Firas Karmo, MD
Plastic and Reconstructive Surgery · Pontiac, MINPI 1679673289
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $31,955 of the $46,548 with a category attached, or 68.6%. Smith+Nephew accounts for 94.0% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2019 at $24,823 and has fallen 90.8% since, to $2,296 in 2025. Among plastic and reconstructive surgery clinicians in MI 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 221 payments — averaging $210.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$44K
- Sonex Health, Inc.$2K
- Kerecis Limited$114
- KCI USA, Inc.$91
- Integra Lifesciences Corporation$63
- Urgo Medical North America, LLC$54
- plus $302 from 10 others
What the payments were for
- Consulting fees$1,3203%
- Speaking & faculty fees$31,95569%
- Travel & lodging$8,17018%
- Food & beverage$5,10211%
- Education$10%
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 |
|---|---|---|
| Smith+Nephew | 194 | $43,763 |
| Sonex Health, Inc. | 4 | $2,161 |
| Kerecis Limited | 3 | $114 |
| KCI USA, Inc. | 1 | $91 |
| Integra Lifesciences Corporation | 3 | $63 |
| Urgo Medical North America, LLC | 2 | $54 |
| Acera Surgical, Inc. | 2 | $52 |
| Mimedx Group, Inc. | 2 | $49 |
| Boston Scientific | 1 | $39 |
| TELA Bio, Inc. | 1 | $35 |
| Stryker | 2 | $32 |
| Johnson & Johnson | 1 | $27 |
| Cashflow Solutions, LLC | 2 | $21 |
| Endo Pharmaceuticals Inc. | 1 | $18 |
| Linvatec Corporation | 1 | $15 |
| Bioventus LLC | 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.
- Santyl$29,276
- REGRANEX$17,699
- Oasis$17,524
- COLLAGENASE SANTYL$9,570
- Sx-One Microknife$2,143
- VERSAJET II$1,320
- Grafix PRIME$122
- Grafix CORE$122
- Grafix XC$122
- Grafix PL PRIME$122
- Stravix$122
How this compares
$46,548 in reported general payments places this provider in the 90th percentile of 55 plastic and reconstructive surgery providers in Michigan.
See all plastic and reconstructive surgery providers in Michigan →
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 |
|---|---|---|
| SantylCollagenase Clostridium Hist. | 18 | $8,258 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $44 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Smith+NephewSantyl | $43,763 | $8,25818 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 55 plastic and reconstructive surgery providers in Michigan.
Other plastic and reconstructive surgery in Pontiac
- Michael MeiningerBloomfield Hills$152K
- Dunya AtishaDetroit$74K
- Barak TanzmanBerkley$70K
- Melek KayserSaint Clair Shores$28K
- Theodore KungAnn Arbor$19K
- Pravin PuriTroy$16K
- Christopher LumleyBingham Farms$15K
- Maristella EvangelistaDetroit$11K
- Kenneth ShaheenTroy$9K
- Pramit MalhotraAnn Arbor$9K
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.