Covered recipient · General Payments record
NICOLAS M KARAM
Allopathic & Osteopathic Physicians Internal Medicine Clinical Cardiac Electrophysiology
General Payments · PY2018–2024
$20,618.98
- Reported across 270 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 |
|---|---|---|
| Travel and Lodging | $3,529.84 | 17 |
| Food and Beverage | $2,997.91 | 46 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Medtronic, Inc. | $6,527.75 | 63 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (63)
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 |
|---|---|---|---|---|---|---|---|
| Medtronic, Inc. | $128.22 | 01/22/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472083 | CMS |
| Medtronic, Inc. | $2.64 | 01/24/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472085 | CMS |
| Medtronic, Inc. | $104.97 | 02/06/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472089 | CMS |
| Medtronic, Inc. | $23.39 | 02/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472087 | CMS |
| Medtronic, Inc. | $1.92 | 02/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472091 | CMS |
| Medtronic, Inc. | $17.67 | 02/15/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472093 | CMS |
| Medtronic, Inc. | $123.35 | 02/28/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472095 | CMS |
| Medtronic, Inc. | $1.97 | 03/07/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472097 | CMS |
| Medtronic, Inc. | $556.52 | 03/08/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1119472099 | CMS |
| Medtronic, Inc. | $2.90 | 04/16/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472133 | CMS |
| Medtronic, Inc. | $13.77 | 04/16/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472135 | CMS |
| Medtronic, Inc. | $26.79 | 04/17/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472127 | CMS |
| Medtronic, Inc. | $46.14 | 04/17/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472129 | CMS |
| Medtronic, Inc. | $19.95 | 04/17/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472131 | CMS |
| Medtronic, Inc. | $187.18 | 04/18/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1112061692 | CMS |
| Medtronic, Inc. | $73.72 | 04/18/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1112061694 | CMS |
| Medtronic, Inc. | $36.00 | 04/18/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472113 | CMS |
| Medtronic, Inc. | $169.27 | 04/18/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472125 | CMS |
| Medtronic, Inc. | $74.01 | 04/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472115 | CMS |
| Medtronic, Inc. | $50.27 | 04/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472117 | CMS |
| Medtronic, Inc. | $89.43 | 04/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472119 | CMS |
| Medtronic, Inc. | $20.60 | 04/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472121 | CMS |
| Medtronic, Inc. | $14.03 | 04/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472123 | CMS |
| Medtronic, Inc. | $41.83 | 04/21/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1119472101 | CMS |
| Medtronic, Inc. | $86.68 | 04/21/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1119472103 | CMS |
| Medtronic, Inc. | $41.83 | 04/21/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1119472105 | CMS |
| Medtronic, Inc. | $49.22 | 04/23/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472107 | CMS |
| Medtronic, Inc. | $27.82 | 04/23/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472109 | CMS |
| Medtronic, Inc. | $1,011.32 | 04/30/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1119472111 | CMS |
| Medtronic, Inc. | $94.20 | 04/30/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472137 | CMS |
| Medtronic, Inc. | $19.03 | 05/29/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472141 | CMS |
| Medtronic, Inc. | $118.44 | 05/30/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472139 | CMS |
| Medtronic, Inc. | $61.70 | 06/10/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472143 | CMS |
| Medtronic, Inc. | $17.31 | 06/11/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472151 | CMS |
| Medtronic, Inc. | $98.70 | 06/26/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472147 | CMS |
| Medtronic, Inc. | $18.68 | 07/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472145 | CMS |
| Medtronic, Inc. | $96.42 | 07/09/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472149 | CMS |
| Medtronic, Inc. | $15.96 | 07/31/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472161 | CMS |
| Medtronic, Inc. | $1.77 | 08/06/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472159 | CMS |
| Medtronic, Inc. | $2.72 | 08/07/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472155 | CMS |
| Medtronic, Inc. | $12.27 | 08/21/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472153 | CMS |
| Medtronic, Inc. | $3.26 | 08/21/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472157 | CMS |
| Medtronic, Inc. | $150.30 | 09/04/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1119472163 | CMS |
| Medtronic, Inc. | $226.04 | 09/04/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1119472165 | CMS |
| Medtronic, Inc. | $103.22 | 10/01/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472167 | CMS |
| Medtronic, Inc. | $43.30 | 10/25/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472171 | CMS |
| Medtronic, Inc. | $246.99 | 10/26/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472169 | CMS |
| Medtronic, Inc. | $165.85 | 10/26/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472173 | CMS |
| Medtronic, Inc. | $51.13 | 10/26/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1119472183 | CMS |
| Medtronic, Inc. | $31.39 | 10/27/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472175 | CMS |
| Medtronic, Inc. | $61.74 | 10/27/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1119472181 | CMS |
| Medtronic, Inc. | $22.53 | 11/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472177 | CMS |
| Medtronic, Inc. | $93.35 | 11/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472179 | CMS |
| Medtronic, Inc. | $32.96 | 11/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472203 | CMS |
| Medtronic, Inc. | $215.72 | 11/22/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472193 | CMS |
| Medtronic, Inc. | $281.53 | 11/22/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472195 | CMS |
| Medtronic, Inc. | $156.28 | 11/22/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1119472197 | CMS |
| Medtronic, Inc. | $3.41 | 11/22/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1119472199 | CMS |
| Medtronic, Inc. | $391.14 | 11/22/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1119472201 | CMS |
| Medtronic, Inc. | $279.00 | 11/25/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1119472185 | CMS |
| Medtronic, Inc. | $44.50 | 11/25/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1119472187 | CMS |
| Medtronic, Inc. | $279.00 | 11/25/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1119472189 | CMS |
| Medtronic, Inc. | $44.50 | 11/25/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1119472191 | 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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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.