Ryan Karmouta, MD
Dermatology · Salem, NHNPI 1316441066
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.9% of the total across 298 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 24 manufacturers, the largest accounting for just 13.0% — the pattern of someone who eats at a lot of different presentations.
Across 298 payments — averaging $20.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sun Pharmaceutical Industries Inc.$808
- E.r. Squibb & Sons, L.L.C.$807
- LEO Pharma Inc.$728
- Pfizer$473
- Lilly USA, LLC$430
- Johnson & Johnson$390
- plus $3K from 18 others
What the payments were for
- Food & beverage$5,95396%
- Education$2554%
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 |
|---|---|---|
| Sun Pharmaceutical Industries Inc. | 32 | $808 |
| E.r. Squibb & Sons, L.L.C. | 41 | $807 |
| LEO Pharma Inc. | 37 | $728 |
| Pfizer | 26 | $473 |
| Lilly USA, LLC | 23 | $430 |
| Johnson & Johnson | 16 | $390 |
| AbbVie | 17 | $386 |
| Sanofi | 15 | $340 |
| Dermavant Sciences, Inc. | 13 | $322 |
| Galderma Laboratories, L.p. | 18 | $290 |
| Arcutis Biotherapeutics, Inc. | 15 | $249 |
| Incyte Corporation | 7 | $202 |
| Novartis | 7 | $162 |
| Strata Skin Sciences, Inc. | 11 | $138 |
| UCB, Inc. | 5 | $135 |
| Sanofi-aventis U.S. LLC | 1 | $80 |
| Amgen | 3 | $57 |
| Organon | 4 | $52 |
| Botanix SB Inc | 2 | $51 |
| Boehringer Ingelheim | 1 | $32 |
| Verrica Pharmaceuticals Inc. | 1 | $22 |
| Sandoz | 1 | $20 |
| Bristol Myers Squibb | 1 | $19 |
| Regeneron Healthcare Solutions, Inc. | 1 | $15 |
How this compares
$6,208 in reported general payments places this provider in the 75th percentile of 75 dermatology providers in New Hampshire.
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 |
|---|---|---|
| Skyrizi PenRisankizumab-Rzaa | 12 | $247,551 |
| Dupixent PenDupilumab | 33 | $121,963 |
| Clobetasol Propionate | 130 | $11,612 |
| Tacrolimus | 35 | $6,296 |
| Triamcinolone Acetonide | 313 | $4,128 |
| Fluocinonide | 111 | $3,583 |
| Fluorouracil | 43 | $3,535 |
| Clindamycin Phosphate | 67 | $2,590 |
| Ketoconazole | 211 | $2,253 |
| Metronidazole | 44 | $1,941 |
| Ciclopirox | 47 | $1,725 |
| CiclopiroxCiclopirox Olamine | 63 | $1,315 |
| Minoxidil | 115 | $996 |
| Tretinoin | 16 | $909 |
| Desonide | 15 | $712 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Salem
- Abel JarellPortsmouth$2.3M
- Robert PosnickNashua$951K
- David PosnickNashua$203K
- Yulianna RussakLebanon$170K
- Peter JenkinManchester$117K
- Neera NathanLondonderry$83K
- Michael LichterNashua$53K
- Michael ChapmanLebanon$39K
- Jennifer SteadBedford$30K
- Christopher MancusoNashua$22K
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.