Issam Makhoul, MD
Hematology & Oncology · Little Rock, ARNPI 1477643955
Payments from drug & device makers
Across 197 payments — averaging $17,430 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$1.4M
- Merck$1.3M
- AstraZeneca$286K
- E.r. Squibb & Sons, L.L.C.$165K
- Seagen Inc.$137K
- Novartis$57K
- plus $28K from 9 others
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 |
|---|---|---|
| Pfizer | 71 | $1,417,218 |
| Merck | 85 | $1,342,997 |
| AstraZeneca | 8 | $285,766 |
| E.r. Squibb & Sons, L.L.C. | 4 | $165,466 |
| Seagen Inc. | 7 | $136,955 |
| Novartis | 1 | $57,431 |
| Genentech, Inc. | 5 | $23,061 |
| Amgen | 3 | $3,801 |
| Reflexion Medical, Inc. | 4 | $847 |
| CSL Behring | 4 | $82 |
| Sumitomo Pharma America, Inc. | 1 | $34 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $28 |
| United Therapeutics Corporation | 1 | $15 |
| Gilead | 1 | $12 |
| Veran Medical Technologies, Inc. | 1 | $6 |
How this compares
$3,433,719 in reported general payments places this provider in the 95th percentile of 92 hematology & oncology providers in Arkansas.
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 hematology & oncology in Little Rock
- Ryan HallLittle Rock$4.1M
- Carolina SchinkeLittle Rock$932K
- Frits van RheeLittle Rock$789K
- Kamal PatelLittle Rock$696K
- Rhonda GentryLittle Rock$328K
- Appalanaidu SasapuLittle Rock$313K
- Joseph BeckLittle Rock$261K
- Pooja MotwaniLittle Rock$222K
- David KupermanLittle Rock$187K
- Brad BaltzLittle Rock$106K
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.