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

Roshni Karnani

Neurology Rye Brook, NY Medical Doctor

NPI 1801022439 CMS profile 1041008

10 Rye Ridge Plz Ste 105, Rye Brook, NY 10573

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General payments

$10,814

409 records reported · program years 2019–2025

Research payments

$0

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

Ownership & investment interest

$0

None reported

Through program year 2025, Roshni Karnani of Rye Brook, NY is reported in the CMS Open Payments database as having received $10,814 across 409 general payments and $0 in research payments paid 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.

General payments for this record sit in the 76th percentile of Neurology 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 $2,109 80
2024 General $2,338 91
2023 General $1,951 71
2022 General $1,425 68
2021 General $1,125 43
2020 General $685 35
2019 General $1,181 21

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Roshni Karnani
  • Neurology median
  • Middle half of Neurology
  • National median

In program year 2025, general payments to Roshni Karnani were reported at $2,109. Among 11,022 Neurology profiles paid that year, the median was $457 and the middle half received between $118 and $2,344.

Show as a table
Year Roshni Karnani Neurology median Middle half National median
2019 $1,181 $474 $118–$2,177 $163
2020 $685 $367 $82–$2,309 $114
2021 $1,125 $438 $104–$2,547 $132
2022 $1,425 $442 $103–$2,388 $149
2023 $1,951 $464 $119–$2,312 $160
2024 $2,338 $468 $119–$2,323 $164
2025 $2,109 $457 $118–$2,344 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. AbbVie, Inc. $1,595 66 payments
  2. Amneal Pharmaceuticals LLC $846 44 payments
  3. Alexion Pharmaceuticals, Inc. $711 16 payments
  4. Lilly USA, LLC $664 15 payments
  5. Otsuka America Pharmaceutical, Inc. $660 19 payments
  6. Pfizer Inc. $561 32 payments
  7. Teva Pharmaceuticals USA, Inc. $502 6 payments
  8. Kyowa Kirin, Inc. $434 18 payments
  9. Lundbeck LLC $400 13 payments
  10. Biogen, Inc. $391 8 payments
  11. Other $4,048 172 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $10,650 405 payments
  2. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $125 1 payment
  3. Education $38 3 payments
Products named General payments · program years 2019–2025
  1. UBRELVY $789 36 payments
  2. REXULTI $660 19 payments
  3. RYTARY $595 22 payments
  4. NURTEC ODT $539 31 payments
  5. ULTOMIRIS $480 10 payments
  6. ZAVZPRET $467 26 payments
  7. KISUNLA $454 7 payments
  8. NOURIANZ $434 18 payments
  9. QULIPTA $362 16 payments
  10. VRAYLAR $292 4 payments
  11. Other $5,958 252 payments

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 · 64 drugs

Part D claims

2,199

Median for Neurology: 833

Drug cost

$874,109

Median for Neurology: $202,670

Branded share of claims

42.7%

Median for Neurology: 25.9%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Rexulti Brexpiprazole Brand 42 $132,070
Nurtec Odt Rimegepant Sulfate Brand 68 $103,155
Nourianz Istradefylline Brand 24 $102,003
Rytary Carbidopa/Levodopa Brand 81 $81,652
Droxidopa Generic 11 $80,423
Botox Onabotulinumtoxina Brand 38 $44,725
Cambia Diclofenac Potassium Brand 16 $32,727
Aimovig Autoinjector Erenumab-Aooe Brand 27 $28,601
Namzaric Memantine Hcl/Donepezil Hcl Brand 20 $27,326
Nuedexta Dextromethorphan Hbr/Quinidine Brand 11 $27,291

The 10 drugs with the highest cost, of 64 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 13,695 Part D prescribers listed as Neurology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 37 billing codes

Paid by Medicare

$156,941

Medicare's payments for the services billed

Medicare patients

355

Average age 75

Services billed

1,764

233 women, 122 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%
Depression 55%
Arthritis 55%
Diabetes 36%
Alzheimer's or dementia 35%
Ischemic heart disease 26%
Cancer 18%
Osteoporosis 17%

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

First 5 of 26 products · 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
REXULTI
  • Otsuka America Pharmaceutical, Inc. $191
  • Lundbeck LLC $107
$297 42 —
ULTOMIRIS
  • Alexion Pharmaceuticals, Inc. $193
$193 — —
VYEPTI
  • Lundbeck LLC $193
$193 — —
Leqembi
  • Eisai Inc. $157
$157 — —
RYTARY
  • Amneal Pharmaceuticals LLC $156
$156 81 —

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.

See more in the dashboard: 25 with a free account, all 26 with Patron

Records

409 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 Neurology in New York

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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