JOSEPH KARPEL

Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant WALNUT CREEK, CA NPI 1861020190

General Payments — all program years on this page

$12,479.85

  • Category: General Payments
  • Program years: PY2021–2024
  • Record count: 641
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $2,530.74 across 125 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 $2,530.74125

By paying entity

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

By program year

Program yearAmountRecords
2021 $335.9115
2022 $4,745.67240
2023 $4,867.53261
2024 $2,530.74125

Records — PY2024 (125)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1086272584 Bayer Healthcare Pharmaceuticals Inc. $30.55 02/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086273074 Bayer Healthcare Pharmaceuticals Inc. $23.93 03/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086282242 Bayer Healthcare Pharmaceuticals Inc. $26.38 01/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086318232 Bayer Healthcare Pharmaceuticals Inc. $28.49 05/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086341495 Bayer Healthcare Pharmaceuticals Inc. $20.26 08/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086341517 Bayer Healthcare Pharmaceuticals Inc. $21.71 09/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1090023570 Radius Health, Inc. $26.21 01/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1090023574 Radius Health, Inc. $8.17 01/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1090023576 Radius Health, Inc. $4.60 01/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1090023581 Radius Health, Inc. $19.97 04/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1090023585 Radius Health, Inc. $18.20 04/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1090023587 Radius Health, Inc. $4.58 03/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1090023591 Radius Health, Inc. $11.46 02/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1090023593 Radius Health, Inc. $7.40 03/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1090023598 Radius Health, Inc. $8.80 05/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1090023605 Radius Health, Inc. $19.90 04/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1090023611 Radius Health, Inc. $34.90 06/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1090023621 Radius Health, Inc. $22.08 03/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1090023625 Radius Health, Inc. $21.33 06/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1090023628 Radius Health, Inc. $20.14 08/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1090023630 Radius Health, Inc. $10.07 09/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1093894491 Alexion Pharmaceuticals, Inc. $31.51 04/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1093947279 Alexion Pharmaceuticals, Inc. $32.51 06/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100224130 Novo Nordisk Inc $11.50 07/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100256786 Novo Nordisk Inc $19.84 04/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100272900 Novo Nordisk Inc $6.09 03/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100278090 Novo Nordisk Inc $7.71 06/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100290042 Novo Nordisk Inc $25.00 09/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100342088 Novo Nordisk Inc $7.18 04/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100383281 Novo Nordisk Inc $6.97 06/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100471795 Novo Nordisk Inc $6.87 03/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100476270 Novo Nordisk Inc $12.18 01/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100538494 Novo Nordisk Inc $8.35 03/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100579490 Novo Nordisk Inc $16.07 03/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100601986 Novo Nordisk Inc $2.04 02/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100635015 Novo Nordisk Inc $14.23 07/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100636473 Novo Nordisk Inc $7.05 02/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1107438931 ABBVIE INC. $26.71 04/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117292880 Amgen Inc. $30.82 01/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117292882 Amgen Inc. $28.08 04/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117292884 Amgen Inc. $16.74 05/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117292886 Amgen Inc. $8.25 06/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117292888 Amgen Inc. $10.75 08/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117292890 Amgen Inc. $28.90 08/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117292892 Amgen Inc. $28.37 01/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117292894 Amgen Inc. $10.74 03/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117292896 Amgen Inc. $26.28 03/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117292898 Amgen Inc. $13.30 05/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117292900 Amgen Inc. $2.56 06/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117292902 Amgen Inc. $3.96 06/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117292904 Amgen Inc. $13.90 07/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117292906 Amgen Inc. $5.08 06/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117292908 Amgen Inc. $12.14 08/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117752924 Corcept Therapeutics $122.19 01/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117752932 Corcept Therapeutics $122.62 02/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117752946 Corcept Therapeutics $29.54 02/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117752950 Corcept Therapeutics $19.84 01/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117752958 Corcept Therapeutics $27.74 03/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118190355 Boehringer Ingelheim Pharmaceuticals, Inc. $6.49 08/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118190359 Boehringer Ingelheim Pharmaceuticals, Inc. $10.46 