LILY A ROMERO KARAM

Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology HOUSTON, TX NPI 1801318258

General Payments — all program years on this page

$1,742.88

  • Category: General Payments
  • Program years: PY2021–2024
  • Record count: 92
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $737.46 across 38 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $682.4737
Education $54.991

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2021 $74.513
2022 $109.165
2023 $821.7546
2024 $737.4638

Records — PY2024 (38)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1078724624 Janssen Biotech, Inc. $54.99 04/29/2024 Education Undisputed 01/23/2026 View at CMS
1078725179 Janssen Biotech, Inc. $14.77 01/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1078725519 Janssen Biotech, Inc. $23.50 10/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104246697 AstraZeneca Pharmaceuticals LP $21.33 09/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104398095 AstraZeneca Pharmaceuticals LP $20.94 07/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104476490 AstraZeneca Pharmaceuticals LP $20.05 05/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105371404 AstraZeneca Pharmaceuticals LP $17.08 03/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105397780 AstraZeneca Pharmaceuticals LP $17.48 04/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970552 ABBVIE INC. $25.62 02/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970554 ABBVIE INC. $24.57 04/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970556 ABBVIE INC. $27.61 04/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970558 ABBVIE INC. $12.75 05/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970560 ABBVIE INC. $24.93 05/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970562 ABBVIE INC. $25.54 06/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970564 ABBVIE INC. $8.72 06/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970566 ABBVIE INC. $9.41 07/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970568 ABBVIE INC. $6.71 08/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970570 ABBVIE INC. $9.49 08/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970572 ABBVIE INC. $18.45 08/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970574 ABBVIE INC. $10.86 09/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970576 ABBVIE INC. $8.26 09/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970578 ABBVIE INC. $18.00 10/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970580 ABBVIE INC. $10.75 10/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970582 ABBVIE INC. $21.04 10/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970584 ABBVIE INC. $8.18 11/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105970586 ABBVIE INC. $5.48 11/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1111691640 Amgen Inc. $22.74 07/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1111691642 Amgen Inc. $20.83 08/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116259109 GlaxoSmithKline, LLC. $18.55 06/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116403269 GlaxoSmithKline, LLC. $29.71 05/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116490835 GlaxoSmithKline, LLC. $18.58 08/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116630280 GlaxoSmithKline, LLC. $14.58 09/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117368511 Amgen Inc. $23.08 09/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118159807 Boehringer Ingelheim Pharmaceuticals, Inc. $17.09 05/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1127035752 Kyowa Kirin, Inc. $26.61 08/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146949910 Fresenius Kabi USA, LLC $18.79 06/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146949912 Fresenius Kabi USA, LLC $26.27 10/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146949914 Fresenius Kabi USA, LLC $34.12 08/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_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.