KAREN R GARNAAS

Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology REDDING, CA NPI 1124046776

General Payments — all program years on this page

$22,113.10

Category: General Payments
Program years: PY2018–2024
Record count: 491
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $13,314.03 across 146 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated

The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2024) · sorted by reported total.

Nature of payment	Amount	Records
Consulting Fee	$8,820.00	1
Food and Beverage	$3,186.61	140
Travel and Lodging	$1,297.42	4
Education	$10.00	1

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entity	Amount	Records
Alexion Pharmaceuticals, Inc.	$10,405.39	14
ABBVIE INC.	$400.78	22
Neurocrine BioSciences, Inc.	$268.46	12
UCB, Inc.	$202.85	8
ARGENX US, INC.	$161.18	7
PFIZER INC.	$157.14	10
Neurelis, Inc.	$148.04	5
Merz Pharmaceuticals, LLC	$102.73	3
Biogen, Inc.	$99.24	4
NOVARTIS PHARMACEUTICALS CORPORATION	$93.12	5
Mallinckrodt Hospital Products Inc.	$92.66	4
ACADIA Pharmaceuticals Inc	$92.18	4
MDD US Operations, LLC	$85.23	3
CSL Behring	$81.06	4
Takeda Pharmaceuticals U.S.A., Inc.	$75.13	4
EISAI INC.	$68.95	3
Axsome Therapeutics, Inc.	$63.80	2
Ipsen Biopharmaceuticals, Inc	$57.41	2
Genentech, Inc.	$52.85	2
Lundbeck LLC	$50.00	2
MITSUBISHI TANABE PHARMA AMERICA, INC.	$48.97	3
NEUROPACE, INC.	$43.42	1
EMD Serono, Inc.	$42.44	2
Alnylam Pharmaceuticals Inc.	$42.30	2
Octapharma USA, Inc.	$37.26	2
SK Life Science, Inc.	$29.10	1
Teva Pharmaceuticals USA, Inc.	$25.58	1
ANI Pharmaceuticals, Inc.	$25.35	1
GE HEALTHCARE	$25.15	1
Amgen Inc.	$25.00	1
Otsuka America Pharmaceutical, Inc.	$23.27	1
Genentech USA, Inc.	$22.62	1
Kyowa Kirin, Inc.	$22.19	1
EDW Pharma, Inc.	$21.54	1
Acorda Therapeutics, Inc	$21.38	1
Amneal Pharmaceuticals LLC	$20.30	1
ResMed Corp	$18.17	1
TG THERAPEUTICS, INC.	$17.76	1
Amylyx Pharmaceuticals, Inc.	$16.05	1
SCILEX PHARMACEUTICALS INC.	$14.68	1
BAXTER HEALTHCARE	$13.30	1

By program year

Program year	Amount	Records
2018	$261.01	23
2019	$164.76	19
2020	$171.49	10
2021	$1,271.66	71
2022	$2,481.19	91
2023	$4,448.96	131
2024	$13,314.03	146

