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

JOSEPH R KARAM

Allopathic & Osteopathic Physicians Surgery

NPI
1497999718
CMS profile
1340477
Location
SAN ANTONIO, TX

General Payments · PY2018–2024

$314,208.30

  • Reported across 461 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$20,852.03

51 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

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
INTUITIVE SURGICAL, INC. $19,961.68 42
TELA Bio, Inc. $269.94 2
Janssen Pharmaceuticals, Inc $129.30 1
Phathom Pharmaceuticals, Inc. $124.99 1
GlaxoSmithKline, LLC. $120.56 1
Lilly USA, LLC $117.41 1
Medtronic, Inc. $114.33 2
DAVOL INC. $13.82 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $37,837.57 60
PY2019 $39,180.90 57
PY2020 $65,369.81 58
PY2021 $56,235.20 72
PY2022 $65,191.76 88
PY2023 $29,541.03 75
PY2024 $20,852.03 51

Payment records · PY2024 (51)

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

Program year 2024 201820192020202120222023 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
Davol Inc. $13.82 04/23/2024 Food and Beverage Undisputed 01/23/2026 1127654672 CMS
GlaxoSmithKline, LLC. $120.56 04/17/2024 Food and Beverage Undisputed 01/23/2026 1116623035 CMS
INTUITIVE SURGICAL, INC. $22.90 01/02/2024 Food and Beverage Undisputed 01/23/2026 1137185323 CMS
INTUITIVE SURGICAL, INC. $500.00 01/24/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1137200234 CMS
INTUITIVE SURGICAL, INC. $368.60 01/26/2024 Travel and Lodging Undisputed 01/23/2026 1137183847 CMS
INTUITIVE SURGICAL, INC. $19.00 01/26/2024 Travel and Lodging Undisputed 01/23/2026 1137251001 CMS
INTUITIVE SURGICAL, INC. $99.82 02/13/2024 Food and Beverage Undisputed 01/23/2026 1137108168 CMS
INTUITIVE SURGICAL, INC. $133.25 02/13/2024 Travel and Lodging Undisputed 01/23/2026 1137269302 CMS
INTUITIVE SURGICAL, INC. $182.95 02/14/2024 Travel and Lodging Undisputed 01/23/2026 1137135706 CMS
INTUITIVE SURGICAL, INC. $1,000.00 02/28/2024 Education Undisputed 01/23/2026 1137215413 CMS
INTUITIVE SURGICAL, INC. $150.00 03/06/2024 Food and Beverage Undisputed 01/23/2026 1137128340 CMS
INTUITIVE SURGICAL, INC. $4,000.00 03/06/2024 Education Undisputed 01/23/2026 1137148404 CMS
INTUITIVE SURGICAL, INC. $1,000.00 03/27/2024 Education Undisputed 01/23/2026 1137161059 CMS
INTUITIVE SURGICAL, INC. $500.00 04/03/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1137254659 CMS
INTUITIVE SURGICAL, INC. $52.08 04/09/2024 Food and Beverage Undisputed 01/23/2026 1137247696 CMS
INTUITIVE SURGICAL, INC. $750.00 05/22/2024 Education Undisputed 01/23/2026 1137275163 CMS
INTUITIVE SURGICAL, INC. $1,000.00 06/05/2024 Education Undisputed 01/23/2026 1137093235 CMS
INTUITIVE SURGICAL, INC. $73.12 06/18/2024 Food and Beverage Undisputed 01/23/2026 1137249209 CMS
INTUITIVE SURGICAL, INC. $27.23 06/25/2024 Food and Beverage Undisputed 01/23/2026 1137274367 CMS
INTUITIVE SURGICAL, INC. $500.00 07/03/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1137280446 CMS
INTUITIVE SURGICAL, INC. $500.00 07/17/2024 Education Undisputed 01/23/2026 1137257699 CMS
