NEVVI Medicare utilization intelligence

← back

KARBACH, LAURENM.D. NPI 1013350164 Clinician

Orthopedic Surgery · SAN ANTONIO, TX

Specialty Orthopedic Surgery — from billed Medicare claims
Trained BAYLOR COLLEGE OF MEDICINE — medical school, self-reported to CMS
In practice about 13 years since medical school (class of 2013, self-reported to CMS)
Location SAN ANTONIO, TX · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 24 codes billed · 2,340 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20202026

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2025-10

Year: 2024 · 2023 · 2022 locked column · 2021 locked column · 2020 locked column

Provider overview · all codes · CY2024

The full analytics for this provider

Premium

The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were premium in CY2024. Unlock to see the figure.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

Notify me at launch → Or see a live example profile →

Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services locked column Beneficiary-episodes locked column Avg charge locked column Avg Medicare payment locked column
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg premiumpremium premiumpremium
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more premiumpremium premiumpremium
73130 X-ray of hand, minimum of 3 views premiumpremium premiumpremium
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more premiumpremium premiumpremium
73110 X-ray of wrist, minimum of 3 views premiumpremium premiumpremium
73030 X-ray of shoulder, minimum of 2 views premiumpremium premiumpremium
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more premiumpremium premiumpremium
20550 Injection into tendon or ligament premiumpremium premiumpremium
73140 X-ray of finger, minimum of 2 views premiumpremium premiumpremium
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more premiumpremium premiumpremium
20600 Aspiration and/or injection of fluid from small joint premiumpremium premiumpremium
20610 Aspiration and/or injection of fluid from large joint premiumpremium premiumpremium
73070 X-ray of elbow, 2 views premiumpremium premiumpremium
26055 Incision of tendon covering of finger premiumpremium premiumpremium
73221 Mri scan of arm joint without contrast premiumpremium premiumpremium
29848 Release of wrist ligament using an endoscope premiumpremium premiumpremium
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass premiumpremium premiumpremium
29075 Application of elbow to finger cast premiumpremium premiumpremium
20605 Aspiration and/or injection of fluid from medium joint premiumpremium premiumpremium
73080 X-ray of elbow, minimum of 3 views premiumpremium premiumpremium
73200 Ct scan of arm without contrast premiumpremium premiumpremium
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes premiumpremium premiumpremium
Q4022 Cast supplies, short arm splint, adult (11 years +), fiberglass premiumpremium premiumpremium
29125 Application of nonmoveable forearm to hand splint premiumpremium premiumpremium

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.