RxDoctor Payments Data

Waasil Kareem, MD

Pulmonary Disease · Duarte, CANPI 1588003602

Payments from drug & device makers

What this record shows

The money is spread across several categories — education (49.5%), speaking fees and grants — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 79.2% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2023 at $50,000 and has fallen 57.8% since, to $21,112 in 2025. Among pulmonary disease clinicians in CA 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.

$154,033in general payments, 2019–2025

Across 194 payments — averaging $793.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$122K
  • Boston Scientific$30K
  • Johnson & Johnson$679
  • Galvanize Therapeutics, Inc$372
  • Olympus America Inc.$283
  • Pulmonx Corporation$138
  • plus $523 from 9 others

What the payments were for

  • Speaking & faculty fees$38,00025%
  • Grants$30,00019%
  • Travel & lodging$2,2031%
  • Food & beverage$7,6305%
  • Education$76,20049%

General payments by program year

19
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.

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

$154,033 in reported general payments places this provider in the 95th percentile of 1,261 pulmonary disease providers in California.

See all pulmonary disease providers in California →

Medicare billing

Part B allowed, 2024
$187,146
Medicare patients
431
Services billed
1,379

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
Trelegy ElliptaFluticasone/Umeclidin/Vilanter75$49,327
Incruse ElliptaUmeclidinium Bromide12$4,138
Albuterol Sulfate HfaAlbuterol Sulfate61$1,969
Ventolin HfaAlbuterol Sulfate14$767
Azithromycin30$125
Montelukast Sodium17$108
Prednisone19$57

Paid to pharmacies, not to this prescriber.

Other pulmonary disease in Duarte

See the full list for California →

Where these figures come from

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