Karim Fahmy, DO
Physical Medicine & Rehabilitation · Irvine, CANPI 1851852644
Payments from drug & device makers
Across 58 payments — averaging $100.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$3K
- Medtronic$1K
- Saluda Medical Americas, Inc.$479
- Nevro Corp.$456
- Curonix LLC$201
- Merz Pharmaceuticals, LLC$156
- plus $757 from 10 others
What the payments were for
- Travel & lodging$1,79631%
- Food & beverage$4,01169%
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 |
|---|---|---|
| Boston Scientific | 16 | $2,728 |
| Medtronic | 9 | $1,032 |
| Saluda Medical Americas, Inc. | 7 | $479 |
| Nevro Corp. | 9 | $456 |
| Curonix LLC | 3 | $201 |
| Merz Pharmaceuticals, LLC | 2 | $156 |
| SPR Therapeutics, Inc | 1 | $152 |
| Innovation Technologies Inc | 1 | $151 |
| Biotronik NRO, Inc. | 1 | $142 |
| AbbVie | 2 | $85 |
| Stryker | 1 | $73 |
| Collegium Pharmaceutical, Inc. | 2 | $42 |
| Sanofi | 1 | $34 |
| Lundbeck LLC | 1 | $33 |
| Scilex Pharmaceuticals Inc. | 1 | $23 |
| Si-bone, Inc. | 1 | $22 |
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.
- VANTA ADAPTIVESTIM$378
- Senza$292
- Evoke$241
- SYNCHROMEDII$235
- SPRINT PNS System$152
- Irrisept$151
- Prospera$142
- GENERAL - THERAPIES$121
- INCEPTIV$119
- XEOMIN$115
- PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A$114
How this compares
$5,808 in reported general payments places this provider in the 90th percentile of 830 physical medicine & rehabilitation providers in California.
See all physical medicine & rehabilitation 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 54 | $1,000 |
| Pregabalin | 20 | $729 |
| Baclofen | 12 | $360 |
| Gabapentin | 25 | $276 |
| Duloxetine Hcl | 16 | $271 |
| Methocarbamol | 11 | $202 |
| Meloxicam | 15 | $19 |
Paid to pharmacies, not to this prescriber.
Other physical medicine & rehabilitation in Irvine
- Ziyad AyyoubParamount$1.8M
- John ShenFontana$1.3M
- Andrew SkalskySan Diego$463K
- Nanette JoyceSacramento$237K
- Mary OatesSanta Maria$158K
- Jeryl WiensFresno$125K
- Pratik GandhiAnaheim$122K
- Ronald SchillingLong Beach$113K
- Kevin BarretteSan Francisco$84K
- Jeffrey ChenSan Diego$82K
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.