Karam, Claude

Karam, Claude was paid $3.42M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoKARAM, CLAUDE
STERLING, VA 20165

33aNPI1235203290assigned 11/20/2006

33bProvider typePediatrics Physician

28Total paid$3.42M

24GClaims85,228

24DCodes billed41

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#52 of 817

Median peer was paid$29K

This provider vs. median117×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	11,312	$394K
2019	11,636	$399K
2020	12,195	$456K
2021	11,749	$449K
2022	12,967	$578K
2023	13,380	$609K
2024incomplete	11,989	$531K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30%	17,667	15,217	$1.01M
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	22%	8,647	7,844	$758K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.9%	4,477	4,337	$339K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	8.1%	3,629	3,528	$277K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	7.5%	3,939	3,305	$256K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	5.7%	2,356	2,273	$194K
90670		2.0%	2,250	2,144	$68K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.6%	6,490	6,262	$54K
90651		1.6%	1,270	1,192	$54K
90710		1.6%	1,491	1,455	$53K
90723		1.2%	2,123	1,974	$40K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.2%	2,937	2,813	$40K

29 more codes

90677		<1%	521	$33K
90734		<1%	1,016	$30K
90648		<1%	2,691	$28K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	785	$28K
90681		<1%	1,104	$26K
90633		<1%	1,739	$23K
90620		<1%	544	$19K
90688		<1%	1,294	$15K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	906	$14K
99203	Doctor's office visit, new patient (routine)	<1%	96	$7K
90686		<1%	520	$6K
99381		<1%	114	$6K
90696		<1%	315	$5K
0071A		<1%	143	$5K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	10,017	$5K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	72	$4K
90461		<1%	4,941	$4K
90700		<1%	275	$3K
90715		<1%	187	$3K
86580		<1%	301	$3K
99383		<1%	13	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	148	$1K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	58	$736.38
99460		<1%	14	$618.32
99238	Hospital discharge day management, 30 minutes or less	<1%	16	$441.07
90658		<1%	19	$211.32
90744		<1%	13	$157.35
A7015	Aerosol mask, used with dme nebulizer	<1%	32	$31.05
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	58	$3.65

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.