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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Edmund Karam
⚕️
MDIndividual

Edmund Karam, MD

NPI: 1932211646
Browns Mills, NJ
10 years of data
Clinical Cardiac Electrophysiology
$7.7M
Total Payments
40.0K
Beneficiaries
90.1K
Services
2.58x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$7.7M
Specialty median$207.8K

📋 Key Findings

1Billed $7.7M over 10 years
22.58x markup ratio (above median)
399th percentile in Clinical Cardiac Electrophysiology by payments
4Payments surged 102% in 2019
57 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $7.7M in total Medicare payments ranks in the 99th percentile of Clinical Cardiac Electrophysiology providers nationally.

Medicare payments to this provider grew 151% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 102% in 2019

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$659.25$199.013.31x$460.24$403.5K3.9K2.5K
2015$690.23$207.483.33x$482.75$477.2K4.4K2.9K
2016$678.62$205.763.30x$472.86$518.2K5.0K3.4K
2017$612.97$186.883.28x$426.09$571.3K7.7K4.5K
2018$558.76$171.783.25x$386.98$579.8K9.8K5.2K
2019$755.65$291.522.59x$464.13$1.2M11.9K5.6K
2020$743.35$302.922.45x$440.43$1.2M11.7K4.3K
2021$776.65$320.422.42x$456.23$953.6K12.3K3.9K
2022$778.66$322.782.41x$455.88$846.8K11.1K3.7K
2023$839.53$305.792.75x$533.74$1.0M12.3K4.1K

Top Procedures (20)

33285Insertion of heart rhythm monitor under skin
$2.0M
525 services$3.9K/svc1.68x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$775.2K
8.5K services$91.54/svc1.98x markup
G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec⚠ 3.4x markup
$395.1K
12.1K services$32.77/svc3.36x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day
$379.8K
6.3K services$60.33/svc1.99x markup
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days
$331.7K
15.1K services$21.95/svc2.96x markup
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days
$249.8K
389 services$642.24/svc3.00x markup
78492Nuclear medicine study heart muscle at rest and/or stress multiple studies
$237.0K
172 services$1.4K/svc2.03x markup
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm
$221.2K
233 services$949.42/svc3.00x markup
33249Insertion or replacement of single or dual chamber pacing defibrillator leads⚠ 3.1x markup
$215.5K
276 services$780.77/svc3.10x markup
93653Evaluation and insertion of catheters for creation of complete heart block
$215.2K
302 services$712.66/svc2.74x markup
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes⚠ 3.4x markup
$204.8K
481 services$425.73/svc3.43x markup
93299Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days
$152.1K
4.0K services$37.74/svc2.91x markup
99222Initial hospital inpatient care, typically 50 minutes per day
$145.2K
1.3K services$113.86/svc2.20x markup
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles⚠ 3.1x markup
$140.9K
466 services$302.46/svc3.06x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 4.3x markup
$133.0K
10.0K services$13.25/svc4.26x markup
99205New patient office or other outpatient visit, typically 60 minutes
$133.0K
771 services$172.45/svc2.21x markup
93296Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days⚠ 3.7x markup
$125.3K
5.8K services$21.61/svc3.70x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 3.1x markup
$121.7K
680 services$178.99/svc3.07x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$114.9K
915 services$125.54/svc2.11x markup
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
$104.1K
172 services$605.21/svc2.51x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
33285Insertion of heart rhythm monitor under skin525$2.0M$3.9K1.68x
99214Established patient office or other outpatient, visit typically 25 minutes8.5K$775.2K$91.541.98x
G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec12.1K$395.1K$32.773.36x
99232Subsequent hospital inpatient care, typically 25 minutes per day6.3K$379.8K$60.331.99x
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days15.1K$331.7K$21.952.96x
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days389$249.8K$642.243.00x
78492Nuclear medicine study heart muscle at rest and/or stress multiple studies172$237.0K$1.4K2.03x
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm233$221.2K$949.423.00x
33249Insertion or replacement of single or dual chamber pacing defibrillator leads276$215.5K$780.773.10x
93653Evaluation and insertion of catheters for creation of complete heart block302$215.2K$712.662.74x
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes481$204.8K$425.733.43x
93299Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days4.0K$152.1K$37.742.91x
99222Initial hospital inpatient care, typically 50 minutes per day1.3K$145.2K$113.862.20x
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles466$140.9K$302.463.06x
93000Routine EKG using at least 12 leads including interpretation and report10.0K$133.0K$13.254.26x
99205New patient office or other outpatient visit, typically 60 minutes771$133.0K$172.452.21x
93296Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days5.8K$125.3K$21.613.70x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function680$121.7K$178.993.07x
99215Established patient office or other outpatient, visit typically 40 minutes915$114.9K$125.542.11x
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries172$104.1K$605.212.51x

Markup Analysis

Charge-to-Payment Ratio

2.58x

This provider submits charges 2.58 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.58x means for every $100 Medicare pays, this provider initially charges $258. This is higher than the national average.

Location

Browns Mills, NJ

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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