Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

HEATHER M KAREM

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1154931202
CMS profile
10730400
Location
LOUISVILLE, KY

General Payments · PY2021–2024

$6,414.42

  • Reported across 326 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,489.47

72 records · 0 disputed

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

How these totals are 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,489.47 72

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $804.65 31
PY2022 $2,006.27 108
PY2023 $2,114.03 115
PY2024 $1,489.47 72

Payment records · PY2024 (72)

Sorted by paying entity, then date · as published by CMS

Program year 2024 202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $21.44 03/14/2024 Food and Beverage Undisputed 01/23/2026 1107438145 CMS
ABBVIE INC. $22.02 08/23/2024 Food and Beverage Undisputed 01/23/2026 1107438147 CMS
Alexion Pharmaceuticals, Inc. $23.04 02/20/2024 Food and Beverage Undisputed 01/23/2026 1093912122 CMS
Alexion Pharmaceuticals, Inc. $25.74 07/09/2024 Food and Beverage Undisputed 01/23/2026 1093911511 CMS
AstraZeneca Pharmaceuticals LP $17.58 07/22/2024 Food and Beverage Undisputed 01/23/2026 1105697016 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.98 02/22/2024 Food and Beverage Undisputed 01/23/2026 1086361865 CMS
Blueprint Medicines Corporation $23.85 01/17/2024 Food and Beverage Undisputed 01/23/2026 1147449270 CMS
Blueprint Medicines Corporation $28.51 08/14/2024 Food and Beverage Undisputed 01/23/2026 1147449306 CMS
Coherus Biosciences Inc. $20.45 07/22/2024 Food and Beverage Undisputed 01/23/2026 1147273519 CMS
Cumberland Pharmaceuticals, Inc. $17.56 07/02/2024 Food and Beverage Undisputed 01/23/2026 1146405639 CMS
Daiichi Sankyo Inc. $23.82 01/22/2024 Food and Beverage Undisputed 01/23/2026 1089440507 CMS
Daiichi Sankyo Inc. $29.75 07/13/2024 Food and Beverage Undisputed 01/23/2026 1089440509 CMS
Daiichi Sankyo Inc. $29.23 08/07/2024 Food and Beverage Undisputed 01/23/2026 1089440513 CMS
Daiichi Sankyo Inc. $18.18 08/27/2024 Food and Beverage Undisputed 01/23/2026 1089440511 CMS
E.R. Squibb & Sons, L.L.C. $15.47 04/30/2024 Food and Beverage Undisputed 01/23/2026 1101546163 CMS
Eisai Inc. $19.50 01/30/2024 Food and Beverage Undisputed 01/23/2026 1110803132 CMS
Eisai Inc. $15.14 06/06/2024 Food and Beverage Undisputed 01/23/2026 1110803134 CMS
Eisai Inc. $13.82 07/26/2024 Food and Beverage Undisputed 01/23/2026 1110803130 CMS
Genentech USA, Inc. $18.80 06/05/2024 Food and Beverage Undisputed 01/23/2026 1133160822 CMS
Genmab U.S., Inc. $17.60 05/20/2024 Food and Beverage Undisputed 01/23/2026 1126835920 CMS
Incyte Corporation $12.68 01/25/2024 Food and Beverage Undisputed 01/23/2026 1141212509 CMS
Incyte Corporation $13.84 01/31/2024 Food and Beverage Undisputed 01/23/2026 1141288472 CMS
Incyte Corporation $23.16 02/07/2024 Food and Beverage Undisputed 01/23/2026 1141288752 CMS
Incyte Corporation $25.09 02/19/2024 Food and Beverage Undisputed 01/23/2026 1141212801 CMS
Incyte Corporation $27.57 03/28/2024 Food and Beverage Undisputed 01/23/2026 1141213320 CMS
Incyte Corporation $11.43 05/29/2024 Food and Beverage Undisputed 01/23/2026 1141290038 CMS
Incyte Corporation $25.34 07/29/2024 Food and Beverage Undisputed 01/23/2026 1141256897 CMS
Incyte Corporation $20.33 08/12/2024 Food and Beverage Undisputed 01/23/2026 1141291012 CMS
Janssen Biotech, Inc. $17.81 04/05/2024 Food and Beverage Undisputed 01/23/2026 1078658946 CMS
Janssen Biotech, Inc. $20.24 04/23/2024 Food and Beverage Undisputed 01/23/2026 1078656338 CMS
Janssen Biotech, Inc. $20.79 05/16/2024 Food and Beverage Undisputed 01/23/2026 1078658209 CMS
Lilly USA, LLC $25.04 01/04/2024 Food and Beverage Undisputed 01/23/2026 1135699008 CMS
Lilly USA, LLC $16.27 03/13/2024 Food and Beverage Undisputed 01/23/2026 1135690810 CMS
Merck Sharp & Dohme LLC $26.27 01/03/2024 Food and Beverage Undisputed 01/23/2026 1141778489 CMS
