Randall Nitta, MD
Family Medicine · Aiea, HINPI 1588757066
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.2% of the total across 190 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 21 manufacturers, the largest accounting for just 22.0% — the pattern of someone who eats at a lot of different presentations. Among family medicine clinicians in HI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 190 payments — averaging $20.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$858
- GSK$542
- Novo Nordisk$473
- Amgen$308
- Boehringer Ingelheim$269
- Amarin Pharma, Inc.$259
- plus $1K from 15 others
What the payments were for
- Food & beverage$3,86299%
- Education$291%
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 |
|---|---|---|
| AstraZeneca | 43 | $858 |
| GSK | 23 | $542 |
| Novo Nordisk | 25 | $473 |
| Amgen(2 entities) | 13 | $308 |
| Boehringer Ingelheim | 10 | $269 |
| Amarin Pharma, Inc. | 20 | $259 |
| Bayer | 11 | $255 |
| Lilly USA, LLC | 10 | $210 |
| Novartis | 6 | $112 |
| Pfizer | 4 | $106 |
| AbbVie | 5 | $100 |
| Merck | 5 | $76 |
| Johnson & Johnson | 3 | $64 |
| Sanofi-aventis U.S. LLC | 3 | $52 |
| Dexcom, Inc. | 2 | $45 |
| Exact Sciences | 1 | $34 |
| E.r. Squibb & Sons, L.L.C. | 2 | $33 |
| Radius Health, Inc. | 1 | $26 |
| Teva Pharmaceuticals USA, Inc. | 1 | $25 |
| Idorsia Pharmaceuticals US Inc | 1 | $23 |
| Ironwood Pharmaceuticals, 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.
How this compares
$3,891 in reported general payments places this provider in the 90th percentile of 376 family medicine providers in Hawaii.
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 | 74 | $117,003 |
| RybelsusSemaglutide | 67 | $116,705 |
| JardianceEmpagliflozin | 79 | $106,144 |
| FarxigaDapagliflozin Propanediol | 69 | $90,002 |
| MounjaroTirzepatide | 27 | $38,074 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 22 | $33,720 |
| EliquisApixaban | 18 | $25,884 |
| JanuviaSitagliptin Phosphate | 12 | $19,105 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 23 | $17,263 |
| Atorvastatin Calcium | 439 | $13,546 |
| Wixela InhubFluticasone Propion/Salmeterol | 48 | $7,415 |
| Olmesartan Medoxomil | 48 | $4,174 |
| Simvastatin | 157 | $3,862 |
| Amlodipine Besylate | 175 | $2,299 |
| Losartan Potassium | 111 | $2,122 |
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, Rybelsus | $473 | $233,708141 claims |
| Boehringer IngelheimJardiance | $269 | $106,14479 claims |
| AstraZenecaFarxiga | $858 | $90,00269 claims |
| MerckJanumet Xr, Januvia | $76 | $52,82534 claims |
| Lilly USA, LLCMounjaro | $210 | $38,07427 claims |
| PfizerEliquis | $106 | $25,88418 claims |
| GSKTrelegy Ellipta | $542 | $17,26323 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 90th percentile of 376 family medicine providers in Hawaii.
Other family medicine in Aiea
- Dean OtakaAiea$10K
- Brian StolleyKihei$126K
- Vicente RamoHonolulu$34K
- Edward AlqueroWaipahu$24K
- Noelani HobbsWaipahu$23K
- Rainier Dennis BautistaLihue$23K
- Choon YeoHonolulu$20K
- Buddy FesterlingHilo$20K
- Roy KogaHilo$20K
- Stuart LernerKailua$18K
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.