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Raj Karunakara, MD

Pulmonary Disease · Ocala, FLNPI 1114980067

Payments from drug & device makers

$4,030,433in general payments, 2019–2025

Across 710 payments — averaging $5676.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Eli Lilly$1.3M
  • Roche Products Limited$677K
  • AstraZeneca$567K
  • Sanofi US Services Inc.$535K
  • Genentech, Inc.$380K
  • E.r. Squibb & Sons, L.L.C.$377K
  • plus $221K from 49 others
$198,499in research payments, 2019–2025

Across 10 payments — averaging $19,850 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Eli Lilly$198K

What the payments were for

  • Travel & lodging$2,66516%
  • Food & beverage$10,85166%
  • Education$3,01618%

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

19
20
21
22
23
24
25

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.

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.

How this compares

$4,030,433 in reported general payments places this provider in the 95th percentile of 953 pulmonary disease providers in Florida.

See all pulmonary disease providers in Florida

Medicare billing

Part B allowed, 2024
$260,842
Medicare patients
704
Services billed
2,553

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

DrugClaimsCost to plans & patients
AdempasRiociguat15$320,923
Tyvaso DpiTreprostinil14$319,957
OfevNintedanib Esylate22$312,591
Trelegy ElliptaFluticasone/Umeclidin/Vilanter167$131,547
Breztri AerosphereBudesonide/Glycopyr/Formoterol86$84,937
Ambrisentan35$58,093
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr74$41,172
Breo ElliptaFluticasone/Vilanterol36$19,219
Spiriva RespimatTiotropium Bromide23$16,552
Stiolto RespimatTiotropium Br/Olodaterol Hcl24$13,288
SymbicortBudesonide/Formoterol Fumarate41$9,648
Albuterol Sulfate HfaAlbuterol Sulfate135$4,324
BreynaBudesonide/Formoterol Fumarate16$4,256
Fluticasone-SalmeterolFluticasone Propion/Salmeterol18$2,026
Roflumilast15$1,648

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.

CompanyPaid to this providerPart D cost of their drugs
Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat$822$342,43169 claims
BayerAdempas$351$320,92315 claims
GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta$54,853$191,938277 claims
AstraZenecaBreztri Aerosphere, Symbicort$567,156$94,585127 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 95th percentile of 953 pulmonary disease providers in Florida.

Other pulmonary disease in Ocala

See the full list for Florida

Where these figures come from

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