03/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118190363 Boehringer Ingelheim Pharmaceuticals, Inc. $14.58 01/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118190367 Boehringer Ingelheim Pharmaceuticals, Inc. $16.19 04/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118190371 Boehringer Ingelheim Pharmaceuticals, Inc. $19.45 08/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118190375 Boehringer Ingelheim Pharmaceuticals, Inc. $24.48 08/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118190379 Boehringer Ingelheim Pharmaceuticals, Inc. $29.31 02/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118190383 Boehringer Ingelheim Pharmaceuticals, Inc. $30.54 04/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118190387 Boehringer Ingelheim Pharmaceuticals, Inc. $30.96 02/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118190391 Boehringer Ingelheim Pharmaceuticals, Inc. $32.71 05/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118190395 Boehringer Ingelheim Pharmaceuticals, Inc. $107.30 02/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1129420197 VIVUS LLC $22.80 06/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135646799 Lilly USA, LLC $23.94 04/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135646801 Lilly USA, LLC $7.58 02/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135646803 Lilly USA, LLC $24.58 06/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135646805 Lilly USA, LLC $26.24 08/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135646807 Lilly USA, LLC $26.92 06/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135646809 Lilly USA, LLC $11.95 02/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135646811 Lilly USA, LLC $7.17 06/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135660329 Lilly USA, LLC $31.21 05/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135660331 Lilly USA, LLC $23.65 03/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135660333 Lilly USA, LLC $28.77 05/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135660335 Lilly USA, LLC $12.05 01/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135660337 Lilly USA, LLC $27.43 02/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135660339 Lilly USA, LLC $27.05 08/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135698854 Lilly USA, LLC $29.06 01/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135698856 Lilly USA, LLC $28.16 08/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135698858 Lilly USA, LLC $13.27 01/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135698860 Lilly USA, LLC $10.56 08/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135713476 Lilly USA, LLC $6.50 02/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135713478 Lilly USA, LLC $16.22 02/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135713480 Lilly USA, LLC $6.34 03/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135713482 Lilly USA, LLC $28.45 04/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135716070 Lilly USA, LLC $29.94 05/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135716072 Lilly USA, LLC $9.61 05/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135718112 Lilly USA, LLC $9.49 05/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135718114 Lilly USA, LLC $9.36 08/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135726859 Lilly USA, LLC $29.00 02/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135726861 Lilly USA, LLC $25.65 08/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135726863 Lilly USA, LLC $6.86 08/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135729541 Lilly USA, LLC $26.65 07/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135729543 Lilly USA, LLC $7.27 04/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139514677 Astellas Pharma US Inc $26.30 05/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139902214 GENZYME CORPORATION $23.53 05/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139902232 SANOFI-AVENTIS U.S. LLC $16.10 05/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139902236 SANOFI-AVENTIS U.S. LLC $17.87 04/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139902248 SANOFI-AVENTIS U.S. LLC $31.79 08/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1144629687 Xeris Pharmaceuticals, Inc. $23.21 06/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1144629689 Xeris Pharmaceuticals, Inc. $24.27 02/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1144629691 Xeris Pharmaceuticals, Inc. $22.82 04/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1144629693 Xeris Pharmaceuticals, Inc. $20.05 09/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146510643 Antares Pharma, Inc. $8.94 01/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146510647 Antares Pharma, Inc. $13.39 02/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146510651 Antares Pharma, Inc. $11.73 02/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146510655 Antares Pharma, Inc. $13.69 03/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146510659 Antares Pharma, Inc. $7.15 04/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146510663 Antares Pharma, Inc. $1.09 04/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146510667 Antares Pharma, Inc. $9.73 04/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146510672 Antares Pharma, Inc. $13.54 05/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146510676 Antares Pharma, Inc. $3.72 05/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146510681 Antares Pharma, Inc. $22.70 05/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146510685 Antares Pharma, Inc. $3.39 05/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146510689 Antares Pharma, Inc. $23.99 06/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146510693 Antares Pharma, Inc. $11.69 06/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146510697 Antares Pharma, Inc. $14.41 08/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146510702 Antares Pharma, Inc. $24.78 09/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153367811 Dexcom, Inc. $31.92 04/17/2024 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.