Covered recipient · General Payments record
WADE NICOLAS KARAM
This page merges CMS profile IDs 11561668, 11906325 — associated profiles published by CMS for the same covered recipient. See the colophon below.
General Payments · PY2023–2025
$3,500.09
- Reported across 52 records
- CMS publication 2026-06-30
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How these totals are calculated
- This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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
PY2025 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $2,566.62 | 48 |
| Travel and Lodging | $897.93 | 2 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| VB Spine LLC | $1,091.31 | 13 |
| DePuy Synthes Sales Inc. | $753.52 | 11 |
| Globus Medical, Inc. | $533.30 | 7 |
| Stryker Corporation | $401.56 | 10 |
| Smith+Nephew, Inc. | $226.85 | 4 |
| Medtronic, Inc. | $155.23 | 1 |
| Centinel Spine, LLC | $145.17 | 1 |
| SI-BONE, INC. | $105.14 | 1 |
| Zimmer Biomet Holdings, Inc. | $52.47 | 2 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (50)
Ordering applied by this site (paying entity, then date) · record values are shown as CMS published them
Source & provenance
- Dataset
- CMS Open Payments — General Payments
- Publisher of source data
- Centers for Medicare & Medicaid Services
- CMS publication date
- 2026-06-30
- Program years on this page
- 2023, 2024, 2025
- Source files
- Dataset page · Bulk file · PY2023 , PY2024 , PY2025
- Generated from
- OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv
- Merged CMS profile IDs
- 11561668, 11906325
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.