James Williams, MD
Infectious Disease · Wailuku, HINPI 1497753594
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.4% of the total across 108 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by Insmed, Inc. at 30.5% of the total. 2025 is the largest year on record at $896, 4.8 times the $185 reported in 2019.
Across 108 payments — averaging $29.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Insmed, Inc.$971
- Gilead$503
- Mimedx Group, Inc.$503
- AbbVie$437
- Organogenesis Inc.$422
- Viiv Healthcare Company$226
- plus $125 from 6 others
What the payments were for
- Food & beverage$3,07196%
- Education$1154%
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 |
|---|---|---|
| Insmed, Inc. | 48 | $971 |
| Gilead | 8 | $503 |
| Mimedx Group, Inc. | 9 | $503 |
| AbbVie(2 entities) | 13 | $437 |
| Organogenesis Inc. | 9 | $422 |
| Viiv Healthcare Company | 14 | $226 |
| Travere Therapeutics, Inc. | 1 | $30 |
| Melinta Therapeutics, LLC | 2 | $25 |
| Merck | 1 | $22 |
| Bayer | 1 | $18 |
| Integra Lifesciences Corporation | 1 | $18 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
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.
- Apligraf$150
- PURAPLY WOUND MATRIX$150
- DALVANCE$126
- Biktarvy$100
How this compares
$3,187 in reported general payments places this provider in the 75th percentile of 28 infectious disease providers in Hawaii.
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 |
|---|---|---|
| ArikayceAmikacin Liposomal/Neb.Accessr | 25 | $363,960 |
| NuzyraOmadacycline Tosylate | 12 | $178,836 |
| OdefseyEmtricitab/Rilpiviri/Tenof Ala | 14 | $69,884 |
| BiktarvyBictegrav/Emtricit/Tenofov Ala | 12 | $55,819 |
| TriumeqAbacavir/Dolutegravir/Lamivudi | 11 | $47,007 |
| Cephalexin | 12 | $643 |
| Ciprofloxacin Hcl | 15 | $137 |
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 |
|---|---|---|
| Insmed, Inc.Arikayce | $971 | $363,96025 claims |
| GileadBiktarvy | $503 | $55,81912 claims |
| Viiv Healthcare CompanyTriumeq | $226 | $47,00711 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 75th percentile of 28 infectious disease providers in Hawaii.
Other infectious disease in Wailuku
- Devin LeeWailuku$3K
- Brian PienHonolulu$19K
- Takashi ShinhaHonolulu$12K
- Francis PienHonolulu$10K
- Heath ChungHonolulu$6K
- Russell WongHonolulu$5K
- Willis ChangWaipahu$4K
- Benjamin ThomasHonolulu$3K
- Clayton FosterKailua Kona$3K
- Lorrance MajewskiHonolulu$2K
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.