Mehrdad Karimi, MD
Internal Medicine · Chico, CANPI 1528694403
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 10 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Shionogi Inc accounts for 84.2% of it on its own, with 1 other manufacturer making up the rest.
Across 10 payments — averaging $27.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Shionogi Inc$233
- Boehringer Ingelheim$44
What the payments were for
- Food & beverage$277100%
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 |
|---|---|---|
| Shionogi Inc | 7 | $233 |
| Boehringer Ingelheim | 3 | $44 |
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.
- Fetroja$124
How this compares
$277 in reported general payments places this provider in the 55th percentile of 13,581 internal medicine 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 |
|---|---|---|
| EliquisApixaban | 40 | $24,148 |
| Breo ElliptaFluticasone/Vilanterol | 13 | $5,333 |
| Midodrine Hcl | 17 | $1,255 |
| Cefpodoxime Proxetil | 33 | $1,074 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 21 | $894 |
| Naloxone Hcl | 13 | $613 |
| Linezolid | 15 | $445 |
| Pantoprazole Sodium | 58 | $402 |
| Amiodarone Hcl | 18 | $334 |
| Metoprolol Succinate | 45 | $306 |
| Levothyroxine Sodium | 36 | $218 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 54 | $189 |
| Atorvastatin Calcium | 48 | $180 |
| Doxycycline Hyclate | 23 | $170 |
| Hydralazine Hcl | 18 | $146 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Chico
- Andrew ChengSouth San Francisco$55.1M
- Tung NgoNewport Beach$4.9M
- Christian EversullStanford$2.9M
- Christian SandrockSacramento$2.1M
- Hatim HusainSan Diego$2M
- Teck LingPalo Alto$1.1M
- Hyong Kimla Jolla$1M
- Rohit Loombala Jolla$965K
- Fred CohenSan Francisco$929K
- Steven EdelmanSan Diego$863K
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.