Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $116 per patient in 2015.
They performed about 2 services per patient. Here’s how this provider compares.

Number of
Patients
777
Rank: 11th
out of 13 providers in this state & specialty
Services
Performed
2,124
Rank: 7th
out of 13 providers in this state & specialty
Avg Services
Per Patient
2.7 This Provider is in the top 10%
Avg 1.9
Total Paid
by Medicare
$102K
Rank: 9th
out of 13 providers in this state & specialty
Avg Paid
Per Patient
$131 This Provider
Avg $116

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 71 different services in 2015
(47 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in a facility
408
times performed,
19% of his services

1st 3rd

most performed service for this provider most performed service in this state & specialty

310
patients got this service, 40% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$46,499.76an average of $113.97 per time performed $22,566.48
an average of $55.31 per time performed
medical
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
384
times performed,
18% of his services

2nd 1st

most performed service for this provider most performed service in this state & specialty

306
patients got this service, 39% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$12,288.00an average of $32.00 per time performed $2,304.00
an average of $6.00 per time performed
medical
MEDICINE

Ultrasound examination of heart including color-depicted ... +

Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function ×

Service Code: 93306
Performed in a facility
206
times performed,
10% of his services

3rd 11th

most performed service for this provider most performed service in this state & specialty

204
patients got this service, 26% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$71,070.00an average of $345.00 per time performed $9,960.10
an average of $48.35 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
170
times performed,
8% of his services

4th 13th

most performed service for this provider most performed service in this state & specialty

78
patients got this service, 10% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.6)
$26,016.80an average of $153.04 per time performed $9,718.90
an average of $57.17 per time performed
medical
MEDICINE

Evaluation of parameters of single, dual, or multiple lea... +

Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection ×

Service Code: 93288
Performed in a facility
132
times performed,
6% of his services

5th 5th

most performed service for this provider most performed service in this state & specialty

97
patients got this service, 12% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$6,072.00an average of $46.00 per time performed $2,106.72
an average of $15.96 per time performed
medical
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report ×

Service Code: 93018
Performed in a facility
77
times performed,
4% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NH perform this service

76
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
$5,698.00an average of $74.00 per time performed $873.18
an average of $11.34 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
71
times performed,
3% of his services

7th 25th

most performed service for this provider most performed service in this state & specialty

69
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$20,590.00an average of $290.00 per time performed $7,789.41
an average of $109.71 per time performed
medical
MEDICINE

Heart rhythm tracing, analysis, and interpretation of 48-... +

Heart rhythm tracing, analysis, and interpretation of 48-hour ekg ×

Service Code: 93227
Performed in a facility
61
times performed,
3% of his services

8th 7th

most performed service for this provider most performed service in this state & specialty

59
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,429.00an average of $89.00 per time performed $1,276.73
an average of $20.93 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in a facility
59
times performed,
3% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NH perform this service

59
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
$13,758.80an average of $233.20 per time performed $5,650.43
an average of $95.77 per time performed
medical
MEDICINE

Evaluation, testing, and programming adjustment of perman... +

Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report ×

Service Code: 93280
Performed in a facility
51
times performed,
2% of his services

10th 4th

most performed service for this provider most performed service in this state & specialty

43
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$3,697.50an average of $72.50 per time performed $1,426.98
an average of $27.98 per time performed
medical
MEDICINE

Doppler ultrasound study of color-directed heart blood fl... +

Doppler ultrasound study of color-directed heart blood flow, rate, and valve function ×

Service Code: 93325
Performed in a facility
49
times performed,
2% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NH perform this service

48
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$2,303.00an average of $47.00 per time performed $134.75
an average of $2.75 per time performed
medical
MEDICINE

Doppler ultrasound study of heart blood flow, valves, and... +

Doppler ultrasound study of heart blood flow, valves, and chambers ×

Service Code: 93320
Performed in a facility
47
times performed,
2% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NH perform this service

