Total Payments
$335,925
2024 Payments
$20,852
Companies
13
Transactions
507
Medicare Patients
1,025
Medicare Billing
$149,270
Payment Breakdown by Category
Education$249,521 (74.3%)
Other$46,800 (13.9%)
Travel$21,342 (6.4%)
Food & Beverage$18,224 (5.4%)
Gifts$37.50 (0.0%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Education | $249,521 | 130 | 74.3% |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $46,800 | 50 | 13.9% |
| Travel and Lodging | $21,342 | 106 | 6.4% |
| Food and Beverage | $18,224 | 220 | 5.4% |
| Gift | $37.50 | 1 | 0.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| INTUITIVE SURGICAL, INC. | $329,186 | 443 | $0 (2024) |
| Davol Inc. | $4,122 | 39 | $0 (2024) |
| Medical Device Business Services, Inc. | $1,027 | 7 | $0 (2023) |
| TELA Bio, Inc. | $726.45 | 7 | $0 (2024) |
| GlaxoSmithKline, LLC. | $240.42 | 2 | $0 (2024) |
| Janssen Pharmaceuticals, Inc | $129.30 | 1 | $0 (2024) |
| Phathom Pharmaceuticals, Inc. | $124.99 | 1 | $0 (2024) |
| Lilly USA, LLC | $117.41 | 1 | $0 (2024) |
| Medtronic, Inc. | $114.33 | 2 | $0 (2024) |
| Edwards Lifesciences Corporation | $72.73 | 1 | $0 (2017) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $20,852 | 51 | INTUITIVE SURGICAL, INC. ($19,962) |
| 2023 | $29,541 | 75 | Intuitive Surgical, Inc. ($27,038) |
| 2022 | $65,192 | 88 | Intuitive Surgical, Inc. ($63,690) |
| 2021 | $56,235 | 72 | Intuitive Surgical, Inc. ($56,088) |
| 2020 | $65,370 | 58 | Intuitive Surgical, Inc. ($65,352) |
| 2019 | $39,181 | 57 | Intuitive Surgical, Inc. ($38,978) |
| 2018 | $37,838 | 60 | Intuitive Surgical, Inc. ($37,774) |
| 2017 | $21,717 | 46 | Intuitive Surgical, Inc. ($20,304) |
All Payment Transactions
507 individual payment records from CMS Open Payments — Page 1 of 21
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/17/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $24.49 | General |
| Category: SURGERY | ||||||
| 12/10/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $80.00 | General |
| Category: SURGERY | ||||||
| 12/10/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $58.75 | General |
| Category: SURGERY | ||||||
| 12/10/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $27.33 | General |
| Category: SURGERY | ||||||
| 12/10/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $23.39 | General |
| Category: SURGERY | ||||||
| 12/06/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Education | Cash or cash equivalent | $1,000.00 | General |
| Category: SURGERY | ||||||
| 11/27/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $191.78 | General |
| Category: SURGERY | ||||||
| 11/26/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $202.63 | General |
| Category: SURGERY | ||||||
| 11/26/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $130.77 | General |
| Category: SURGERY | ||||||
| 11/26/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $30.00 | General |
| Category: SURGERY | ||||||
| 11/21/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $294.49 | General |
| Category: SURGERY | ||||||
| 11/21/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $30.00 | General |
| Category: SURGERY | ||||||
| 11/20/2024 | Phathom Pharmaceuticals, Inc. | VOQUEZNA (Drug) | Food and Beverage | In-kind items and services | $124.99 | General |
| Category: GASTROENTEROLOGY | ||||||
| 11/19/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $29.65 | General |
| Category: SURGERY | ||||||
| 11/09/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $281.06 | General |
| Category: SURGERY | ||||||
| 11/09/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $218.48 | General |
| Category: SURGERY | ||||||
| 11/09/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $19.00 | General |
| Category: SURGERY | ||||||
| 11/09/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $19.00 | General |
| Category: SURGERY | ||||||
| 11/05/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $21.91 | General |
| Category: SURGERY | ||||||
| 10/30/2024 | TELA Bio, Inc. | OviTex 2S (Device) | Food and Beverage | In-kind items and services | $169.94 | General |
| Category: Surgical Mesh | ||||||
| 10/30/2024 | Medtronic, Inc. | PROGRIP (Device) | Food and Beverage | In-kind items and services | $100.00 | General |
| Category: Hernia Repair | ||||||
| 10/30/2024 | TELA Bio, Inc. | OviTex 2S (Device) | Food and Beverage | In-kind items and services | $100.00 | General |
| Category: Surgical Mesh | ||||||
| 10/25/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | Cash or cash equivalent | $500.00 | General |
| Category: SURGERY | ||||||
| 10/23/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Education | Cash or cash equivalent | $1,000.00 | General |
| Category: SURGERY | ||||||
| 08/23/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Education | Cash or cash equivalent | $750.00 | General |
