Nurse Practitioner, Family · San Juan Capistrano, CA
NPI
1679816680
Since 2013
Specialty
Nurse Practitioner, Family
Code 363LF0000X
Group practices
3
Medicare group memberships
Hospitals
2
Hospital affiliations
30230 Rancho Viejo Rd, Suite 200
San Juan Capistrano, CA, 92675
Phone (949) 443-4303
Groups this clinician bills Medicare through
Medicare paid, 2024
$48K
623 services
Medicare patients, 2024
405
Average age 76
Drug cost, 2024
$437K
2,998 prescriptions
Company payments, 2025
$445
From 7 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Karen J Caruso was code 99213 (office e&m - established), 204 times for 179 patients. In total Karen J Caruso billed 623 services in 29 codes, and Medicare paid $48K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2016-01-11.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99213 Office E&M - Established | Office | 204 | 179 | $68.27 | $14K |
| 99214 Office E&M - Established | Office | 159 | 140 | $92.48 | $15K |
| 99212 Office E&M - Established | Office | 86 | 84 | $43.15 | $3,711 |
| 99215 Office E&M - Established | Office | 65 | 61 | $131.76 | $8,564 |
| 81003 Clinical Chemistry | Office | 16 | 16 | $2.20 | $35.2 |
| G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 12 | 12 | $125.76 | $1,509 |
By year: 2022 $34K for 481 services; 2023 $83K for 1,258 services; 2024 $48K for 623 services.
Lab tests billed to Medicare, 2024
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 81003 Clinical Chemistry | 16 | 16 | $2.20 | $35.2 |
Medicare prescription drug claims, 2024
In 2024, the drug Karen J Caruso prescribed most often to Medicare patients was Atorvastatin Calcium, with 193 prescriptions and refills. In total Karen J Caruso wrote 2,998 Medicare prescriptions that cost $437K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Atorvastatin Calcium Generic | 193 | 270 | 51 | $1,652 |
| Memantine Hcl Generic | 93 | 93 | Under 11 | $2,092 |
| Levothyroxine Sodium Generic | 84 | 147 | 30 | $919 |
| Famotidine Generic | 84 | 98 | 19 | $909 |
| Gemtesa Vibegron | 77 | 77 | Under 11 | $18K |
| Gabapentin Generic | 64 | 86 | 24 | $755 |
| Levetiracetam Generic | 52 | 52 | Under 11 | $1,384 |
| Eliquis Apixaban | 52 | 64 | 12 | $29K |
| Lisinopril Generic | 50 | 107 | 25 | $216 |
| Pantoprazole Sodium Generic | 48 | 64 | 15 | $528 |
| Losartan Potassium Generic | 46 | 93 | 22 | $401 |
| Amlodipine Besylate Generic | 46 | 106 | 24 | $314 |
| Baclofen Generic | 44 | 44 | Under 11 | $941 |
| Metformin Hcl Generic | 40 | 71 | 17 | $269 |
| Furosemide Generic | 39 | 52 | 17 | $271 |
Brand drugs: 527 claims; generic drugs: 2,455 claims; opioid claims: 62.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Karen J Caruso $445 ($445 in general payments such as food, travel and fees) from 7 companies. The largest payer was Abbott Laboratories with $174.
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.