Dr. Ryan Karmouta, MD
31 Stiles Rd Ste 2100, Salem, NH 03079 • +1-202-555-4945
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Salem Percentiles
NPI #1316441066 • CBSA Regional • Dermatology
Operating out of Salem, NH (31 Stiles Rd Ste 2100), Dermatology clinician Dr. Ryan Karmouta, MD (accredited MD/DO training, 2013) maintains a top-decile high-throughput specialist (99th percentile in Salem) (81.97th NH percentile; Z-score +0.77σ across 7,267 documented services) with sub-specialty concentration in 72 Active CMS HCPCS Codes.
Procedural volume for Dr. Karmouta is led by HCPCS 17000 (Cryotherapy Destruction of Premalignant Actinic Lesion — 2046 annual services, $100–$136 GPCI cash estimate), followed by CPT 99213 (Focused Cutaneous & Dermoscopic Examination, 1866/yr) and CPT 11102 (Tangential Diagnostic Skin Biopsy of Single Lesion, 1144/yr).
Self-pay new patient consultations with Dr. Karmouta (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 9-minute average reception wait, and a 4.49/5 modern protocol openness score across 15 patient logs.
Patients evaluating Dr. Ryan Karmouta in ZIP 03079 note 13 years of post-doctoral tenure (null, 2013) alongside 4.7 annual CMS procedures per patient.
Top 10% Dermatology volume leader in Salem, NH
7,267 annual services across 1,532 beneficiaries
Standard deviations from NH Dermatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 17000 | Cryotherapy Destruction of Premalignant Actinic Lesion | 2,046 | 99th | $100 – $136 |
| 99213 | Focused Cutaneous & Dermoscopic Examination | 1,866 | 99.5th | $111 – $153 |
| 11102 | Tangential Diagnostic Skin Biopsy of Single Lesion | 1,144 | 94th | $146 – $201 |
| 11401 | Excision of Benign Cutaneous Lesion (0.6 to 1.0 cm) | 602 | 98th | $205 – $281 |
| 99203 | New Patient Full-Body Skin Cancer & Dermatology Evaluation | 361 | 97th | $158 – $217 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (72 HCPCS billing breadth) | 1,248 | 99th | $122 – $177 |
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Dr. Ryan Karmouta, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Karmouta National Provider Identifier | NPI #1316441066 (MD) | CMS NPPES Registry (03079) |
| Dr. Karmouta Salem CMS Volume Rank | 99.00th Pct (7,267 CMS svcs; Z +0.774σ) | CMS Medicare Part B (NH Dermatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Salem, NH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.49/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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