pharmaceuticals Corporation | — | Food and Beverage | In-kind items and services | $20.25 | General |
| 05/21/2024 | Amgen Inc. | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $19.97 | General |
| Category: Inflammation/Rare Disease | ||||||
| 05/06/2024 | Amgen Inc. | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $19.97 | General |
| Category: Inflammation/Rare Disease | ||||||
| 04/12/2024 | Aurinia Pharma U.S., Inc. | LUPKYNIS (Drug) | Food and Beverage | In-kind items and services | $24.39 | General |
| Category: LUPUS NEPHRITIS | ||||||
| 03/26/2024 | Boehringer Ingelheim Pharmaceuticals, Inc. | JARDIANCE (Drug) | Food and Beverage | In-kind items and services | $29.48 | General |
| Category: DIABETES | ||||||
| 11/14/2023 | Horizon Therapeutics plc | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $24.64 | General |
| Category: KRYSTEXXA | ||||||
| 09/29/2023 | Horizon Therapeutics plc | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $29.35 | General |
| Category: KRYSTEXXA | ||||||
| 08/31/2023 | Horizon Therapeutics plc | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $26.83 | General |
| Category: KRYSTEXXA | ||||||
| 08/02/2023 | GlaxoSmithKline, LLC. | BENLYSTA (Biological) | Food and Beverage | In-kind items and services | $22.22 | General |
| Category: IMMUNOLOGY | ||||||
| 08/22/2022 | Horizon Therapeutics plc | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $26.94 | General |
| Category: KRYSTEXXA | ||||||
| 07/26/2022 | GlaxoSmithKline, LLC. | BENLYSTA (Biological) | Food and Beverage | In-kind items and services | $14.05 | General |
| Category: IMMUNOLOGY | ||||||
| 05/31/2022 | GlaxoSmithKline, LLC. | BENLYSTA (Biological) | Food and Beverage | In-kind items and services | $30.98 | General |
| Category: IMMUNOLOGY | ||||||
| 04/27/2022 | Bayer HealthCare Pharmaceuticals Inc. | Kerendia (Drug) | Food and Beverage | In-kind items and services | $17.79 | General |
| Category: Cardio-renal | ||||||
| 04/21/2022 | GlaxoSmithKline, LLC. | BENLYSTA (Biological) | Food and Beverage | In-kind items and services | $17.42 | General |
| Category: IMMUNOLOGY | ||||||
| 02/22/2022 | OPKO Pharmaceuticals, LLC | RAYALDEE (Drug) | Food and Beverage | In-kind items and services | $25.18 | General |
| Category: NEPHROLOGY | ||||||
| 02/17/2022 | Bayer HealthCare Pharmaceuticals Inc. | Kerendia (Drug) | Food and Beverage | In-kind items and services | $19.86 | General |
| Category: Cardio-renal | ||||||
| 02/10/2022 | Horizon Therapeutics plc | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $27.75 | General |
| Category: KRYSTEXXA | ||||||
| 01/26/2022 | GlaxoSmithKline, LLC. | BENLYSTA (Biological) | Food and Beverage | In-kind items and services | $14.63 | General |
| Category: IMMUNOLOGY | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 7 | 454 | 1,451 | $449,297 | $144,021 |
| 2022 | 8 | 565 | 1,999 | $699,377 | $207,167 |
| 2021 | 9 | 755 | 2,409 | $832,688 | $263,692 |
| 2020 | 10 | 948 | 3,122 | $954,959 | $297,814 |
Total Patients
2,722
Total Services
8,981
Medicare Billing
$912,694
Procedure Codes
34
All Medicare Procedures & Services
34 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Facility | 2023 | 153 | 714 | $184,362 | $66,091 | 35.8% |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | Office | 2023 | 11 | 77 | $69,789 | $21,726 | 31.1% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 81 | 296 | $53,191 | $18,281 | 34.4% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 92 | 195 | $63,960 | $18,272 | 28.6% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 69 | 77 | $41,703 | $10,188 | 24.4% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2023 | 29 | 68 | $31,142 | $8,047 | 25.8% |
| 99497 | Advance care planning, first 30 minutes | Facility | 2023 | 19 | 24 | $5,150 | $1,415 | 27.5% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 193 | 970 | $250,464 | $76,343 | 30.5% |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | Office | 2022 | 40 | 216 | $195,772 | $60,248 | 30.8% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 100 | 387 | $69,544 | $21,081 | 30.3% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 94 | 127 | $67,679 | $19,199 | 28.4% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2022 | 41 | 120 | $54,956 | $14,357 | 26.1% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 63 | 128 | $41,984 | $10,260 | 24.4% |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | Office | 2022 | 11 | 15 | $11,253 | $3,543 | 31.5% |
| 99497 | Advance care planning, first 30 minutes | Facility | 2022 | 23 | 36 | $7,725 | $2,137 | 27.7% |
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | Office | 2021 | 45 | 310 | $264,649 | $88,608 | 33.5% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2021 | 221 | 996 | $259,758 | $80,279 | 30.9% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 183 | 603 | $109,750 | $34,344 | 31.3% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 140 | 163 | $82,665 | $24,814 | 30.0% |
| 99215 | Established patient outpatient visit, total time 40-54 minutes | Office | 2021 | 38 | 124 | $52,785 | $16,694 | 31.6% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 72 | 148 | $46,042 | $14,099 | 30.6% |
| 99497 | Advance care planning by the physician or other qualified health care professional, first 30 minutes | Facility | 2021 | 27 | 35 | $7,519 | $2,190 | 29.1% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2021 | 15 | 15 | $5,222 | $1,505 | 28.8% |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | Office | 2021 | 14 | 15 | $4,300 | $1,160 | 27.0% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2020 | 254 | 997 | $264,704 | $83,165 | 31.4% |
About Dr. Patrick Nef, M.D
Dr. Patrick Nef, M.D is a Nephrology healthcare provider based in Fort Worth, Texas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 01/17/2008. The National Provider Identifier (NPI) number assigned to this provider is 1194901330.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Patrick Nef, M.D has received a total of $2,130 in payments from pharmaceutical and medical device companies, with $247.20 received in 2024. These payments were reported across 61 transactions from 19 companies. The most common payment nature is "Food and Beverage" ($2,127).
As a Medicare-enrolled provider, Nef has provided services to 2,722 Medicare beneficiaries, totaling 8,981 services with total Medicare billing of $912,694. Data is available for 4 years (2020–2023), covering 34 distinct procedure/service records.
Ad
Practice Information
- Specialty Nephrology
- Location Fort Worth, TX
- Active Since 01/17/2008
- Last Updated 10/28/2025
- Taxonomy Code 207RN0300X
- Entity Type Individual
- NPI Number 1194901330
Products in Payments
- KRYSTEXXA (Biological) $451.25
- ACTHAR (Biological) $244.50
- BENLYSTA (Biological) $242.05
- Velphoro (Drug) $225.00
- Auryxia (Drug) $136.34
- JYNARQUE (Drug) $136.26
- LOKELMA (Drug) $128.04
- Mavyret (Drug) $93.47
- Rayaldee (Drug) $80.27
- LUPKYNIS (Drug) $54.37
- Kerendia (Drug) $52.92
- JARDIANCE (Drug) $29.48
- GATTEX (Drug) $25.24
- RAYALDEE (Drug) $25.18
- General - Vascular Access (Device) $22.80
- (815) Thiola (Drug) $18.01
- Parsabiv (Biological) $16.06
- INJECTAFER (Drug) $15.91
- Cook Medical Accessories (Device) $13.36
- SAMSCA (Drug) $3.26
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.
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