INTUITIVE SURGICAL, INC. $4,000.00 07/19/2024 Education Undisputed 01/23/2026 1137206743 CMS
INTUITIVE SURGICAL, INC. $150.00 07/19/2024 Food and Beverage Undisputed 01/23/2026 1137263547 CMS
INTUITIVE SURGICAL, INC. $750.00 08/23/2024 Education Undisputed 01/23/2026 1137071685 CMS
INTUITIVE SURGICAL, INC. $1,000.00 10/23/2024 Education Undisputed 01/23/2026 1137245676 CMS
INTUITIVE SURGICAL, INC. $500.00 10/25/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1137253763 CMS
INTUITIVE SURGICAL, INC. $21.91 11/05/2024 Food and Beverage Undisputed 01/23/2026 1137156675 CMS
INTUITIVE SURGICAL, INC. $218.48 11/09/2024 Travel and Lodging Undisputed 01/23/2026 1137194797 CMS
INTUITIVE SURGICAL, INC. $19.00 11/09/2024 Travel and Lodging Undisputed 01/23/2026 1137214207 CMS
INTUITIVE SURGICAL, INC. $19.00 11/09/2024 Travel and Lodging Undisputed 01/23/2026 1137264351 CMS
INTUITIVE SURGICAL, INC. $281.06 11/09/2024 Travel and Lodging Undisputed 01/23/2026 1137267150 CMS
INTUITIVE SURGICAL, INC. $29.65 11/19/2024 Food and Beverage Undisputed 01/23/2026 1137123403 CMS
INTUITIVE SURGICAL, INC. $294.49 11/21/2024 Travel and Lodging Undisputed 01/23/2026 1137140146 CMS
INTUITIVE SURGICAL, INC. $30.00 11/21/2024 Travel and Lodging Undisputed 01/23/2026 1137159610 CMS
INTUITIVE SURGICAL, INC. $30.00 11/26/2024 Travel and Lodging Undisputed 01/23/2026 1137106020 CMS
INTUITIVE SURGICAL, INC. $202.63 11/26/2024 Travel and Lodging Undisputed 01/23/2026 1137277012 CMS
INTUITIVE SURGICAL, INC. $130.77 11/26/2024 Travel and Lodging Undisputed 01/23/2026 1137297347 CMS
INTUITIVE SURGICAL, INC. $191.78 11/27/2024 Travel and Lodging Undisputed 01/23/2026 1137210517 CMS
INTUITIVE SURGICAL, INC. $1,000.00 12/06/2024 Education Undisputed 01/23/2026 1137141789 CMS
INTUITIVE SURGICAL, INC. $23.39 12/10/2024 Food and Beverage Undisputed 01/23/2026 1137104903 CMS
INTUITIVE SURGICAL, INC. $80.00 12/10/2024 Food and Beverage Undisputed 01/23/2026 1137215327 CMS
INTUITIVE SURGICAL, INC. $27.33 12/10/2024 Food and Beverage Undisputed 01/23/2026 1137251145 CMS
INTUITIVE SURGICAL, INC. $58.75 12/10/2024 Food and Beverage Undisputed 01/23/2026 1137264281 CMS
INTUITIVE SURGICAL, INC. $24.49 12/17/2024 Food and Beverage Undisputed 01/23/2026 1137289897 CMS
Janssen Pharmaceuticals, Inc $129.30 07/17/2024 Food and Beverage Undisputed 01/23/2026 1078214909 CMS
Lilly USA, LLC $117.41 05/15/2024 Food and Beverage Undisputed 01/23/2026 1135105773 CMS
Medtronic, Inc. $14.33 05/22/2024 Food and Beverage Undisputed 01/23/2026 1119348712 CMS
Medtronic, Inc. $100.00 10/30/2024 Food and Beverage Undisputed 01/23/2026 1119348714 CMS
Phathom Pharmaceuticals, Inc. $124.99 11/20/2024 Food and Beverage Undisputed 01/23/2026 1151079616 CMS
TELA Bio, Inc. $169.94 10/30/2024 Food and Beverage Undisputed 01/23/2026 1154225060 CMS
TELA Bio, Inc. $100.00 10/30/2024 Food and Beverage Undisputed 01/23/2026 1154225062 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, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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