Merck Sharp & Dohme LLC $22.44 01/11/2024 Food and Beverage Undisputed 01/23/2026 1141778495 CMS
Merck Sharp & Dohme LLC $20.87 01/23/2024 Food and Beverage Undisputed 01/23/2026 1141778473 CMS
Merck Sharp & Dohme LLC $22.77 02/13/2024 Food and Beverage Undisputed 01/23/2026 1141952373 CMS
Merck Sharp & Dohme LLC $18.10 02/23/2024 Food and Beverage Undisputed 01/23/2026 1141778487 CMS
Merck Sharp & Dohme LLC $20.58 03/19/2024 Food and Beverage Undisputed 01/23/2026 1141778293 CMS
Merck Sharp & Dohme LLC $17.16 03/21/2024 Food and Beverage Undisputed 01/23/2026 1141778491 CMS
Merck Sharp & Dohme LLC $25.83 04/16/2024 Food and Beverage Undisputed 01/23/2026 1141778469 CMS
Merck Sharp & Dohme LLC $25.92 04/26/2024 Food and Beverage Undisputed 01/23/2026 1141778471 CMS
Merck Sharp & Dohme LLC $16.34 05/14/2024 Food and Beverage Undisputed 01/23/2026 1141778295 CMS
Merck Sharp & Dohme LLC $21.03 05/15/2024 Food and Beverage Undisputed 01/23/2026 1141778493 CMS
Merck Sharp & Dohme LLC $25.23 05/21/2024 Food and Beverage Undisputed 01/23/2026 1141952119 CMS
Merck Sharp & Dohme LLC $23.22 06/13/2024 Food and Beverage Undisputed 01/23/2026 1141778297 CMS
Merck Sharp & Dohme LLC $22.73 06/18/2024 Food and Beverage Undisputed 01/23/2026 1141778659 CMS
Merck Sharp & Dohme LLC $17.38 07/16/2024 Food and Beverage Undisputed 01/23/2026 1141893260 CMS
Novartis Pharmaceuticals Corporation $19.55 01/09/2024 Food and Beverage Undisputed 01/23/2026 1087107326 CMS
Novartis Pharmaceuticals Corporation $15.76 01/30/2024 Food and Beverage Undisputed 01/23/2026 1087107332 CMS
Novartis Pharmaceuticals Corporation $27.10 02/16/2024 Food and Beverage Undisputed 01/23/2026 1087107336 CMS
Novartis Pharmaceuticals Corporation $14.71 04/22/2024 Food and Beverage Undisputed 01/23/2026 1087107344 CMS
Novartis Pharmaceuticals Corporation $32.19 05/21/2024 Food and Beverage Undisputed 01/23/2026 1087107354 CMS
Novartis Pharmaceuticals Corporation $29.78 05/22/2024 Food and Beverage Undisputed 01/23/2026 1087107364 CMS
Novartis Pharmaceuticals Corporation $17.87 06/26/2024 Food and Beverage Undisputed 01/23/2026 1087107358 CMS
Novartis Pharmaceuticals Corporation $1.65 08/15/2024 Food and Beverage Undisputed 01/23/2026 1087107362 CMS
Novartis Pharmaceuticals Corporation $15.25 09/17/2024 Food and Beverage Undisputed 01/23/2026 1087107370 CMS
Novartis Pharmaceuticals Corporation $26.42 11/08/2024 Food and Beverage Undisputed 01/23/2026 1087107378 CMS
Novartis Pharmaceuticals Corporation $17.30 11/15/2024 Food and Beverage Undisputed 01/23/2026 1087107386 CMS
PFIZER INC. $14.11 11/15/2024 Food and Beverage Undisputed 01/23/2026 1131379520 CMS
PUMA BIOTECHNOLOGY, INC. $15.92 01/25/2024 Food and Beverage Undisputed 01/23/2026 1113858645 CMS
PUMA BIOTECHNOLOGY, INC. $18.94 03/20/2024 Food and Beverage Undisputed 01/23/2026 1113854312 CMS
PUMA BIOTECHNOLOGY, INC. $16.63 04/04/2024 Food and Beverage Undisputed 01/23/2026 1113849019 CMS
Regeneron Healthcare Solutions, Inc. $21.27 02/08/2024 Food and Beverage Undisputed 01/23/2026 1114323898 CMS
Regeneron Healthcare Solutions, Inc. $24.05 08/09/2024 Food and Beverage Undisputed 01/23/2026 1114323900 CMS
Rigel Pharmaceuticals, Inc. $22.45 03/04/2024 Food and Beverage Undisputed 01/23/2026 1145199356 CMS
Rigel Pharmaceuticals, Inc. $14.39 05/30/2024 Food and Beverage Undisputed 01/23/2026 1145199364 CMS
SOBI, INC $20.78 03/01/2024 Food and Beverage Undisputed 01/23/2026 1141417216 CMS
Stemline Therapeutics Inc. $23.28 05/08/2024 Food and Beverage Undisputed 01/23/2026 1142967895 CMS
Sumitomo Pharma America, Inc. $21.29 04/12/2024 Food and Beverage Undisputed 01/23/2026 1148971228 CMS
Takeda Pharmaceuticals U.S.A., Inc. $24.53 04/09/2024 Food and Beverage Undisputed 01/23/2026 1144977994 CMS
Takeda Pharmaceuticals U.S.A., Inc. $33.31 07/10/2024 Food and Beverage Undisputed 01/23/2026 1144977996 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
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.

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