Shawhin Karimi, MD
Endocrinology, Diabetes & Metabolism · Houston, TXNPI 1497174320
Payments from drug & device makers
Across 1,567 payments — averaging $19.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$4K
- Tandem Diabetes Care, Inc.$3K
- Lilly USA, LLC$2K
- Amgen$2K
- Dexcom, Inc.$1K
- Boehringer Ingelheim$1K
- plus $17K from 54 others
What the payments were for
- Speaking & faculty fees$2,7259%
- Travel & lodging$9113%
- Food & beverage$26,29888%
- Education$110%
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.
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.
- t:slim X2 insulin pump$2,600
- DEXCOM G6 TRANSMITTER$888
- Minimed 670G System$852
- Pogo Automatic Blood Glucose Monitoring System$239
- Ozempic$221
- NATPARA (PARATHYROID HORMONE)$125
- Repatha$122
- Korlym$122
- NEXLIZET$119
- NEXLETOL$119
- JARDIANCE$117
- Saxenda$115
- TZIELD$115
- FARXIGA$107
- RYBELSUS$104
- CeQur Simplicity$102
How this compares
$29,946 in reported general payments places this provider in the 75th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.
See all endocrinology, diabetes & metabolism providers in Texas →
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 | 292 | $501,493 |
| MounjaroTirzepatide | 223 | $341,085 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 80 | $120,513 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 49 | $65,266 |
| JardianceEmpagliflozin | 60 | $56,088 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 39 | $48,088 |
| FarxigaDapagliflozin Propanediol | 50 | $47,006 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 37 | $45,417 |
| Tresiba Flextouch U-200Insulin Degludec | 48 | $40,359 |
| Xigduo XrDapaglifloz Propaned/Metformin | 24 | $36,285 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 26 | $28,973 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 30 | $26,277 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 63 | $25,616 |
| TrulicityDulaglutide | 17 | $25,416 |
| Gvoke Hypopen 2-PackGlucagon | 41 | $23,249 |
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, Novolog | $3,545 | $511,266314 claims |
| Lilly USA, LLCMounjaro, Trulicity, Baqsimi, Humalog, Insulin Lispro | $1,699 | $400,009328 claims |
| Boehringer IngelheimSynjardy Xr, Jardiance | $1,445 | $121,354109 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $1,321 | $48,08839 claims |
| AstraZenecaFarxiga | $1,158 | $47,00650 claims |
| MerckJanumet | $154 | $8,02013 claims |
| AbbVieSynthroid | $709 | $6,15169 claims |
| IBSA Pharma Inc.Tirosint | $482 | $3,95213 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium, Unithroid | $762 | $3,764223 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 75th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.
Other endocrinology, diabetes & metabolism in Houston
- Maria CabanillasHouston$16.4M
- Damaris VegaHouston$12.3M
- Amer Al KaradshehHouston$8.8M
- Amir HassanHouston$5.2M
- Camilo JimenezHouston$5M
- Rocio HarbisonHouston$3.2M
- Gerardo BuesoHouston$1.2M
- Veena WatweHouston$976K
- Andres SplenserHouston$923K
- Prashant KoshyHouston$795K
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.