Elias Makhoul, DO
Anatomic Pathology & Clinical Pathology · Los Angeles, CANPI 1952857518
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $39,918 of the $40,822 with a category attached, or 97.8%. Applied Medical Resources Corporation accounts for 95.9% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2024 at $20,744 and has fallen 53.8% since, to $9,577 in 2025. Among anatomic pathology & clinical pathology clinicians in CA 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 36 payments — averaging $1133.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Applied Medical Resources Corporation$39K
- Bayer$1K
- Electromed, Inc.$224
- AstraZeneca$125
- Hologic Sales And Service, LLC$40
- Beckman Coulter, Inc.$20
- plus $39 from 2 others
What the payments were for
- Consulting fees$39,91898%
- Food & beverage$9042%
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 |
|---|---|---|
| Applied Medical Resources Corporation | 17 | $39,166 |
| Bayer | 6 | $1,209 |
| Electromed, Inc. | 8 | $224 |
| AstraZeneca | 1 | $125 |
| Hologic Sales And Service, LLC | 1 | $40 |
| Beckman Coulter, Inc. | 1 | $20 |
| Tempus AI, Inc | 1 | $20 |
| Johnson & Johnson | 1 | $19 |
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.
- Voyant open fusion device$4,800
- Vitrakvi$993
- LYNPARZA$125
How this compares
$40,822 in reported general payments places this provider in the 90th percentile of 814 anatomic pathology & clinical pathology providers in California.
See all anatomic pathology & clinical pathology providers in California →
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.
Other anatomic pathology & clinical pathology in Los Angeles
- Serge AlexanianLos Angeles$3.2M
- Brian ConeLos Angeles$519K
- Michael LewisLos Angeles$220K
- Mark HaasLos Angeles$175K
- Fausto RodriguezLos Angeles$87K
- Scott NelsonLos Angeles$81K
- Nam KuLos Angeles$80K
- Jess SavalaLos Angeles$62K
- Maria del Carmen Frias KleteckaLos Angeles$29K
- Jonathan BraunLos Angeles$27K
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.