46
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$3,572.00an average of $76.00 per time performed $680.56
an average of $14.48 per time performed
medical
MEDICINE

Evaluation of defibrillator including connection, recordi... +

Evaluation of defibrillator including connection, recording and disconnection ×

Service Code: 93289
Performed in a facility
46
times performed,
2% of his services

13th 15th

most performed service for this provider most performed service in this state & specialty

31
patients got this service, 4% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.2)
$3,686.90an average of $80.15 per time performed $1,499.14
an average of $32.59 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in a facility
38
times performed,
2% of his services

14th 9th

most performed service for this provider most performed service in this state & specialty

35
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,006.02an average of $52.79 per time performed $1,102.38
an average of $29.01 per time performed
medical
RADIOLOGY

Nuclear medicine study of vessels of heart using drugs or... +

Nuclear medicine study of vessels of heart using drugs or exercise multiple studies ×

Service Code: 78452
Performed in a facility
30
times performed,
1% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NH perform this service

30
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$4,642.50an average of $154.75 per time performed $1,775.70
an average of $59.19 per time performed
medical
MEDICINE

Ultrasound examination of the heart performed during rest... +

Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report ×

Service Code: 93350
Performed in a facility
28
times performed,
1% of his services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NH perform this service

28
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$9,968.00an average of $356.00 per time performed $1,549.52
an average of $55.34 per time performed
medical
MEDICINE

Insertion of probe in esophagus for heart ultrasound exam... +

Insertion of probe in esophagus for heart ultrasound examination including interpretation and report ×

Service Code: 93312
Performed in a facility
26
times performed,
1% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NH perform this service

25
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$12,402.00an average of $477.00 per time performed $2,538.90
an average of $97.65 per time performed
medical
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring and physician supervision ×

Service Code: 93016
Performed in a facility
24
times performed,
1% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NH perform this service

24
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$1,896.00an average of $79.00 per time performed $429.36
an average of $17.89 per time performed
medical
MEDICINE

External shock to heart to regulate heart beat

Service Code: 92960
Performed in a facility
16
times performed,
0.75% of his services

19th 18th

most performed service for this provider most performed service in this state & specialty

15
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$6,912.00an average of $432.00 per time performed $1,587.68
an average of $99.23 per time performed
medical
MEDICINE

Evaluation, testing and programming adjustment of defibri... +

Evaluation, testing and programming adjustment of defibrillator with analysis, review and report ×

Service Code: 93284
Performed in an office
16
times performed,
0.75% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NH perform this service

11
patients got this service, 1% of his patients
1.5
average number of visits a patient made for this service
$1,773.76an average of $110.86 per time performed $660.48
an average of $41.28 per time performed
medical
MEDICINE

Insertion of catheter for imaging of heart blood vessels ... +

Insertion of catheter for imaging of heart blood vessels or grafts ×

Service Code: 93454
Performed in a facility
13
times performed,
0.61% of his services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NH perform this service

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$10,270.00an average of $790.00 per time performed $2,419.17
an average of $186.09 per time performed
medical
MEDICINE

Follow-up or limited ultrasound examination of heart

Service Code: 93308
Performed in a facility
11
times performed,
0.52% of his services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NH perform this service

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$2,255.00an average of $205.00 per time performed $228.47
an average of $20.77 per time performed
medical
MEDICINE

Insertion of catheter in left heart for imaging of blood ... +

Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart ×

Service Code: 93458
Performed in a facility
11
times performed,
0.52% of his services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NH perform this service

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$11,561.00an average of $1,051.00 per time performed $2,617.89
an average of $237.99 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of new or replacement of permanent pacemaker in... +

Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes ×

Service Code: 33208
Performed in a facility
11
times performed,
0.52% of his services

24th 16th

most performed service for this provider most performed service in this state & specialty

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,310.00an average of $1,210.00 per time performed $4,711.96
an average of $428.36 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Nicolas Mikhael Karam
Average for Clinical Cardiac Electrophysiology Providers in New Hampshire

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Read our methodology.