Puran Karra, MD
Internal Medicine · Alliance, OHNPI 1083940019
Payments from drug & device makers
Across 40 payments — averaging $20.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$209
- Corcept Therapeutics$147
- Vanda Pharmaceuticals Inc.$86
- Pfizer$49
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$39
- AstraZeneca$39
- plus $235 from 10 others
What the payments were for
- Food & beverage$802100%
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 |
|---|---|---|
| AbbVie | 12 | $209 |
| Corcept Therapeutics | 7 | $147 |
| Vanda Pharmaceuticals Inc. | 3 | $86 |
| Pfizer | 3 | $49 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $39 |
| AstraZeneca | 2 | $39 |
| Pulmonx Corporation | 2 | $38 |
| Axsome Therapeutics, Inc. | 1 | $34 |
| Verona Pharma, Inc. | 1 | $26 |
| Lundbeck LLC | 1 | $24 |
| Exact Sciences | 1 | $21 |
| Sanofi | 1 | $20 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $20 |
| Optinose US, Inc. | 1 | $20 |
| Sumitomo Pharma America, Inc. | 1 | $19 |
| Lilly USA, LLC | 1 | $14 |
How this compares
$802 in reported general payments places this provider in the 70th percentile of 4,428 internal medicine providers in Ohio.
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 | 11 | $10,662 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 15 | $6,472 |
| TradjentaLinagliptin | 11 | $5,784 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 40 | $833 |
| Methylprednisolone | 68 | $398 |
| Losartan Potassium | 21 | $205 |
| Gabapentin | 20 | $181 |
| Potassium Chloride | 22 | $136 |
| Fluticasone Propionate | 14 | $136 |
| Omeprazole | 14 | $131 |
| Metoprolol Tartrate | 11 | $118 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 21 | $118 |
| Atorvastatin Calcium | 49 | $116 |
| Levothyroxine Sodium | 39 | $107 |
| Metformin Hcl | 14 | $99 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Alliance
- Antoinette PragalosCincinnati$27.8M
- Steven FolkerthBeavercreek$9.1M
- Charles EgerCincinnati$8.7M
- Vadim KoshkinCleveland$6.1M
- Nizar DaboulMaumee$4.7M
- Douglas LoganCincinnati$4.7M
- Seref BornovaliLoveland$4.4M
- Yevgeniy BukhmanCanton$3.7M
- Leela VrishabhendraCincinnati$3.4M
- Narinder SainiSpringfield$3.2M
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.