Jay Lakkis, MD
Nephrology · Wailuku, HINPI 1447325782
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 1 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Every reported general payment came from a single manufacturer, Nxstage Medical, Inc.. That places this record below the midpoint for nephrology clinicians in HI, where the typical reported total is $2,126.
Across 1 payment — averaging $109.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nxstage Medical, Inc.$109
Across 8 payments — averaging $11,743 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Vertex$94K
What the payments were for
- Food & beverage$109100%
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.
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 |
|---|---|---|
| Nxstage Medical, Inc. | 1 | $109 |
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.
- System One$109
How this compares
$109 in reported general payments places this provider in the 5th percentile of 57 nephrology 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 |
|---|---|---|
| VelphoroSucroferric Oxyhydroxide | 46 | $153,809 |
| Sevelamer Carbonate | 168 | $65,433 |
| LokelmaSodium Zirconium Cyclosilicate | 53 | $47,894 |
| VeltassaPatiromer Calcium Sorbitex | 24 | $35,710 |
| FarxigaDapagliflozin Propanediol | 17 | $22,188 |
| ClinolipidFat Emulsion/Olive/Soy/Phospho | 52 | $21,986 |
| Calcium Acetate | 55 | $5,936 |
| ProsolParenteral Amino Acid 20% No.1 | 23 | $4,211 |
| Bumetanide | 43 | $1,792 |
| Midodrine Hcl | 18 | $1,619 |
| Losartan Potassium | 115 | $1,304 |
| Nifedipine ErNifedipine | 12 | $563 |
| Amlodipine Besylate | 66 | $424 |
| Atorvastatin Calcium | 46 | $388 |
| Furosemide | 28 | $337 |
Paid to pharmacies, not to this prescriber.
Other nephrology in Wailuku
- Shukri OsmanWailuku$861
- Adam ProtainWailuku$858
- Antonin JarosWailuku$114
- Robert DemelloWailuku$33
- Mary Kingma-NolandWailuku$0
- Kunal ParekhHonolulu$172K
- Christie IzutsuHonolulu$50K
- Jared SugiharaHonolulu$39K
- Eugene WongHonolulu$37K
- Shiuh ChengHonolulu$21K
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.