Medicare Enrolled
Dr. Edmund Karam, MD
Internal Medicine · Browns Mills, NJ
Practice pattern: Remote & Electrophysiology
— Practice combining remote and electrophysiology services
Low-engagement
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. Karam 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. Karam
Dr. Edmund Karam is an internal medicine specialist in Browns Mills, NJ, with 19 years of NPI registration. Based on federal Medicare data, Dr. Karam performed 12,422 Medicare services across 4,100 unique beneficiaries.
Between the years covered by Open Payments, Dr. Karam received a total of $10,643 from 42 pharmaceutical and/or device companies across 729 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. Karam 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.
✓ 19 years in practice
▲ Top 1% volume in NJ
$10,643 industry payments
Medicare Practice Summary
Medicare Utilization ↗12,422
Medicare services
Top 1% in NJ for internal medicine
4,100
Unique beneficiaries
$82
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~654 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 |
|---|---|---|---|
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
3,240 | $31 | $110 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
2,631 | $20 | $65 |
| 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. |
1,323 | $12 | $45 |
| 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. |
1,092 | $99 | $180 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
939 | $18 | $80 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
641 | $22 | $125 |
| Remote monitoring of implantable heart device, up to 30 days Remote evaluation of an implanted heart or blood vessel monitoring system over a period of up to 30 days. |
622 | $20 | $60 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
301 | $28 | $150 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
208 | $45 | $80 |
| 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. |
182 | $148 | $262 |
| Electrocardiogram, 1-3 leads with physician review A heart rhythm test using one to three electrodes to record electrical activity, with interpretation by a physician. |
107 | $11 | $40 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
107 | $167 | $550 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
102 | $3,928 | $7,500 |
| New patient office visit, complex (60-74 min) | 98 | $174 | $383 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
70 | $58 | $300 |
| 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. |
58 | $67 | $120 |
| 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. |
57 | $7 | $30 |
| Removal of subcutaneous heart rhythm monitor This procedure involves the removal of a heart rhythm monitor that has been implanted under the skin. It is a minor surgical intervention to extract the device. |
42 | $57 | $450 |
| 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. |
42 | $116 | $306 |
| PET scan of heart muscle blood flow A nuclear medicine imaging test that uses positron emission tomography (PET) to evaluate blood flow within the heart muscle. |
39 | $163 | $485 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle while at rest and during stress. |
39 | $1,395 | $2,800 |
| Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 39 | $626 | $1,600 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
36 | $89 | $250 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
35 | $3 | $71 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
29 | $110 | $250 |
| Continuous external EKG monitoring, 48 hours to 7 days This procedure involves recording, analyzing, and interpreting a continuous external electrocardiogram (EKG) over a period of more than 48 hours up to 7 days. |
27 | $233 | $750 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
26 | $15 | $60 |
| 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. |
26 | $146 | $360 |
| Heart rhythm stimulator programming after drug infusion Adjustment of a heart rhythm stimulation device following a drug infusion. This procedure involves reprogramming the device settings to ensure proper function after the medication has been administered. |
24 | $71 | $800 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
23 | $426 | $1,200 |
| 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. |
22 | $372 | $1,000 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
18 | $21 | $90 |
| 30-day continuous ECG with patient-triggered event transmission and review This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report. |
18 | $753 | $1,600 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
18 | $796 | $2,850 |
| Repair of left upper heart chamber with implant A surgical procedure to repair the left upper chamber of the heart using an implanted device, with review by a radiologist. |
17 | $633 | $2,500 |
| Left heart catheterization with pacing and arrhythmia induction A procedure where catheters are inserted to record electrical activity and pace the left lower chamber of the heart. It also involves intentionally inducing an abnormal heart rhythm for diagnostic purposes. |
17 | $142 | $850 |
| Technetium Tc-99m tetrofosmin diagnostic injection A diagnostic injection of Technetium Tc-99m tetrofosmin used for imaging studies. |
16 | $61 | $252 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
14 | $91 | $325 |
| Radiofrequency ablation for supraventricular tachycardia A procedure to locate and destroy abnormal heart tissue in the upper chambers of the heart that causes a rapid heart rate. |
14 | $702 | $1,950 |
| Insertion of implantable defibrillator system A surgical procedure to place an implantable cardioverter-defibrillator (ICD) device into the body. The device is connected to the heart to monitor heart rhythm and deliver shocks if dangerous arrhythmias occur. |
13 | $744 | $2,500 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
13 | $66 | $150 |
| Heart conduction tissue destruction A procedure that destroys heart conduction tissue to create a heart block. |
13 | $470 | $2,000 |
| Heart chamber tissue destruction via catheter A procedure that destroys tissue in the upper heart chamber using a tube to treat abnormal heart rhythm. |
13 | $257 | $1,100 |
| Removal and replacement of dual lead permanent pacemaker This procedure involves removing an existing permanent pacemaker with two leads and replacing it with a new device. It is performed to update or repair the heart rhythm management system. |
11 | $300 | $850 |
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.
17.4% high complexity
3.4% medium
79.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$10,643
Total received (2018-2024)
Avg $1,520/year across 7 years
Top 7% in NJ for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
42
Companies
729
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
$10,643 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,634
2023
$1,586
2022
$1,408
2021
$1,333
2020
$945
2019
$2,029
2018
$1,708
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$516
E.R. Squibb & Sons, L.L.C.
$181
Novartis Pharmaceuticals Corporation
$176
Boston Scientific Corporation
$152
Amgen Inc.
