Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Ravi Karra

Cardiovascular Disease Durham, NC Medical Doctor

NPI 1952457178 CMS profile 1159325

40 Duke Medicine Cir, Po Box 102152, Durham, NC 27710

Open in the dashboard

General payments

$143,126

172 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Research they led as principal investigator

$268,043 paid to institutions, not to them · program years 2019–2025

Through program year 2025, Ravi Karra of Durham, NC is reported in the CMS Open Payments database as having received $143,126 across 172 general payments and $0 in research payments paid to them. Separately, studies naming them as principal investigator received $268,043 in research payments, paid to institutions rather than to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.

General payments for this record sit in the 97th percentile of Cardiovascular Disease profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $33,696 33
2024 General $24,128 23
2023 General $23,677 33
2022 General $5,303 4
2021 General $9,407 7
2020 General $16,604 8
2019 General $30,312 64

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Ravi Karra
  • Cardiovascular Disease median
  • Middle half of Cardiovascular Disease
  • National median

In program year 2025, general payments to Ravi Karra were reported at $33,696. Among 16,617 Cardiovascular Disease profiles paid that year, the median was $432 and the middle half received between $132 and $1,252.

Show as a table
Year Ravi Karra Cardiovascular Disease median Middle half National median
2019 $30,312 $450 $127–$1,392 $163
2020 $16,604 $242 $77–$751 $114
2021 $9,407 $335 $101–$1,037 $132
2022 $5,303 $395 $121–$1,211 $149
2023 $23,677 $443 $136–$1,283 $160
2024 $24,128 $450 $136–$1,323 $164
2025 $33,696 $432 $132–$1,252 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Alnylam Pharmaceuticals Inc. $141,975 168 payments
  2. Sarepta Therapeutics, Inc. $1,050 2 payments
  3. Medtronic, Inc. $87 1 payment
  4. AstraZeneca Pharmaceuticals LP $14 1 payment

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $104,696 41 payments
  2. Consulting Fee $23,325 7 payments
  3. Travel and Lodging $11,507 68 payments
  4. Food and Beverage $3,585 55 payments
  5. Education $14 1 payment
Products named General payments · program years 2019–2025
  1. AMVUTTRA $73,985 70 payments
  2. ONPATTRO $55,632 73 payments
  3. AZURE XT DR MRI SURESCAN $87 1 payment
  4. FARXIGA $14 1 payment

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 21 drugs

Part D claims

1,524

Median for Advanced Heart Failure and Transplant Cardiology: 1,489

Drug cost

$1,218,921

Median for Advanced Heart Failure and Transplant Cardiology: $885,869

Branded share of claims

42.7%

Median for Advanced Heart Failure and Transplant Cardiology: 32.1%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Vyndamax Tafamidis Brand 25 $558,749
Entresto Sacubitril/Valsartan Brand 226 $280,806
Jardiance Empagliflozin Brand 192 $191,250
Eliquis Apixaban Brand 109 $115,116
Farxiga Dapagliflozin Propanediol Brand 52 $49,045
Xarelto Rivaroxaban Brand 13 $10,634
Dofetilide Generic 11 $2,996
Metoprolol Succinate Generic 168 $2,390
Isosorbide Dinit-Hydralazine Isosorbide Dinit/Hydralazine Brand 12 $1,591
Spironolactone Generic 203 $1,093

The 10 drugs with the highest cost, of 21 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 800 Part D prescribers listed as Advanced Heart Failure and Transplant Cardiology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 22 billing codes

Paid by Medicare

$59,379

Medicare's payments for the services billed

Medicare patients

3,402

Average age 74

Services billed

4,767

1,694 women, 1,708 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 51%
Atrial fibrillation 44%
Ischemic heart disease 41%
Heart failure 39%
Chronic kidney disease 38%
Diabetes 34%
Depression 26%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

1 product · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
AMVUTTRA
  • Alnylam Pharmaceuticals Inc. $24,012
$24,012 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

Records

172 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Cardiovascular Disease in North Carolina

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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