Saul Karpen
Gastroenterology · Atlanta, GANPI 1427138783
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $33,843 of the $51,057 with a category attached, or 66.3%. 8 manufacturers reported payments, led by Mirum Pharmaceuticals, Inc. at 45.0% of the total. Reporting peaked in 2023 at $15,710 and has fallen 99.4% since, to $88 in 2025. Among gastroenterology clinicians in GA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 51 payments — averaging $1001.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mirum Pharmaceuticals, Inc.$23K
- Intercept Pharmaceuticals, Inc.$16K
- Albireo Pharma, Inc.$5K
- Ipsen Bioscience Inc.$3K
- Vertex$3K
- Madrigal Pharmaceuticals$136
- plus $135 from 2 others
Across 29 payments — averaging $10,941 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.
- Albireo Pharma, Inc.$199K
- Mirum Pharmaceuticals, Inc.$118K
What the payments were for
- Consulting fees$33,84366%
- Speaking & faculty fees$8,91417%
- Travel & lodging$7,23614%
- Food & beverage$1,0642%
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 |
|---|---|---|
| Mirum Pharmaceuticals, Inc. | 24 | $22,987 |
| Intercept Pharmaceuticals, Inc. | 13 | $16,389 |
| Albireo Pharma, Inc. | 8 | $5,247 |
| Ipsen Bioscience Inc. | 1 | $3,364 |
| Vertex | 1 | $2,800 |
| Madrigal Pharmaceuticals | 1 | $136 |
| Ipsen Innovation | 1 | $88 |
| Siemens Medical Solutions USA, Inc. | 2 | $46 |
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.
- Livmarli$16,691
- OCALIVA$8,990
- Bylvay$5,085
- RESMETIROM$136
How this compares
$51,057 in reported general payments places this provider in the 95th percentile of 492 gastroenterology providers in Georgia.
Other gastroenterology in Atlanta
- Nitin GuptaAtlanta$1.1M
- Cynthia RudertAtlanta$720K
- Douglas WolfAtlanta$668K
- Kavita KongaraAtlanta$492K
- Girish AnandAtlanta$425K
- Roshan ShresthaAtlanta$317K
- Hetal KarsanAtlanta$314K
- Marc SonenshineAtlanta$201K
- Julia LiuAtlanta$163K
- Huiming HonAtlanta$159K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.