Medicare Enrolled

Dr. Wassef Karrowni, M.D.

Internal Medicine · Victorville, CA
Practice pattern: Cardiac Imaging — Practice with significant diagnostic imaging and stress testing
Low-engagement
16850 BEAR VALLEY RD, Victorville, CA 92395
7602418000
In practice since 2007 (18 years)
NPI: 1972713691 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Karrowni from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Karrowni

Dr. Wassef Karrowni is an internal medicine specialist in Victorville, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Karrowni performed 852 Medicare services across 803 unique beneficiaries.

Between the years covered by Open Payments, Dr. Karrowni received a total of $865 from 14 pharmaceutical and/or device companies across 26 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Karrowni is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years in practice ▲ Top 37% volume in CA $865 industry payments

Medicare Practice Summary

Medicare Utilization ↗
852
Medicare services
Top 37% in CA for internal medicine
803
Unique beneficiaries
$69
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~47 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Sedation by physician, initial 15 minutes
Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older.
80 $9 $119
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
76 $58 $183
EKG interpretation and report
A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report.
75 $5 $41
Exercise or drug-induced heart stress test with ECG
A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision.
53 $16 $57
Exercise or drug-induced heart stress test with ECG
A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results.
53 $11 $186
Follow-up heart ultrasound
An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress.
53 $18 $92
Cardiac catheterization 52 $173 $791
Follow-up ultrasound of heart blood flow, valves and chambers
An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function.
51 $5 $51
3D radiographic procedure
A radiographic imaging technique that creates three-dimensional representations of internal structures.
49 $6 $38
Echocardiogram with color Doppler
An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function.
48 $2 $46
Nuclear stress test of heart muscle
A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera.
34 $54 $284
Hospital discharge management, 30+ min
This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge.
31 $85 $265
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
28 $110 $242
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
27 $74 $299
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
25 $126 $456
Transcatheter aortic valve replacement via femoral artery
A minimally invasive procedure to replace a diseased aortic heart valve using a catheter inserted through the skin and femoral artery.
24 $524 $3,417
Coronary stent placement
A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process.
20 $362 $1,442
Echocardiogram, transthoracic
An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function.
19 $158 $622
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
15 $106 $262
Ultrasound of head and neck blood flow, bilateral
An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck.
14 $168 $481
Electrocardiogram (EKG), 12-lead
A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report.
13 $12 $42
Coronary angiography
A procedure to insert a tube into a coronary artery to capture diagnostic images of the heart's blood vessels.
12 $154 $652
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
19.5% high complexity
29.9% medium
50.6% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$865
Total received (2018-2024)
Avg $124/year across 7 years
Top 37% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
14
Companies
26
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$865 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$393
2023
$13
2022
$19
2021
$54
2020
$24
2019
$255
2018
$107

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$164
ShockWave Medical, Inc
$159
Edwards Lifesciences Corporation
$47
E.R. Squibb & Sons, L.L.C.
$23
Top 3 companies account for 94.1% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$222
ShockWave Medical, Inc
$159
Boston Scientific Corporation
$116
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$72
Edwards Lifesciences Corporation
$47
E.R. Squibb & Sons, L.L.C.
$40
Boehringer Ingelheim Pharmaceuticals, Inc.
$39
AstraZeneca Pharmaceuticals LP
$37
Novartis Pharmaceuticals Corporation
$32
Amgen Inc.
$29
Otsuka America Pharmaceutical, Inc.
$24
Astellas Pharma US Inc
$19
Shockwave Medical, Inc
$15
iRhythm Technologies, Inc.
$14
Top 3 companies account for 57.4% of all-time payments
Associated products mentioned in payments ›
Assurity Pacemaker · BRILINTA · CAMZYOS · CARDIOMEMS · ELIQUIS · ENTRESTO · JARDIANCE · LEXISCAN · LifeVest · PASCAL · Repatha · SAMSCA · SYNERGY · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · Vascular Lithotripsy · WATCHMAN · Xience Sierra Coronary Stent · ZIO Patch
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an internal medicine specialist in Victorville?
Compare internal medicine physicians in the Victorville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
123
Per 100K population
5.6
County median income
$82,184
Nearest hospital
VICTOR VALLEY GLOBAL MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Karrowni is a cardiac imaging specialist, with moderate Medicare volume, with low-engagement industry engagement, with 18 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Karrowni experienced with sedation by physician, initial 15 minutes?
Based on Medicare claims data, Dr. Karrowni performed 80 sedation by physician, initial 15 minutes services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Karrowni receive payments from pharmaceutical companies?
Yes. Dr. Karrowni received a total of $865 from 14 companies across 26 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Karrowni's costs compare to other internal medicine physicians in Victorville?
Dr. Karrowni's average Medicare payment per service is $69. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Karrowni) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

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Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →