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    OpenPayerNPI Medicare & MedicaidNicolas Karam
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    Nicolas Karam — Billing Profile & Reimbursement Data

    NPI 1760527113 · Plattsburgh, NY · Clinical Cardiac Electrophysiology Physician

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    Nicolas Karam is a clinical cardiac electrophysiology physician provider located in Plattsburgh, New York. This profile covers 40 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNicolas Karam
    Address214 Cornelia St Ste 204
    CityPlattsburgh
    StateNY
    ZIP12901
    TaxonomyClinical Cardiac Electrophysiology Physician
    NPI EnumeratedFebruary 21, 2007

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

    Payer SourceTotal Paid
    Medicare$129K
    Medicaid$1.2K

    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.

    40 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…420$70$28.6K
    33208The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.30$390$9.8K
    93297The provider, who is a physician or other qualified healthcare professional, evaluates the physiologic data from the implantable physiologic cardiovascular monitoring system during a period of up 30…520$20$9.3K
    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…90$90$8.5K
    33249The provider either replaces or implants a new permanent defibrillator system with single or dual chamber transvenous leads or electrodes. Defibrillators sense and regulate the heart rate by…10$700$8.4K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…150$50$7.4K
    93280In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system.  He changes various operating…200$30$5.2K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.830$10$5K
    93295In this service the provider evaluates from a remote location an implantable single, dual, or multiple lead defibrillator system. The service includes his interim analyses during a period of up to 90…190$30$4.7K
    93227In this procedure, the provider reviews and interprets the data from an external electrocardiographic, or ECG recorder, worn by a patient for 48 hours to detect abnormal heart rates and rhythms. He…340$10$4.5K

    Showing 1–10 of 40

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    40 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3328514916020$1,230$42K
    933061,2161,990200$110$30.7K
    992143,85230,45090$100$19K
    992337,1668,64080$100$15.8K
    33249365020$800$15.3K
    9921328,48331,44080$70$12.1K
    332086015020$460$11.5K
    992157,6208,28040$140$10.1K
    992235,8508,65040$150$9.3K
    93298157350190$20$8.4K

    Showing 1–10 of 40

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.440$1$880
    93297The provider, who is a physician or other qualified healthcare professional, evaluates the physiologic data from the implantable physiologic cardiovascular monitoring system during a period of up 30…50$10$360
    93227In this procedure, the provider reviews and interprets the data from an external electrocardiographic, or ECG recorder, worn by a patient for 48 hours to detect abnormal heart rates and rhythms. He…10$1$40

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.9682,130340$10$17.8K
    93297The provider, who is a physician or other qualified healthcare professional, evaluates the physiologic data from the implantable physiologic cardiovascular monitoring system during a period of up 30…79110230$10$8.3K
    93227In this procedure, the provider reviews and interprets the data from an external electrocardiographic, or ECG recorder, worn by a patient for 48 hours to detect abnormal heart rates and rhythms. He…405060$20$3.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Champlain Valley Physicians Hospital Medical CenterNYGeneral Acute Care Hospital$0$35.9M
    Alice Hyde Medical CenterNYGeneral Practice Physician$0$22.4M
    Frisbie Memorial HospitalNHSpecialist$0$1.2M
    Adam MoskowitzNYGastroenterology Physician$547K$309K
    Aref AgheliNYHematology & Oncology Physician$364.3K$1.8K
    Kevin DeboerFLPulmonary Disease Physician$341.8K$0
    Anthony VaccaroNYRadiation Oncology Physician$268.9K$0
    Kevin DoddNYGastroenterology Physician$241.1K$0
    Albert HuhoNYAnatomic Pathology & Clinical Pathology Physician$169.4K$0
    Joseph KennedyVTEmergency Medicine Physician$56.3K$109.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Champlain Valley Brace And Limb, L.L.C.NYDurable Medical Equipment & Medical Supplies$0$21M
    Roy ArogyasamiNYOphthalmology Physician$4.7M$1.1M
    Surgical Pain Center Of The Adirondacks, LLCNYAmbulatory Surgical Clinic/Center$930K$225.6K
    Plattsburgh Asc LLCNYAmbulatory Surgical Clinic/Center$623.9K$21.1K
    Craig HurwitzNYNephrology Physician$445K$178.5K
    Joseph RiniNYOphthalmology Physician$543K$51.2K
    Champlain Toxicology Lab, LLCNYClinical Medical Laboratory$228.2K$269K
    Afterhours Imaging, LLCNYDiagnostic Radiology Physician$371.4K$16.4K
    Walgreen CoNYPharmacy$330.9K$0
    Richard WebberNYInternal Medicine Physician$278.6K$10.6K

    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
    Nicolas Karam — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Nicolas Karam — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York