$102
PFIZER INC.
$82
Boehringer Ingelheim Pharmaceuticals, Inc.
$78
Novo Nordisk Inc
$76
Esperion Therapeutics, Inc.
$60
ABIOMED
$42
Alnylam Pharmaceuticals Inc.
$34
ATRICURE, INC.
$25
CARDIVA MEDICAL, INC.
$22
Impulse Dynamics (USA) Inc.
$22
Regeneron Healthcare Solutions, Inc.
$17
SCPHARMACEUTICALS INC.
$17
WATERMARK MEDICAL, INC.
$16
Bayer Healthcare Pharmaceuticals Inc.
$15
Top 3 companies account for 53.4% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$2,347
Novartis Pharmaceuticals Corporation
$1,169
E.R. Squibb & Sons, L.L.C.
$1,042
Boston Scientific Corporation
$1,016
Janssen Pharmaceuticals, Inc
$957
BOSTON SCIENTIFIC CORPORATION
$627
Amgen Inc.
$477
PFIZER INC.
$307
Boehringer Ingelheim Pharmaceuticals, Inc.
$280
AstraZeneca Pharmaceuticals LP
$273
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$267
Medtronic Vascular, Inc.
$251
Esperion Therapeutics, Inc.
$232
CardioFocus, Inc.
$200
CVRx, Inc.
$145
Medtronic, Inc.
$137
SANOFI-AVENTIS U.S. LLC
$122
Merck Sharp & Dohme LLC
$98
Novo Nordisk Inc
$91
Regeneron Healthcare Solutions, Inc.
$76
Alnylam Pharmaceuticals Inc.
$62
AltaThera Pharmaceuticals LLC
$49
Amarin Pharma Inc.
$43
ABIOMED
$42
Biosense Webster, Inc.
$38
Tactile Systems Technology Inc
$36
ATRICURE, INC.
$25
CARDIVA MEDICAL, INC.
$22
Impulse Dynamics (USA) Inc.
$22
Potrero Medical, Inc.
$17
SCPHARMACEUTICALS INC.
$17
WATERMARK MEDICAL, INC.
$16
Itamar Medical Inc
$16
Bayer Healthcare Pharmaceuticals Inc.
$15
Kiniksa Pharmaceuticals, Ltd.
$15
Daiichi Sankyo Inc.
$15
Akcea Therapeutics, Inc.
$15
Gilead Sciences, Inc.
$14
W. L. Gore & Associates, Inc.
$13
Merck Sharp & Dohme Corporation
$12
Lundbeck LLC
$12
ARBOR PHARMACEUTICALS, INC.
$12
Top 3 companies account for 42.8% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ACCOLADE SR · ADVISOR · AMPLATZER · AMVUTTRA · ARES 620 UNICORDER · ASSURITY · ATRICLIP LAA EXCLUSION SYSTEM · AVEIR · Alere i · Allure Quadra RF CRT Pacemaker · Amplia MRI · Arcalyst · Assurity Pacemaker · Azure · BRILINTA · Barostim Neo System · CAMZYOS · CARDIVA VASCADE MVP VVCS 6-12F · CONFIRM RX · Carto 3 System · Confirm Rx · Corlanor · DYNAGEN · ELIQUIS · EMBLEM · ENDURANT IIS · ENTRESTO · EVKEEZA · Edarbyclor · Epic Stented Tissue Valve · Evera · FARXIGA · FLEXITOUCH · FUROSCIX · Flexitouch Plus · GENERAL EP · GORE CARDIOFORM Septal Occluder · HEARTLIGHT SYSTEM · INJECTAFER · Impella · JARDIANCE · JOT DX · Kerendia · LATITUDE · LATITUDE Communicator Power Supply · LEQVIO · LINQ II · LOKELMA · LUX DX · LUX-Dx Insertable Cardiac Monitor · LifeVest · MERLIN@HOME · MITRACLIP · MOMENTUM · MULTAQ · Micra · Mitra Clip system · NEXLETOL · NORTHERA · No Associated Product · ONPATTRO · Optimizer · Ozempic · PERCLOSE PROSTYLE · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Pacemakers · Perclose ProGlide suture mediated closure system · Quadra Assura CRT Defibrillator · RESONATE · RHYTHMIA · Repatha · Reveal LINQ · Rybelsus · SQRX PULSE GENERATOR · Sotalol Hydrochloride · TEGSEDI · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · VERQUVO · VYNDAQEL · Vascepa · WATCHMAN · WATCHMAN FLX · WatchPAT · Wegovy · XARELTO
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. Total industry engagement is in the top 7% for internal medicine in NJ.
Geographic Context
Internal medicine physicians within 10 mi
758
Per 100K population
163.3
County median income
$105,271
Nearest hospital
DEBORAH HEART AND LUNG CENTER
0.0 mi
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. Karam is a remote & electrophysiology specialist, with above-average Medicare volume (top 1% in NJ), with low-engagement industry engagement in the top 7% of NJ peers, with 19 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. Karam experienced with remote monitoring of implantable heart rhythm device?
Based on Medicare claims data, Dr. Karam performed 3,240 remote monitoring of implantable heart rhythm device 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. Karam receive payments from pharmaceutical companies?
Yes. Dr. Karam received a total of $10,643 from 42 companies across 729 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. Karam's costs compare to other internal medicine physicians in Browns Mills?
Dr. Karam's average Medicare payment per service is $82. 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. Karam) 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 →
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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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