Joseph Karpel, PA
Physician Assistant · Sacramento, CANPI 1861020190
Payments from drug & device makers
Across 682 payments — averaging $20.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$2K
- Corcept Therapeutics$1K
- AstraZeneca$1K
- Novo Nordisk$1K
- Boehringer Ingelheim$1K
- Radius Health, Inc.$869
- plus $6K from 35 others
What the payments were for
- Food & beverage$13,756100%
- Education$280%
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.
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.
- Korlym$584
- FARXIGA$287
- TWIIST$159
- TZIELD$149
- PROCLAIM$147
- FREESTYLE LIBRE 3$144
- t:slim X2 Insulin Pump with Control-IQ$123
- Lupron Depot$114
- SOLIQUA 100/33$108
- JARDIANCE$107
- Tirosint$101
- Licart$101
- FLECTOR$101
How this compares
$13,784 in reported general payments places this provider in the 95th percentile of 10,423 physician assistant providers in California.
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 |
|---|---|---|
| OzempicSemaglutide | 503 | $896,939 |
| MounjaroTirzepatide | 211 | $335,068 |
| JardianceEmpagliflozin | 166 | $240,784 |
| TymlosAbaloparatide | 62 | $199,370 |
| TrulicityDulaglutide | 74 | $124,494 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 54 | $59,855 |
| Tresiba Flextouch U-200Insulin Degludec | 53 | $58,401 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 46 | $51,807 |
| ProliaDenosumab | 29 | $50,435 |
| Evenity (2 Syringes)Romosozumab-Aqqg | 18 | $44,551 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 25 | $42,472 |
| RybelsusSemaglutide | 13 | $31,746 |
| TradjentaLinagliptin | 19 | $25,015 |
| JanuviaSitagliptin Phosphate | 14 | $22,813 |
| FiaspInsulin Aspart (Niacinamide) | 16 | $21,503 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus, Fiasp | $1,210 | $950,188532 claims |
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $1,922 | $466,043303 claims |
| Boehringer IngelheimJardiance, Synjardy Xr, Tradjenta | $1,040 | $308,271210 claims |
| Radius Health, Inc.Tymlos | $869 | $199,37062 claims |
| AmgenProlia, Evenity (2 Syringes) | $694 | $94,98647 claims |
| AstraZenecaFarxiga | $1,223 | $19,70222 claims |
| AbbVieSynthroid, Armour Thyroid | $308 | $13,954150 claims |
| IBSA Pharma Inc.Tirosint | $136 | $5,21115 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 95th percentile of 10,423 physician assistant providers in California.
Other physician assistant in Sacramento
- Franklin ClineSacramento$458K
- John QuigleyDowney$2.9M
- Andrea NguyenIrvine$1M
- Mikhail AlperMadera$889K
- Erin JensenUpland$716K
- Carla CrespoMarina del Rey$297K
- Katherine OsakiEl Centro$274K
- Shawna JonesFountain Valley$266K
- Heather AustinSalinas$219K
- Eric CheungLos Angeles$213K
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.