Kasra Karamlou M.D.

Gender: M
Medical School: George Washington University School Of Medicine
Graduation Year: 1996
Primary Specialty: Hematology/oncology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted96
Total Provider Services19301
Total Medicare beneficiaries receiving the provider services186
The total charges that the provider submitted for all services$1,439,784.53
The Medicare allowed amount for all provider services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$389,744.08
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$306,095.86
Total Medicare Standardized Payment Amount$307,285.10
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File43
Total drug services, as defined from the Medicare Part B Drug ASP File17701
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.51
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$1,142,152.53
The Medicare allowed amount for drug services, as defined from the Medicare Part B Drug ASP File. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$279,708.94
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item drug services, as defined from the Medicare Part B Drug ASP File.$218,021.75
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item drug service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care.$218,021.80
Total number of HCPCS codes associated with medical (non-ASP) services53
Total medical (non-ASP) services1600
Total Medicare beneficiaries receiving medical (non-ASP) services186
The total charges that the provider submitted for medical services (non-ASP)$297,632.00
The Medicare allowed amount for medical (non-ASP) services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$110,035.14
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$88,074.11
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item medical (non-ASP) service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care$89,263.30
Average age of beneficiaries74
Number of beneficiaries under the age of 6513
Number of beneficiaries between the ages of 65 and 7487
Number of beneficiaries between the ages of 75 and 8463
Number of beneficiaries over the age of 8423
Number of Female beneficiaries100
Number of Male Beneficiaries86
Number of Non-Hispanic White Beneficiaries154
Number of Hispanic Beneficiaries15
Number of Medicare beneficiaries qualified to receive Medicare only benefits. Beneficiaries are classified as Medicare only entitlement if they received zero months of any Medicaid benefits (full or partial) in the given calendar year168
Number of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits. Beneficiaries are classified as Medicare and Medicaid entitlement if in any month in the given calendar year they were receiving full or partial Medicaid benefits18
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation20%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma12%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease58%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia63%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease52%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis44%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke8%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries2.0722

Source: data.cms.gov

Kasra Karamlou M.D.'s 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Blood test, comprehensive group of blood chemicals 149 36 149 $13.33 $60.0 $13.07 459%
Lactate dehydrogenase (enzyme) level 36 15 36 $4.79 $29.0 $4.7 618%
Magnesium level 34 11 34 $9.19 $27.0 $9.01 300%
Complete blood cell count (red cells, white blood cell, platelets), automated test 169 36 169 $8.8 $34.0 $8.62 394%
Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour 50 20 30 $30.79 $148.0 $24.14 613%
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention 41 27 40 $25.52 $90.0 $20.01 450%
Injection of different drug or substance into a vein for therapy, diagnosis, or prevention 120 29 64 $22.3 $102.0 $17.48 583%
Infusion of chemotherapy into a vein up to 1 hour 73 32 73 $137.42 $666.0 $107.74 618%
Infusion of different chemotherapy drug or substance into a vein up to 1 hour 27 16 27 $65.03 $324.0 $50.98 636%
New patient office or other outpatient visit, typically 45 minutes 27 27 27 $164.03 $333.0 $128.02 260%
Established patient office or other outpatient visit, typically 15 minutes 27 18 27 $72.31 $144.0 $56.69 254%
Established patient office or other outpatient, visit typically 25 minutes 219 54 219 $107.51 $217.0 $83.76 259%
Initial hospital inpatient care, typically 50 minutes per day 68 63 68 $137.28 $288.0 $104.66 275%
Initial hospital inpatient care, typically 70 minutes per day 30 30 30 $203.35 $400.0 $159.43 251%
Subsequent hospital inpatient care, typically 25 minutes per day 48 33 48 $72.47 $152.0 $56.07 271%
Subsequent hospital inpatient care, typically 35 minutes per day 131 40 131 $104.74 $225.0 $82.11 274%
Injection, dexamethasone sodium phosphate, 1 mg 700 29 63 $0.12 $1.0 $0.09 1066%
Injection, diphenhydramine hcl, up to 50 mg 36 14 35 $0.64 $3.0 $0.5 595%
Injection, granisetron hydrochloride, 100 mcg 310 15 31 $0.35 $25.0 $0.28 9078%
Injection, palonosetron hcl, 25 mcg 260 15 26 $21.7 $122.0 $17.01 717%
Injection, pegfilgrastim, 6 mg 19 12 19 $4251.67 $15696.95 $3333.31 471%
Injection, carboplatin, 50 mg 170 12 18 $3.46 $300.0 $2.71 11075%
Source: 2017 Provider CMS Charge Data