Covered recipient · General Payments record
KARL L INSOGNA
Allopathic & Osteopathic Physicians Internal Medicine Endocrinology, Diabetes & Metabolism
General Payments · PY2018–2024
$58,898.32
- Reported across 38 records
- CMS publication 2026-01-23
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 payment | Amount | Records |
|---|---|---|
| Consulting Fee | $13,555.00 | 5 |
| Travel and Lodging | $1,045.70 | 6 |
| Food and Beverage | $372.92 | 7 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Kyowa Kirin, Inc. | $12,581.12 | 16 |
| Kyowa Kirin Services Ltd | $2,392.50 | 2 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (18)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Kyowa Kirin Services Ltd | $1,740.00 | 07/04/2024 | Consulting Fee | Undisputed | 01/23/2026 | 1127034256 | CMS |
| Kyowa Kirin Services Ltd | $652.50 | 07/04/2024 | Consulting Fee | Undisputed | 01/23/2026 | 1127034258 | CMS |
| Kyowa Kirin, Inc. | $150.00 | 02/07/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1127034264 | CMS |
| Kyowa Kirin, Inc. | $48.24 | 02/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1127034266 | CMS |
| Kyowa Kirin, Inc. | $49.99 | 02/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1127034268 | CMS |
| Kyowa Kirin, Inc. | $54.98 | 02/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1127034270 | CMS |
| Kyowa Kirin, Inc. | $20.45 | 02/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1127034272 | CMS |
| Kyowa Kirin, Inc. | $303.97 | 02/08/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1127034276 | CMS |
| Kyowa Kirin, Inc. | $4,987.50 | 02/27/2024 | Consulting Fee | Undisputed | 01/23/2026 | 1127034260 | CMS |
| Kyowa Kirin, Inc. | $2,850.00 | 02/27/2024 | Consulting Fee | Undisputed | 01/23/2026 | 1127034262 | CMS |
| Kyowa Kirin, Inc. | $39.71 | 02/27/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1127034274 | CMS |
| Kyowa Kirin, Inc. | $339.00 | 02/27/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1127034278 | CMS |
| Kyowa Kirin, Inc. | $354.00 | 05/31/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1127034288 | CMS |
| Kyowa Kirin, Inc. | $3,325.00 | 06/11/2024 | Consulting Fee | Undisputed | 01/23/2026 | 1127034290 | CMS |
| Kyowa Kirin, Inc. | $9.55 | 06/24/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1127034280 | CMS |
| Kyowa Kirin, Inc. | $29.91 | 06/24/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1127034282 | CMS |
| Kyowa Kirin, Inc. | $4.82 | 06/24/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1127034284 | CMS |
| Kyowa Kirin, Inc. | $14.00 | 06/24/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1127034286 | 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
- 2018, 2019, 2022, 2023, 2024
- 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.