Dr. Karen Kovalow-St. John, MD
77 Casa St Ste 101, San Luis Obispo, CA 93405 • +1-778-555-1501
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & San Luis Obispo Percentiles
NPI #1336146281 • CBSA Regional • Rheumatology
CMS Medicare Part B utilization records credit Dr. Karen Kovalow-St. John (MD, NPI 1336146281) at 77 Casa St Ste 101 in San Luis Obispo with 140,600 annual clinical services (536 beneficiaries), corresponding to a +1.01σ regional deviation and mid-cohort balanced caseload (50th San Luis Obispo percentile) with sub-specialty concentration in 36 Active CMS HCPCS Codes.
Dr. Kovalow-St. John's longitudinal care intensity (262.3 billed units per patient across 536 individuals) centers on 99214 (812 annual units) and 20610 ($41–$56 cash range).
For out-of-network patients contacting +1-778-555-1501, Dr. Kovalow-St. John's practice posts a $239.00 GPCI self-pay consult estimate ($239.00 patient-logged median, 4.52/5 composite reality score over 11 submissions).
NPI registry verification (#1336146281) confirms Dr. Karen Kovalow-St. John's MD standing serving CBSA 93405 with a 4.52/5 patient scorecard.
Compared against San Luis Obispo, CA Rheumatology peers
140,600 annual services across 536 beneficiaries
Standard deviations from CA Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 812 | 50th | $52 – $71 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 371 | 53th | $41 – $56 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 265 | 55th | $71 – $97 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 177 | 47th | $54 – $74 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 141 | 47th | $71 – $97 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (36 HCPCS billing breadth) | 138,835 | 50th | $45 – $65 |
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Dr. Karen Kovalow-St. John, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kovalow-St. John National Provider Identifier | NPI #1336146281 (MD) | CMS NPPES Registry (93405) |
| Dr. Kovalow-St. John San Luis Obispo CMS Volume Rank | 50.00th Pct (140,600 CMS svcs; Z +1.009σ) | CMS Medicare Part B (CA Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (San Luis Obispo, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 15 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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