Karen Seetal Kihei
Adult Health · Miami, FLNPI 1962710665
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $8,000 of the $9,356 with a category attached, or 85.5%. Exeltis, USA Inc. accounts for 86.2% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2023 at $8,720 and has fallen 99.3% since, to $62 in 2025. Among adult health clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 50 payments — averaging $187.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exeltis, USA Inc.$8K
- Mayne Pharma Commercial LLC$583
- AbbVie$202
- Astellas Pharma US Inc$198
- Pfizer$74
- Exact Sciences$70
- plus $165 from 5 others
What the payments were for
- Consulting fees$8,00086%
- Food & beverage$1,25613%
- Education$1001%
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 |
|---|---|---|
| Exeltis, USA Inc. | 4 | $8,062 |
| Mayne Pharma Commercial LLC | 18 | $583 |
| AbbVie | 5 | $202 |
| Astellas Pharma US Inc | 7 | $198 |
| Pfizer | 4 | $74 |
| Exact Sciences | 4 | $70 |
| Hologic Sales And Service, LLC | 3 | $68 |
| Myovant Sciences Inc. | 2 | $41 |
| Roche Diagnostics Corporation | 1 | $21 |
| Evofem Biosciences, Inc. | 1 | $20 |
| Avion Pharmaceuticals | 1 | $15 |
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.
- Slynd$8,000
- ORIAHNN$124
- NEXTSTELLIS$122
How this compares
$9,356 in reported general payments places this provider in the 95th percentile of 2,237 adult health providers in Florida.
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 |
|---|---|---|
| ValacyclovirValacyclovir Hcl | 12 | $501 |
| Estradiol | 11 | $229 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 20 | $133 |
| Triamcinolone Acetonide | 16 | $74 |
Paid to pharmacies, not to this prescriber.
Other adult health in Miami
- Norma SolisMiami$150K
- Jeffrey HernandezMiami$122K
- Kristen NievesMiami$16K
- Jose ChamorroMiami$15K
- Wendy KaysMiami$13K
- Patricia PagnottaMaitland$409K
- Carly KoelschSarasota$265K
- Ashley PontenbergWinter Park$136K
- Jamie JohnsonTampa$58K
- Jessica MangesClearwater$52K
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.