Brian Karamian

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Memorial Hospital Sweetwater County Hospital · Rock Springs, WY · listed as Memorial Hospital of Sweetwater County
• University Of Utah Hospital And Clinics Hospital · Salt Lake City, UT
• William Bee Ririe Hospital Hospital · Ely, NV
• Community Nursing Services Home health agency · West Valley City, UT · listed as Community Nursing Service

Colleagues at University of Utah Surgical Services

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 43 clinicians in the practice; 12 are shown here.

• Dr. Erica F Bisson, MD Neurological Surgery Physician · Burlington, MA
• Douglas L. Brockmeyer, MD Neurological Surgery Physician · Salt Lake City, UT
• Karol Pawel Budohoski Neurological Surgery Physician · Salt Lake City, UT
• Dr. Andrew T Dailey, MD Neurological Surgery Physician · Salt Lake City, UT
• Langley L Kushman, PA Physician Assistant · Salt Lake City, UT
• Dr. Brandon Lawrence, MD Orthopaedic Surgery Physician · Salt Lake City, UT
• Elizabeth Jensen Mahler, DNP Acute Care Nurse Practitioner · Salt Lake City, UT
• Sara McEvoy, PA Physician Assistant · Salt Lake City, UT
• Beverly Joan North, APRN, FNP-BC Family Nurse Practitioner · Riverton, WY
• Dr. Ben Shofty, MD Neurological Surgery Physician · Houston, TX
• Dr. William Ryan Spiker, MD Orthopaedic Surgery Physician · Salt Lake City, UT
• Nicholas T Spina III, MD Orthopaedic Surgery of the Spine Physician · Seattle, WA

Other providers in Palo Alto

• Eugene John Carragee, MD

  Individual Orthopaedic Surgery of the Spine Physician · NPI 1881740355

  900 Blake Wilbur Dr First Fl MC 5311, Palo Alto, CA 94304-2201 · (650) 725-6797

• Kevin William Rolfe, MD

  Individual Orthopaedic Surgery of the Spine Physician · NPI 1588787014

  900 Blake Wilbur Dr First Fl, Palo Alto, CA 94304-2201 · (650) 723-5643