Covered recipient · General Payments record
MICHAEL KARRAM
Allopathic & Osteopathic Physicians Obstetrics & Gynecology
General Payments · PY2018–2023
$49,930.61
- Reported across 105 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
PY2023 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $417.16 | 9 |
| Honoraria | $271.06 | 2 |
By paying entity
PY2023 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Axonics Modulation Technologies, Inc. | $271.06 | 2 |
| Caldera Medical, Inc | $245.58 | 2 |
| ABBVIE INC. | $65.51 | 3 |
| Channel Medsystems, Inc. | $58.22 | 1 |
| PFIZER INC. | $19.19 | 1 |
| BOSTON SCIENTIFIC CORPORATION | $14.76 | 1 |
| Astellas Pharma US Inc | $13.90 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2023 (11)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| ABBVIE INC. | $24.53 | 01/17/2023 | Food and Beverage | Undisputed | 01/23/2026 | 997608153 | CMS |
| ABBVIE INC. | $14.40 | 06/07/2023 | Food and Beverage | Undisputed | 01/23/2026 | 997608155 | CMS |
| ABBVIE INC. | $26.58 | 06/22/2023 | Food and Beverage | Undisputed | 01/23/2026 | 997608157 | CMS |
| Astellas Pharma US Inc | $13.90 | 10/13/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1034595691 | CMS |
| Axonics, Inc. | $133.07 | 08/14/2023 | Honoraria | Undisputed | 01/23/2026 | 1051783349 | CMS |
| Axonics, Inc. | $137.99 | 09/06/2023 | Honoraria | Undisputed | 01/23/2026 | 1051783351 | CMS |
| Boston Scientific Corporation | $14.76 | 08/01/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1022473525 | CMS |
| Caldera Medical, Inc | $31.44 | 02/21/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1009332373 | CMS |
| Caldera Medical, Inc | $214.14 | 09/19/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1009332383 | CMS |
| Channel Medsystems, Inc. | $58.22 | 02/07/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1012078222 | CMS |
| PFIZER INC. | $19.19 | 05/19/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1049793195 | 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, 2020, 2021, 2022, 2023
- Generated from
- OP_DTL_GNRL_PGYR2023_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.