Payment overview · 2025
General Payments
$24.98
1 reported records · 1 companies
Healthcare provider profile · identity verified
Raphael Howard Karkowsky, MD
Allopathic & Osteopathic Physicians|Internal Medicine · PHILADELPHIA, PA · NPI 1194082164
Verified facts
What the public records show
CMS Open Payments records show Raphael Howard Karkowsky, MD received $24.98 in general payments during 2025 across 1 reported records.
Exact Sciences Corporation accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $24.98 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $24.98 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $24.98 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
None of this doctor’s payer companies has same-entity product evidence that passes the publication threshold. The site does not infer company ownership, affiliates, or generic manufacturers.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 465 | 147 |
| Amlodipine Besylate | Amlodipine Besylate | 274 | 89 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 218 | 64 |
| Omeprazole | Omeprazole | 170 | 55 |
| Levothyroxine Sodium | Levothyroxine Sodium | 143 | 39 |
| Metoprolol Succinate | Metoprolol Succinate | 131 | 35 |
| Hydrochlorothiazide | Hydrochlorothiazide | 122 | 36 |
| Ezetimibe | Ezetimibe | 107 | 29 |
| Gabapentin | Gabapentin | 99 | 32 |
| Pravastatin Sodium | Pravastatin Sodium | 95 | 28 |
| Amlodipine-Olmesartan | Amlodipine Bes/Olmesartan Med | 88 | 23 |
| Fluticasone Propionate | Fluticasone Propionate | 85 | 37 |
| Duloxetine Hcl | Duloxetine Hcl | 79 | 16 |
| Pantoprazole Sodium | Pantoprazole Sodium | 76 | 23 |
| Losartan Potassium | Losartan Potassium | 74 | 23 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 74 | 21 |
| Ozempic | Semaglutide | 73 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 73 | 21 |
| Metformin Hcl | Metformin Hcl | 71 | 20 |
| Eliquis | Apixaban | 68 | 17 |
| Lisinopril | Lisinopril | 62 | 19 |
| Trazodone Hcl | Trazodone Hcl | 61 | 14 |
| Metformin Hcl Er | Metformin Hcl | 60 | 22 |
| Alendronate Sodium | Alendronate Sodium | 59 | 18 |
| Simvastatin | Simvastatin | 53 | 16 |
| Chlorthalidone | Chlorthalidone | 51 | 15 |
| Allopurinol | Allopurinol | 50 | 15 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 50 | 12 |
| Propranolol Hcl Er | Propranolol Hcl | 44 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 43 | 18 |
| Clopidogrel | Clopidogrel Bisulfate | 43 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 43 | suppressed |
| Telmisartan | Telmisartan | 39 | suppressed |
| Famotidine | Famotidine | 37 | 13 |
| Carvedilol | Carvedilol | 36 | 11 |
| Amlodipine-Valsartan | Amlodipine Besylate/Valsartan | 35 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 34 | 11 |
| Escitalopram Oxalate | Escitalopram Oxalate | 33 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 33 | suppressed |
| Valsartan | Valsartan | 33 | 14 |
| Sertraline Hcl | Sertraline Hcl | 32 | 13 |
| Benazepril Hcl | Benazepril Hcl | 31 | suppressed |
| Furosemide | Furosemide | 31 | suppressed |
| Jardiance | Empagliflozin | 31 | suppressed |
| Bupropion Xl | Bupropion Hcl | 30 | suppressed |
| Rybelsus | Semaglutide | 29 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 29 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 28 | suppressed |
| Potassium Chloride | Potassium Chloride | 27 | suppressed |
| Nifedipine Er | Nifedipine | 26 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 25 | 11 |
| Fluoxetine Hcl | Fluoxetine Hcl | 25 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 25 | suppressed |
| Repatha Sureclick | Evolocumab | 25 | suppressed |
| Trulicity | Dulaglutide | 25 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 24 | suppressed |
| Finasteride | Finasteride | 24 | suppressed |
| Indapamide | Indapamide | 24 | suppressed |
| Spironolactone | Spironolactone | 24 | suppressed |
| Alprazolam | Alprazolam | 22 | suppressed |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 22 | suppressed |
| Ibuprofen | Ibuprofen | 21 | 12 |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 21 | suppressed |
| Lansoprazole | Lansoprazole | 20 | suppressed |
| Prazosin Hcl | Prazosin Hcl | 20 | suppressed |
| Mirtazapine | Mirtazapine | 19 | suppressed |
| Atenolol | Atenolol | 18 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 18 | suppressed |
| Potassium Citrate Er | Potassium Citrate | 18 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 17 | suppressed |
| Colchicine | Colchicine | 17 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 17 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 17 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 15 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 15 | 15 |
| Levetiracetam | Levetiracetam | 15 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 15 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 14 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 14 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 14 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 14 | suppressed |
| Topiramate | Topiramate | 14 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 14 | suppressed |
| Irbesartan | Irbesartan | 13 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Memantine Hcl | Memantine Hcl | 13 | suppressed |
| Synthroid | Levothyroxine Sodium | 13 | suppressed |
| Amlodipine-Atorvastatin | Amlodipine/Atorvastatin | 12 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 12 | suppressed |
| Candesartan-Hydrochlorothiazid | Candesartan/Hydrochlorothiazid | 12 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 12 | suppressed |
| Creon | Lipase/Protease/Amylase | 12 | suppressed |
| Ramipril | Ramipril | 12 | suppressed |
| Synjardy | Empagliflozin/Metformin Hcl | 12 | suppressed |
| Ursodiol | Ursodiol | 12 | suppressed |
| Aripiprazole | Aripiprazole | 11 | suppressed |
| Celecoxib | Celecoxib | 11 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 11 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 11 | suppressed |
| Naltrexone Hcl | Naltrexone Hcl | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $24.98 · 1 records | Exact Sciences Corporation | Cologuard Collection Kit | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error