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

MARK Z KARABAJAKIAN

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI
1578571501
CMS profile
297948
Location
MILFORD, MI

General Payments · PY2018–2024

$3,530.09

  • Reported across 208 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$456.99

23 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 $456.99 23

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $121.96 4
PY2019 $95.31 6
PY2020 $305.80 22
PY2021 $683.71 48
PY2022 $1,011.08 58
PY2023 $855.24 47
PY2024 $456.99 23

Payment records · PY2024 (23)

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
Amgen Inc. $13.78 05/13/2024 Food and Beverage Undisputed 01/23/2026 1111614509 CMS
AstraZeneca Pharmaceuticals LP $14.12 01/24/2024 Food and Beverage Undisputed 01/23/2026 1105381240 CMS
Baxter Healthcare $15.32 07/16/2024 Food and Beverage Undisputed 01/23/2026 1120633497 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.91 02/21/2024 Food and Beverage Undisputed 01/23/2026 1118065950 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $27.81 09/30/2024 Food and Beverage Undisputed 01/23/2026 1118065952 CMS
Boston Scientific Corporation $21.77 01/30/2024 Food and Beverage Undisputed 01/23/2026 1092527696 CMS
Boston Scientific Corporation $23.48 04/29/2024 Food and Beverage Undisputed 01/23/2026 1092527699 CMS
Boston Scientific Corporation $25.14 06/11/2024 Food and Beverage Undisputed 01/23/2026 1092527703 CMS
E.R. Squibb & Sons, L.L.C. $15.46 04/24/2024 Food and Beverage Undisputed 01/23/2026 1101728031 CMS
E.R. Squibb & Sons, L.L.C. $20.83 07/24/2024 Food and Beverage Undisputed 01/23/2026 1101728074 CMS
Janssen Pharmaceuticals, Inc $24.16 04/15/2024 Food and Beverage Undisputed 01/23/2026 1078052318 CMS
Kiniksa Pharmaceuticals International, plc $27.90 03/18/2024 Food and Beverage Undisputed 01/23/2026 1154862050 CMS
Merck Sharp & Dohme LLC $17.62 10/22/2024 Food and Beverage Undisputed 01/23/2026 1141943585 CMS
Novartis Pharmaceuticals Corporation $16.64 02/14/2024 Food and Beverage Undisputed 01/23/2026 1087070682 CMS
Novartis Pharmaceuticals Corporation $20.67 05/15/2024 Food and Beverage Undisputed 01/23/2026 1087070696 CMS
Novartis Pharmaceuticals Corporation $18.17 08/14/2024 Food and Beverage Undisputed 01/23/2026 1087070702 CMS
Novartis Pharmaceuticals Corporation $17.87 10/23/2024 Food and Beverage Undisputed 01/23/2026 1087070716 CMS
Novo Nordisk Inc $23.87 06/10/2024 Food and Beverage Undisputed 01/23/2026 1097392736 CMS
Novo Nordisk Inc $20.75 11/26/2024 Food and Beverage Undisputed 01/23/2026 1097745326 CMS
PFIZER INC. $20.61 07/08/2024 Food and Beverage Undisputed 01/23/2026 1131765048 CMS
PFIZER INC. $17.99 07/18/2024 Food and Beverage Undisputed 01/23/2026 1131824434 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $8.72 04/24/2024 Food and Beverage Undisputed 01/23/2026 1080656533 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $22.40 09/18/2024 Food and Beverage Undisputed 01/23/2026 1080656757 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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