| Category: SURGERY | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 9 | 307 | 315 | $151,667 | $37,297 |
| 2022 | 8 | 246 | 246 | $149,177 | $37,089 |
| 2021 | 8 | 257 | 262 | $166,165 | $40,840 |
| 2020 | 7 | 215 | 215 | $140,131 | $34,046 |
Total Patients
1,025
Total Services
1,038
Medicare Billing
$149,270
Procedure Codes
32
All Medicare Procedures & Services
32 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 47562 | Removal of gallbladder using an endoscope | Facility | 2023 | 20 | 20 | $38,238 | $9,543 | 25.0% |
| 49650 | Repair of groin hernia using an endoscope | Facility | 2023 | 25 | 25 | $31,378 | $9,086 | 29.0% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 74 | 74 | $39,128 | $8,808 | 22.5% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 69 | 70 | $24,942 | $5,148 | 20.6% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 35 | 38 | $10,000 | $2,491 | 24.9% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 15 | 17 | $6,342 | $1,635 | 25.8% |
| 36415 | Insertion of needle into vein for collection of blood sample | Office | 2023 | 31 | 32 | $605.49 | $260.99 | 43.1% |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | Office | 2023 | 23 | 24 | $559.44 | $177.26 | 31.7% |
| 80053 | Blood test, comprehensive group of blood chemicals | Office | 2023 | 15 | 15 | $475.20 | $147.94 | 31.1% |
| 49650 | Repair of groin hernia using an endoscope | Facility | 2022 | 28 | 28 | $35,016 | $10,601 | 30.3% |
| 47562 | Removal of gallbladder using an endoscope | Facility | 2022 | 19 | 19 | $36,187 | $8,648 | 23.9% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 62 | 62 | $32,783 | $7,463 | 22.8% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 56 | 56 | $19,953 | $4,235 | 21.2% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Office | 2022 | 14 | 14 | $9,112 | $2,381 | 26.1% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 29 | 29 | $7,710 | $1,905 | 24.7% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 22 | 22 | $8,272 | $1,810 | 21.9% |
| 36415 | Insertion of needle into vein for collection of blood sample | Office | 2022 | 16 | 16 | $144.00 | $45.23 | 31.4% |
| 49650 | Repair of groin hernia using an endoscope | Facility | 2021 | 31 | 31 | $38,735 | $12,354 | 31.9% |
| 47562 | Removal of gallbladder using an endoscope | Facility | 2021 | 26 | 26 | $49,516 | $10,721 | 21.7% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 88 | 88 | $31,355 | $6,434 | 20.5% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 46 | 46 | $24,323 | $5,780 | 23.8% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 23 | 28 | $7,478 | $1,934 | 25.9% |
| 99205 | New patient outpatient visit, total time 60-74 minutes | Office | 2021 | 12 | 12 | $7,810 | $1,909 | 24.4% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 18 | 18 | $6,831 | $1,672 | 24.5% |
| 36415 | Insertion of needle into vein for collection of blood sample | Office | 2021 | 13 | 13 | $117.00 | $36.36 | 31.1% |
About Dr. Joseph Karam, M.D
Dr. Joseph Karam, M.D is a Surgery healthcare provider based in San Antonio, Texas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 04/30/2009. The National Provider Identifier (NPI) number assigned to this provider is 1497999718.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Joseph Karam, M.D has received a total of $335,925 in payments from pharmaceutical and medical device companies, with $20,852 received in 2024. These payments were reported across 507 transactions from 13 companies. The most common payment nature is "Education" ($249,521).
As a Medicare-enrolled provider, Karam has provided services to 1,025 Medicare beneficiaries, totaling 1,038 services with total Medicare billing of $149,270. Data is available for 4 years (2020–2023), covering 32 distinct procedure/service records.
Ad
Practice Information
- Specialty Surgery
- Other Specialties Student in an Organized Health Care Education/Training Program
- Location San Antonio, TX
- Active Since 04/30/2009
- Last Updated 10/23/2017
- Taxonomy Code 208600000X
- Entity Type Individual
- NPI Number 1497999718
Products in Payments
- Da Vinci Surgical System (Device) $320,636
- DA VINCI SP (Device) $8,550
- Phasix Mesh (Device) $2,828
- DAV-Phasix (Device) $557.07
- DAV-VENTRALIGHT (Device) $443.87
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) (Device) $296.89
- OviTex 2S (Device) $269.94
- DAV-XenMatrix AB (Device) $181.13
- Ovitex (Device) $159.62
- XARELTO (Drug) $129.30
- VOQUEZNA (Drug) $124.99
- AREXVY (Drug) $120.56
- INCRUSE (Drug) $119.86
- ZEPBOUND (Drug) $117.41
- PROGRIP (Device) $100.00
- VENTRALIGHT (Device) $51.99
- AirSeal (Device) $38.46
- LINX Reflux Management System (Device) $14.58
- LIGASURE (Device) $14.33
- COOK MEDICAL GENERAL SURGERY (Device) $11.50
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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