KAREN FROMHOLD, M.D.
General Practice Physician · VERGENNES, VT
Individual Active NPI 1609018621
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 171 | 397 | $119,374 | $50,885 | $36,972 |
| 2023 | 179 | 416 | $104,371 | $54,180 | $39,878 |
| 2022 | 166 | 362 | $84,028 | $42,737 | $29,906 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 140 | $103 | $69 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 130 | $173 | $135 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 67 | $146 | $102 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 39 | $71 | $46 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ✓ | 042-0012434 | VT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.