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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMaria Karimi
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    Maria Karimi — Billing Profile & Reimbursement Data

    NPI 1558362392 · Middletown, NY · Nephrology Physician

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    Maria Karimi is a nephrology physician provider located in Middletown, New York. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMaria Karimi
    Address14 Kings Dr
    CityMiddletown
    StateNY
    ZIP10941
    TaxonomyNephrology Physician
    NPI EnumeratedAugust 2, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$68.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…200$110$20.5K
    90962The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…80$170$13.4K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…260$40$10.9K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…70$150$10K
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…70$60$4.3K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…30$130$3.7K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…50$60$2.9K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.100$10$760
    76775A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…20$30$620
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…60$10$480

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,92330,45090$100$19K
    9921320,70331,44080$70$12.1K
    992232,3348,65040$150$9.3K
    90962108030$170$7.2K
    9093522041080$60$7.1K
    800531,8421,970120$10$6.9K
    992047,54214,17030$130$6.6K
    850251,8062,140120$10$4.8K
    992311723,70040$40$3.3K
    7677544669030$40$2.7K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Maria Karimi, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Middletown Medical PCNYEmergency Medicine Physician$0$49.3M
    Joseph RacanelliNYDiagnostic Radiology Physician$945.7K$478.9K
    Rishi BajajNYInterventional Cardiology Physician$615.4K$352K
    Philip GreenNYInterventional Cardiology Physician$867.6K$47K
    Bonnie SeecharranNYCardiovascular Disease Physician$663K$15.3K
    David LowenkronNYSpecialist$594.2K$21.3K
    Inderpal SinghNYCardiovascular Disease Physician$577.6K$19.8K
    Rongshan LiPAAnatomic Pathology & Clinical Pathology Physician$568.8K$18.7K
    Leslie MillerNYDiagnostic Radiology Physician$533.7K$9.5K
    Jagruti GohelNYFamily Medicine Physician$408.6K$119.9K

    Nearby Providers

    Other providers in the same ZIP code as Maria Karimi, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Access: Supports For Living IncNYCommunity/Behavioral Health Agency$0$35M
    Crystal Run Healthcare Physicians LLPNYGeneral Practice Physician$0$34.1M
    Access: Supports For Living IncNYCase Management Agency$0$19.8M
    Mdinr, LLCNYPhysiological Laboratory$2.7M$464.1K
    Matthew PomykalaNYOphthalmology Physician$1.7M$1M
    Robert DinsmoreNYHematology & Oncology Physician$2.4M$45.7K
    Crystal Run Ambulatory Surgery Center Of Middletown, LLCNYAmbulatory Surgical Clinic/Center$1.3M$661.1K
    Gnanamba KondaguntaNYHematology & Oncology Physician$1.6M$185.4K
    Manuel PerryNYHematology & Oncology Physician$1.3M$101.7K
    Gurvinder SethiNYHematology & Oncology Physician$1.1M$168.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Maria Karimi — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York