Records — PY2024 (146)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1086868521	Novartis Pharmaceuticals Corporation	$16.03	02/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086868529	Novartis Pharmaceuticals Corporation	$13.77	05/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086868531	Novartis Pharmaceuticals Corporation	$26.16	07/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086868547	Novartis Pharmaceuticals Corporation	$18.81	09/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086868557	Novartis Pharmaceuticals Corporation	$18.35	12/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1091146880	ANI Pharmaceuticals, Inc.	$25.35	06/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1091982366	Ipsen Biopharmaceuticals, Inc	$26.61	06/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1091982368	Ipsen Biopharmaceuticals, Inc	$30.80	09/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1093884005	Alexion Pharmaceuticals, Inc.	$83.08	08/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1093899730	Alexion Pharmaceuticals, Inc.	$211.72	10/29/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1093906310	Alexion Pharmaceuticals, Inc.	$38.00	10/29/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1093909921	Alexion Pharmaceuticals, Inc.	$32.89	03/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1093929335	Alexion Pharmaceuticals, Inc.	$32.20	09/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1093942802	Alexion Pharmaceuticals, Inc.	$8,820.00	10/29/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1093957524	Alexion Pharmaceuticals, Inc.	$29.09	04/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1093985037	Alexion Pharmaceuticals, Inc.	$20.02	02/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1093989874	Alexion Pharmaceuticals, Inc.	$24.72	06/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1094006514	Alexion Pharmaceuticals, Inc.	$649.95	09/13/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1094032283	Alexion Pharmaceuticals, Inc.	$29.76	07/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1094037348	Alexion Pharmaceuticals, Inc.	$10.00	04/11/2024	Education	Undisputed	01/23/2026	View at CMS
1094039003	Alexion Pharmaceuticals, Inc.	$26.21	12/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1094043025	Alexion Pharmaceuticals, Inc.	$397.75	09/13/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1103777435	ABBVIE INC.	$15.70	01/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777437	ABBVIE INC.	$17.27	01/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777439	ABBVIE INC.	$5.25	01/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777441	ABBVIE INC.	$15.93	01/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777443	ABBVIE INC.	$13.10	02/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777445	ABBVIE INC.	$22.52	02/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777447	ABBVIE INC.	$12.40	02/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777449	ABBVIE INC.	$27.83	02/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777451	ABBVIE INC.	$18.95	03/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777453	ABBVIE INC.	$27.49	03/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777455	ABBVIE INC.	$26.93	03/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777457	ABBVIE INC.	$4.89	03/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777459	ABBVIE INC.	$11.71	04/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777461	ABBVIE INC.	$28.29	04/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777463	ABBVIE INC.	$17.38	04/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777465	ABBVIE INC.	$19.93	05/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777467	ABBVIE INC.	$17.95	06/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777469	ABBVIE INC.	$20.27	07/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777471	ABBVIE INC.	$16.08	08/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777473	ABBVIE INC.	$26.88	08/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777475	ABBVIE INC.	$19.73	09/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1103777477	ABBVIE INC.	$14.30	11/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104812953	Biogen, Inc.	$29.98	03/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104826380	Biogen, Inc.	$21.00	06/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104861026	Biogen, Inc.	$24.02	01/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104861028	Biogen, Inc.	$24.24	10/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1110757262	Eisai Inc.	$20.98	09/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1110757264	Eisai Inc.	$22.48	04/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1110757266	Eisai Inc.	$25.49	11/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111581004	Amgen Inc.	$25.00	10/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118296462	Baxter Healthcare	$13.30	05/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118896376	Otsuka America Pharmaceutical, Inc.	$23.27	08/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1120237010	EMD Serono, Inc.	$19.90	05/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1120267240	EMD Serono, Inc.	$22.54	10/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1125827799	Alnylam Pharmaceuticals Inc.	$26.14	04/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1125827909	Alnylam Pharmaceuticals Inc.	$16.16	11/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1127034220	Kyowa Kirin, Inc.	$22.19	07/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1130882942	PFIZER INC.	$9.67	02/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131127509	PFIZER INC.	$15.18	12/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131378387	PFIZER INC.	$15.29	04/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131476845	PFIZER INC.	$17.38	05/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131679355	PFIZER INC.	$17.57	06/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131765384	PFIZER INC.	$21.78	07/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131967271	PFIZER INC.	$24.03	09/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1132052592	PFIZER INC.	$11.62	04/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1132056646	PFIZER INC.	$11.47	08/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1132119898	PFIZER INC.	$13.15	10/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133044350	Genentech USA, Inc.	$22.62	10/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133044354	Genentech, Inc.	$23.97	09/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133044358	Genentech, Inc.	$28.88	12/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1134657789	CSL Behring	$22.64	01/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1134657801	CSL Behring	$16.40	03/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1134657823	CSL Behring	$21.46	07/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1134657835	CSL Behring	$20.56	10/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1136219205	SCILEX PHARMACEUTICALS INC.	