Ngaruiya Kariuki, MD
Endocrinology, Diabetes & Metabolism · Sheboygan, WINPI 1174964159
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $2,750 of the $3,856 with a category attached, or 71.3%. Sanofi-aventis U.S. LLC accounts for 81.0% of it on its own, with 14 other manufacturers making up the rest. 2025 is the largest year on record at $3,246, 8.0 times the $407 reported in 2023.
Across 45 payments — averaging $85.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi-aventis U.S. LLC$3K
- Novo Nordisk$240
- Medtronic$121
- Mannkind Corporation$46
- Amgen$45
- Pfizer$41
- plus $239 from 9 others
What the payments were for
- Consulting fees$2,75071%
- Travel & lodging$862%
- Food & beverage$85922%
- Education$1614%
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 |
|---|---|---|
| Sanofi-aventis U.S. LLC | 5 | $3,124 |
| Novo Nordisk | 10 | $240 |
| Medtronic | 7 | $121 |
| Mannkind Corporation | 3 | $46 |
| Amgen(2 entities) | 3 | $45 |
| Pfizer | 2 | $41 |
| Dexcom, Inc. | 2 | $39 |
| Recordati_rare_diseases_inc. | 2 | $36 |
| Alvogen Inc | 2 | $35 |
| Verity Pharmaceuticals Inc. | 2 | $32 |
| BETA Bionics, Inc. | 2 | $29 |
| AbbVie | 1 | $19 |
| Cequr Corporation | 2 | $18 |
| Amryt Pharma Holdings Ltd | 1 | $16 |
| Amneal Pharmaceuticals LLC | 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.
- TZIELD$125
How this compares
$3,856 in reported general payments places this provider in the 80th percentile of 127 endocrinology, diabetes & metabolism providers in Wisconsin.
See all endocrinology, diabetes & metabolism providers in Wisconsin →
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 |
|---|---|---|
| MounjaroTirzepatide | 152 | $245,378 |
| OzempicSemaglutide | 119 | $213,548 |
| JardianceEmpagliflozin | 46 | $76,308 |
| TymlosAbaloparatide | 21 | $57,817 |
| TrulicityDulaglutide | 43 | $48,561 |
| Tresiba Flextouch U-200Insulin Degludec | 28 | $43,463 |
| Teriparatide | 12 | $29,795 |
| Lyumjev Kwikpen U-100Insulin Lispro-Aabc | 26 | $27,994 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 21 | $26,101 |
| FiaspInsulin Aspart (Niacinamide) | 14 | $23,680 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 11 | $21,500 |
| Gvoke Hypopen 2-PackGlucagon | 35 | $20,899 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 13 | $20,801 |
| FarxigaDapagliflozin Propanediol | 17 | $16,245 |
| TradjentaLinagliptin | 19 | $15,600 |
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, Fiasp | $240 | $237,227133 claims |
| Alvogen IncTeriparatide | $35 | $29,79512 claims |
| AbbVieSynthroid | $19 | $4,53263 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $15 | $1,422121 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 80th percentile of 127 endocrinology, diabetes & metabolism providers in Wisconsin.
Other endocrinology, diabetes & metabolism in Sheboygan
- Sarah MirochaSheboygan$1K
- Aron AdkinsEau Claire$349K
- Steven RabinoweRacine$344K
- Daniel Shortla Crosse$328K
- Laura AndrewsMenasha$294K
- Amy DeguemeMequon$143K
- James FindlingMenomonee Falls$78K
- Neil BinkleyMadison$76K
- Vinay PatelNeenah$64K
- Denise Teves QuallerMilwaukee$56K
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.