Dr. Zeina Karam, MD
901 Patients First DR, Washington, MO 63090 • +1-680-555-9656
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Washington Percentiles
NPI #1861652034 • CBSA Regional • Nephrology
CMS Medicare Part B utilization records credit Dr. Zeina Karam (MD, NPI 1861652034) at 901 Patients First DR in Washington with 775 annual clinical services (231 beneficiaries), corresponding to a -0.66σ regional deviation and top-decile high-throughput specialist (99th percentile in Washington) with sub-specialty concentration in 15 Active CMS HCPCS Codes.
Dr. Karam's longitudinal care intensity (3.4 billed units per patient across 231 individuals) centers on 99214 (372 annual units) and 90960 ($479–$657 cash range).
Self-pay new patient consultations with Dr. Karam (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 19-minute average reception wait, and a 4.58/5 modern protocol openness score across 13 patient logs.
Clinical background for Dr. Karam (MD, NPI #1861652034) includes accredited doctoral training (2014, 12 yrs in practice) and virtual + in-office availability across MO.
Top 10% Nephrology volume leader in Washington, MO
775 annual services across 231 beneficiaries
Standard deviations from MO Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 372 | 99th | $240 – $328 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 171 | 99.5th | $479 – $657 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 140 | 98th | $349 – $479 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 93 | 99.5th | $329 – $451 |
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Dr. Zeina Karam, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Karam National Provider Identifier | NPI #1861652034 (MD) | CMS NPPES Registry (63090) |
| Dr. Karam Washington CMS Volume Rank | 99.00th Pct (775 CMS svcs; Z -0.659σ) | CMS Medicare Part B (MO Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Washington, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.58/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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