$14.68	01/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1136870078	TG Therapeutics, Inc.	$17.76	10/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137552606	Takeda Pharmaceuticals U.S.A., Inc.	$18.71	02/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137552608	Takeda Pharmaceuticals U.S.A., Inc.	$18.17	08/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137552610	Takeda Pharmaceuticals U.S.A., Inc.	$19.37	10/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137552612	Takeda Pharmaceuticals U.S.A., Inc.	$18.88	11/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137951032	Merz Pharmaceuticals, LLC	$31.08	01/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137951034	Merz Pharmaceuticals, LLC	$40.01	04/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137951036	Merz Pharmaceuticals, LLC	$31.64	10/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139186420	Amneal Pharmaceuticals LLC	$20.30	03/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1140203934	Resmed Corp	$18.17	06/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142105753	ARGENX US, INC.	$1.65	05/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142108919	ARGENX US, INC.	$44.62	07/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142111329	ARGENX US, INC.	$25.18	08/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142112513	ARGENX US, INC.	$30.64	05/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142116331	ARGENX US, INC.	$33.13	09/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142124923	ARGENX US, INC.	$2.11	12/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142124925	ARGENX US, INC.	$23.85	12/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142314764	Octapharma USA, Inc.	$21.46	02/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142314768	Octapharma USA, Inc.	$15.80	07/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142348754	Acorda Therapeutics, Inc	$21.38	01/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143134857	UCB, Inc.	$30.57	01/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143134861	UCB, Inc.	$31.49	03/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143134865	UCB, Inc.	$24.84	03/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143134870	UCB, Inc.	$18.11	05/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143134874	UCB, Inc.	$33.03	06/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143134877	UCB, Inc.	$22.03	07/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143134882	UCB, Inc.	$20.74	10/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143152973	UCB, Inc.	$22.04	11/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1144506468	MITSUBISHI TANABE PHARMA AMERICA, INC.	$13.66	02/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1144508196	MITSUBISHI TANABE PHARMA AMERICA, INC.	$21.23	04/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1144509126	MITSUBISHI TANABE PHARMA AMERICA, INC.	$14.08	06/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1144690697	GE HEALTHCARE	$25.15	10/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145074630	Mallinckrodt Hospital Products Inc.	$29.21	02/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145074635	Mallinckrodt Hospital Products Inc.	$21.39	04/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145074639	Mallinckrodt Hospital Products Inc.	$21.03	08/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145074643	Mallinckrodt Hospital Products Inc.	$21.03	10/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145641946	Neurelis, Inc.	$5.53	01/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145641948	Neurelis, Inc.	$24.06	02/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145641950	Neurelis, Inc.	$4.24	03/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145641952	Neurelis, Inc.	$95.96	05/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145641954	Neurelis, Inc.	$18.25	08/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145917743	Lundbeck LLC	$19.74	05/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145917745	Lundbeck LLC	$30.26	09/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147756048	MDD US Operations, LLC	$32.60	10/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147770244	MDD US Operations, LLC	$23.80	04/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147770246	MDD US Operations, LLC	$28.83	12/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147970248	ACADIA Pharmaceuticals Inc	$22.79	02/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147970250	ACADIA Pharmaceuticals Inc	$22.72	05/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147970252	ACADIA Pharmaceuticals Inc	$22.82	08/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147970254	ACADIA Pharmaceuticals Inc	$23.85	11/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148254161	Amylyx Pharmaceuticals, Inc.	$16.05	01/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148295100	Axsome Therapeutics, Inc.	$33.64	04/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148295102	Axsome Therapeutics, Inc.	$30.16	06/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150811351	Neurocrine Biosciences, Inc.	$111.05	10/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150821515	Neurocrine Biosciences, Inc.	$33.06	08/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150823975	Neurocrine Biosciences, Inc.	$31.25	11/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150839792	Neurocrine Biosciences, Inc.	$25.00	04/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150858365	Neurocrine Biosciences, Inc.	$20.13	10/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150868472	Neurocrine Biosciences, Inc.	$17.12	01/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150881711	Neurocrine Biosciences, Inc.	$11.03	09/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150883461	Neurocrine Biosciences, Inc.	$8.78	02/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150885471	Neurocrine Biosciences, Inc.	$7.02	12/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150891269	Neurocrine Biosciences, Inc.	$1.99	08/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150892085	Neurocrine Biosciences, Inc.	$1.24	02/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150892519	Neurocrine Biosciences, Inc.	$0.79	02/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151650733	Teva Pharmaceuticals USA, Inc.	$25.58	04/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153274364	NEUROPACE, INC.	$43.42	02/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154133255	SK Life Science, Inc.	$29.10	03/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154916924	EDW Pharma, Inc.	$21.54	08/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS

Provenance & corrections

Dataset: CMS Open Payments — General Payments
Source: CMS Open Payments dataset (bulk file)
Publisher of source data: Centers for Medicare & Medicaid Services
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.