Richard Carano, MD
Endocrinology, Diabetes & Metabolism · Ames, IANPI 1518954502
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $199 of the $299 with a category attached, or 66.5%. Abbott accounts for 84.4% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2020 at $164 and has fallen 89.5% since, to $17 in 2024. That places this record below the midpoint for endocrinology, diabetes & metabolism clinicians in IA, where the typical reported total is $480.
Across 14 payments — averaging $21.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$252
- Amgen$19
- Insulet Corporation$15
- Lilly USA, LLC$12
What the payments were for
- Food & beverage$19967%
- Education$10033%
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 |
|---|---|---|
| Abbott | 11 | $252 |
| Amgen | 1 | $19 |
| Insulet Corporation | 1 | $15 |
| Lilly USA, LLC | 1 | $12 |
How this compares
$299 in reported general payments places this provider in the 35th percentile of 38 endocrinology, diabetes & metabolism providers in Iowa.
See all endocrinology, diabetes & metabolism providers in Iowa →
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 | 1,010 | $1,202,858 |
| JardianceEmpagliflozin | 776 | $765,707 |
| MounjaroTirzepatide | 231 | $287,599 |
| TrulicityDulaglutide | 208 | $248,952 |
| Tresiba Flextouch U-200Insulin Degludec | 209 | $217,433 |
| Tresiba Flextouch U-100Insulin Degludec | 283 | $155,929 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 62 | $141,472 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 117 | $113,473 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 71 | $98,817 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 101 | $96,009 |
| Novolog FlexpenInsulin Aspart | 326 | $86,772 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 159 | $80,165 |
| FarxigaDapagliflozin Propanediol | 90 | $77,537 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 413 | $64,843 |
| JanuviaSitagliptin Phosphate | 90 | $61,224 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity, Humalog, Insulin Lispro | $12 | $569,383604 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 35th percentile of 38 endocrinology, diabetes & metabolism providers in Iowa.
Other endocrinology, diabetes & metabolism in Ames
- Rami AlmokayyadAmes$3K
- Hugo Rivadeneyra PastenAmes$254
- Mary FigaroDavenport$73K
- Ayotunde DokunIowa City$31K
- Anuj BhargavaDes Moines$30K
- Marcelo CorreiaIowa City$10K
- Thomas OdorisioIowa City$7K
- Teck KhooDes Moines$6K
- Amie OgunsakinIowa City$2K
- Fnu DeepikaWaterloo$2K
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.