RxDoctor Payments Data

Shawhin Karimi, MD

Endocrinology, Diabetes & Metabolism · Houston, TXNPI 1497174320

Payments from drug & device makers

$29,946in general payments, 2019–2025

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

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Novo Nordisk274$3,545
Tandem Diabetes Care, Inc.25$2,957
Lilly USA, LLC121$1,699
Amgen93$1,535
Dexcom, Inc.28$1,450
Boehringer Ingelheim70$1,445
Sanofi-aventis U.S. LLC86$1,321
Medtronic(2 entities)22$1,250
AstraZeneca(2 entities)46$1,158
Corcept Therapeutics46$983
Insulet Corporation99$959
Intuity Medical Inc56$841
Amneal Pharmaceuticals LLC52$762
Xeris Pharmaceuticals, Inc.39$748
Bayer46$714
AbbVie39$709
Amarin Pharma, Inc.33$629
Esperion Therapeutics, Inc.29$586
Mannkind Corporation37$516
IBSA Pharma Inc.34$482
Radius Health, Inc.19$422
Antares Pharma, Inc.21$342
Abbott24$326
BD16$306
Astellas Pharma US Inc14$263
Zealand Pharma US, Inc.13$258
BETA Bionics, Inc.15$241
Cequr Corporation4$239
Recordati_rare_diseases_inc.12$232
Valeritas, Inc.16$206
Novartis7$159
Merck14$154
Ultragenyx Pharmaceutical Inc.7$149
Ascendis Pharma Endocrinology Inc5$132
Shield Therapeutics Inc7$128
Takeda Pharmaceuticals U.S.A., Inc.1$125
Vivus LLC7$119
Avvisto Therapeutics, LLC2$113
Tolmar, Inc.7$111
Amphastar Pharmaceuticals, Inc.5$104
Clarus Therapeutics Inc.4$98
Johnson & Johnson5$93
Kyowa Kirin, Inc.4$91
Amryt Pharma Holdings Ltd4$79
Neurocrine Biosciences, Inc.3$78
Averitas Pharma Inc.4$78
Shire North American Group Inc4$78
Pfizer5$77
Sequel Med Tech, LLC2$76
Companion Medical, Inc.5$69
GRT US Holding, Inc.3$69
Sandoz2$63
Nevro Corp.3$62
Madrigal Pharmaceuticals2$57
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC4$52
Alvogen Inc2$46
Currax Pharmaceuticals LLC3$42
Bigfoot Biomedical Inc2$39
Halozyme Inc2$30
Rhythm Pharmaceuticals, Inc.1$26

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

$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

Part B allowed, 2024
$122,615
Medicare patients
369
Services billed
1,402

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

DrugClaimsCost to plans & patients
OzempicSemaglutide292$501,493
MounjaroTirzepatide223$341,085
Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/780$120,513
Synjardy XrEmpagliflozin/Metformin Hcl49$65,266
JardianceEmpagliflozin60$56,088
Soliqua 100-33Insulin Glargine/Lixisenatide39$48,088
FarxigaDapagliflozin Propanediol50$47,006
Humulin R U-500 KwikpenInsulin Regular, Human37$45,417
Tresiba Flextouch U-200Insulin Degludec48$40,359
Xigduo XrDapaglifloz Propaned/Metformin24$36,285
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog26$28,973
Fiasp FlextouchInsulin Aspart (Niacinamide)30$26,277
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog63$25,616
TrulicityDulaglutide17$25,416
Gvoke Hypopen 2-PackGlucagon41$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.

CompanyPaid to this providerPart 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

See the full list for Texas

Where these figures come from

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