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

WAYNE KARAKI

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1871582924
CMS profile
416756
Location
TYLER, TX

General Payments · PY2022–2024

$2,158.02

  • Reported across 114 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$960.56

46 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 $960.56 46

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $487.29 28
PY2023 $710.17 40
PY2024 $960.56 46

Payment records · PY2024 (46)

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

Program year 2024 20222023 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
Abbott Laboratories $25.54 11/11/2024 Food and Beverage Undisputed 01/23/2026 1125314430 CMS
Alexion Pharmaceuticals, Inc. $14.58 04/17/2024 Food and Beverage Undisputed 01/23/2026 1093907595 CMS
Almatica Pharma LLC $15.92 02/01/2024 Food and Beverage Undisputed 01/23/2026 1137567477 CMS
Amgen Inc. $15.21 03/28/2024 Food and Beverage Undisputed 01/23/2026 1115788581 CMS
Amgen Inc. $16.34 06/26/2024 Food and Beverage Undisputed 01/23/2026 1115788592 CMS
AstraZeneca Pharmaceuticals LP $13.61 06/05/2024 Food and Beverage Undisputed 01/23/2026 1105711876 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.17 05/13/2024 Food and Beverage Undisputed 01/23/2026 1086255934 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.02 07/18/2024 Food and Beverage Undisputed 01/23/2026 1086223032 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.57 08/20/2024 Food and Beverage Undisputed 01/23/2026 1086141341 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.02 05/20/2024 Food and Beverage Undisputed 01/23/2026 1118203117 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.55 08/14/2024 Food and Beverage Undisputed 01/23/2026 1118203113 CMS
Corcept Therapeutics $18.88 01/25/2024 Food and Beverage Undisputed 01/23/2026 1117778741 CMS
Corcept Therapeutics $17.04 03/18/2024 Food and Beverage Undisputed 01/23/2026 1117778751 CMS
Corcept Therapeutics $21.96 11/06/2024 Food and Beverage Undisputed 01/23/2026 1117778805 CMS
Corcept Therapeutics $19.42 12/18/2024 Food and Beverage Undisputed 01/23/2026 1117778835 CMS
Dexcom, Inc. $16.43 05/22/2024 Food and Beverage Undisputed 01/23/2026 1153343695 CMS
Dexcom, Inc. $19.36 07/31/2024 Food and Beverage Undisputed 01/23/2026 1153343697 CMS
Dexcom, Inc. $23.62 09/04/2024 Food and Beverage Undisputed 01/23/2026 1153343699 CMS
Dexcom, Inc. $13.70 12/19/2024 Food and Beverage Undisputed 01/23/2026 1153343701 CMS
Exact Sciences Corporation $14.41 05/14/2024 Food and Beverage Undisputed 01/23/2026 1114727244 CMS
Insulet Corporation $24.11 03/27/2024 Food and Beverage Undisputed 01/23/2026 1116792484 CMS
Insulet Corporation $21.91 07/22/2024 Food and Beverage Undisputed 01/23/2026 1116812426 CMS
Kyowa Kirin, Inc. $20.30 09/30/2024 Food and Beverage Undisputed 01/23/2026 1127045409 CMS
Madrigal Pharmaceuticals $16.90 11/04/2024 Food and Beverage Undisputed 01/23/2026 1144172354 CMS
Madrigal Pharmaceuticals $19.58 12/10/2024 Food and Beverage Undisputed 01/23/2026 1144172356 CMS
Medtronic, Inc. $31.40 09/24/2024 Food and Beverage Undisputed 01/23/2026 1119525150 CMS
Medtronic, Inc. $49.72 12/13/2024 Food and Beverage Undisputed 01/23/2026 1119525152 CMS
Nevro Corp. $15.70 05/22/2024 Food and Beverage Undisputed 01/23/2026 1130787361 CMS
Nevro Corp. $31.60 07/30/2024 Food and Beverage Undisputed 01/23/2026 1130787359 CMS
Novo Nordisk Inc $0.60 02/08/2024 Food and Beverage Undisputed 01/23/2026 1097708949 CMS
Novo Nordisk Inc $10.86 02/09/2024 Food and Beverage Undisputed 01/23/2026 1097522837 CMS
Novo Nordisk Inc $18.68 03/08/2024 Food and Beverage Undisputed 01/23/2026 1097009640 CMS
Novo Nordisk Inc $18.68 04/02/2024 Food and Beverage Undisputed 01/23/2026 1096995641 CMS
Novo Nordisk Inc $17.07 05/09/2024 Food and Beverage Undisputed 01/23/2026 1097804115 CMS
Novo Nordisk Inc $18.43 07/17/2024 Food and Beverage Undisputed 01/23/2026 1097041582 CMS
Novo Nordisk Inc $22.70 08/19/2024 Food and Beverage Undisputed 01/23/2026 1096977688 CMS
Novo Nordisk Inc $17.07 09/19/2024 Food and Beverage Undisputed 01/23/2026 1097448855 CMS
Novo Nordisk Inc $21.06 11/14/2024 Food and Beverage Undisputed 01/23/2026 1096593388 CMS
Radius Health, Inc. $18.08 08/21/2024 Food and Beverage Undisputed 01/23/2026 1090000505 CMS
Radius Health, Inc. $17.90 09/11/2024 Food and Beverage Undisputed 01/23/2026 1090000510 CMS
SANOFI-AVENTIS U.S. LLC $17.86 04/18/2024 Food and Beverage Undisputed 01/23/2026 1139708213 CMS
SANOFI-AVENTIS U.S. LLC $18.02 08/27/2024 Food and Beverage Undisputed 01/23/2026 1139708299 CMS
SANOFI-AVENTIS U.S. LLC $28.65 09/25/2024 Food and Beverage Undisputed 01/23/2026 1139708309 CMS
SANOFI-AVENTIS U.S. LLC $29.49 10/29/2024 Food and Beverage Undisputed 01/23/2026 1139708323 CMS
Tandem Diabetes Care, Inc. $24.79 04/12/2024 Food and Beverage Undisputed 01/23/2026 1138748461 CMS
Tandem Diabetes Care, Inc. $78.05 05/17/2024 Food and Beverage Undisputed 01/23/2026 1138748507 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
2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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