JAMES KARLSON, MD
Sports Medicine (Orthopaedic Surgery) Physician · CAMBRIDGE, MA
Individual Active NPI 1114915261
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 477 | 5,245 | $1,181,396 | $187,043 | $141,091 |
| 2023 | 489 | 3,671 | $1,352,482 | $220,435 | $168,563 |
| 2022 | 527 | 3,639 | $1,339,625 | $237,717 | $178,665 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 1,440 | $17 | $14 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 1,120 | $0 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1,061 | $7 | $5 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 584 | $1 | $1 |
| 20610 | Aspiration and/or injection of fluid from large joint | 332 | $78 | $56 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 248 | $99 | $71 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 149 | $62 | $44 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 137 | $120 | $84 |
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | 20 | $178 | $142 |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | 19 | $79 | $58 |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 19 | $315 | $251 |
| 29880 | Removal of both knee cartilages using an endoscope | 17 | $596 | $477 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ✓ | 74009 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Sports Medicine (Orthopaedic Surgery) Physician providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.