Firas Khoury, MD
Nephrology · Tigard, ORNPI 1013933480
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.9% of the total across 63 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 24 manufacturers, the largest accounting for just 19.6% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $914, more than ten times the $4 reported in 2019.
Across 63 payments — averaging $27.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Baxter Healthcare$339
- Otsuka America Pharmaceutical, Inc.$238
- Vantive US Healthcare LLC$143
- Travere Therapeutics, Inc.$126
- AstraZeneca$118
- Novartis$97
- plus $667 from 18 others
What the payments were for
- Travel & lodging$251%
- Food & beverage$1,69198%
- Education$121%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Baxter Healthcare | 3 | $339 |
| Otsuka America Pharmaceutical, Inc. | 4 | $238 |
| Vantive US Healthcare LLC | 1 | $143 |
| Travere Therapeutics, Inc. | 11 | $126 |
| AstraZeneca(2 entities) | 6 | $118 |
| Novartis | 5 | $97 |
| Calliditas Therapeutics US Inc. | 4 | $90 |
| Bayer | 4 | $80 |
| Mallinckrodt Hospital Products Inc. | 4 | $78 |
| Novo Nordisk | 3 | $58 |
| Daiichi Sankyo Inc. | 3 | $51 |
| Sanofi | 2 | $43 |
| Medtronic | 1 | $36 |
| Kyowa Kirin, Inc. | 2 | $32 |
| Scpharmaceuticals Inc. | 1 | $28 |
| Vifor Pharma, Inc. | 1 | $27 |
| Apellis Pharmaceuticals, Inc. | 1 | $24 |
| Alnylam Pharmaceuticals Inc. | 1 | $23 |
| Fresenius USA Marketing, Inc. | 1 | $20 |
| Pfizer | 1 | $20 |
| Ascendis Pharma Endocrinology Inc | 1 | $17 |
| Nxstage Medical, Inc. | 1 | $16 |
| Azurity Pharmaceuticals, Inc. | 1 | $15 |
| GSK | 1 | $12 |
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.
- Renal - PD$243
- JYNARQUE$118
How this compares
$1,728 in reported general payments places this provider in the 85th percentile of 120 nephrology providers in Oregon.
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 |
|---|---|---|
| JardianceEmpagliflozin | 61 | $81,901 |
| FarxigaDapagliflozin Propanediol | 72 | $74,343 |
| VelphoroSucroferric Oxyhydroxide | 20 | $49,236 |
| EliquisApixaban | 21 | $34,885 |
| Sevelamer Carbonate | 47 | $15,986 |
| DapagliflozinDapagliflozin Propanediol | 19 | $10,146 |
| Lanthanum Carbonate | 11 | $9,920 |
| Calcium Acetate | 53 | $6,788 |
| Torsemide | 135 | $4,483 |
| Nifedipine ErNifedipine | 72 | $3,587 |
| Cinacalcet Hcl | 18 | $3,297 |
| Losartan Potassium | 237 | $3,091 |
| Amlodipine Besylate | 314 | $2,931 |
| Hydralazine Hcl | 154 | $2,864 |
| Potassium Chloride | 69 | $2,617 |
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 |
|---|---|---|
| AstraZenecaFarxiga | $118 | $74,34372 claims |
| Fresenius USA Marketing, Inc.Velphoro | $20 | $49,23620 claims |
| PfizerEliquis | $20 | $34,88521 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 85th percentile of 120 nephrology providers in Oregon.
Other nephrology in Tigard
- Neil KumarRoseburg$532K
- Robert ProvenzanoPortland$45K
- Cyril KuriakoseTualatin$36K
- Nayan AroraPortland$23K
- Shalin SanghviSpringfield$20K
- Ramesh MarahattaSpringfield$19K
- Rupali AvasarePortland$16K
- David EllisonPortland$12K
- Shehzad RehmanPortland$10K
- Michael FeldmanBend$8K
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.