Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 206 | 256 | $77,304 | $22,625 |
| 2022 | 5 | 314 | 485 | $108,200 | $36,303 |
| 2021 | 6 | 353 | 500 | $116,303 | $40,486 |
| 2020 | 5 | 316 | 475 | $110,893 | $39,719 |
All Medicare Procedures & Services
21 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 80 | 82 | $36,408 | $9,113 | 25.0% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 56 | 104 | $19,864 | $7,044 | 35.5% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2023 | 35 | 35 | $7,910 | $2,443 | 30.9% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2023 | 23 | 23 | $7,590 | $2,271 | 29.9% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 12 | 12 | $5,532 | $1,754 | 31.7% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 108 | 214 | $34,406 | $12,635 | 36.7% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 49 | 111 | $31,191 | $9,559 | 30.6% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2022 | 74 | 76 | $20,130 | $6,842 | 34.0% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 45 | 45 | $15,393 | $4,941 | 32.1% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2022 | 38 | 39 | $7,080 | $2,327 | 32.9% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2021 | 65 | 135 | $37,935 | $11,659 | 30.7% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 89 | 157 | $24,806 | $9,622 | 38.8% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2021 | 98 | 103 | $27,192 | $9,336 | 34.3% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2021 | 53 | 56 | $17,080 | $6,372 | 37.3% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2021 | 37 | 38 | $6,650 | $2,386 | 35.9% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 11 | 11 | $2,640 | $1,112 | 42.1% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2020 | 77 | 165 | $46,365 | $15,118 | 32.6% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2020 | 76 | 143 | $22,594 | $8,948 | 39.6% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2020 | 55 | 56 | $17,080 | $6,642 | 38.9% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2020 | 59 | 61 | $16,104 | $5,811 | 36.1% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2020 | 49 | 50 | $8,750 | $3,199 | 36.6% |
About Dr. Niraj Karki, M.D
Dr. Niraj Karki, M.D is a Hospitalist healthcare provider based in Presque Isle, Maine. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 12/14/2011. The National Provider Identifier (NPI) number assigned to this provider is 1952670309.
As a Medicare-enrolled provider, Karki has provided services to 1,189 Medicare beneficiaries, totaling 1,716 services with total Medicare billing of $139,133. Data is available for 4 years (2020–2023), covering 21 distinct procedure/service records.
Practice Information
- Specialty Hospitalist
- Location Presque Isle, ME
- Active Since 12/14/2011
- Last Updated 02/15/2017
- Taxonomy Code 208M00000X
- Entity Type Individual
- NPI Number 1952670309
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.