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

KARAM PAUL ASMARO

Allopathic & Osteopathic Physicians Neurological Surgery

NPI
1659799138
CMS profile
1394938
Location
STANFORD, CA

General Payments · PY2018–2024

$5,896.30

  • Reported across 32 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$680.99

6 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 $680.99 6

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Globus Medical, Inc. $314.99 2
Stryker Corporation $184.67 2
Nexxt Spine LLC $150.00 1
Integra LifeSciences Corporation $31.33 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $26.15 2
PY2019 $101.51 1
PY2021 $272.24 4
PY2022 $3,714.76 12
PY2023 $1,100.65 7
PY2024 $680.99 6

Payment records · PY2024 (6)

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

Program year 2024 20182019202120222023 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
Globus Medical, Inc. $150.08 10/17/2024 Food and Beverage Undisputed 01/23/2026 1145026898 CMS
Globus Medical, Inc. $164.91 12/11/2024 Food and Beverage Undisputed 01/23/2026 1145026894 CMS
Integra LifeSciences Corporation $31.33 04/12/2024 Food and Beverage Undisputed 01/23/2026 1140109618 CMS
Nexxt Spine LLC $150.00 09/28/2024 Food and Beverage Undisputed 01/23/2026 1142099608 CMS
Stryker Corporation $149.69 02/16/2024 Food and Beverage Undisputed 01/23/2026 1119764974 CMS
Stryker Corporation $34.98 03/15/2024 Food and Beverage Undisputed 01/23/2026 1119764976 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, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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