What is Karl Michalko's specialty?

Karl Michalko (NPI 1386686947) is a Medicare-billing provider whose primary specialty is Hand Surgery in Rochester, NY.

Where does Karl Michalko practice?

Karl Michalko practices in Rochester, NY, based on the location reported in the CMS Medicare provider datasets for NPI 1386686947.

How much does Medicare pay Karl Michalko?

Karl Michalko (NPI 1386686947) received approximately $54K in total Medicare Part B payments, serving 159 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1386686947

Karl MichalkoM.D.

Hand SurgeryRochester, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

394

Unique beneficiaries

—

Total services

2,155

Distinct HCPCS

Medicare payment

$30K

Peer benchmark

Total Medicare services vs. 95 Hand Surgery providers in NY — above median (cohort median 1,683).

PRESCRIBING · PART D · 2024

Total Rx claims

130

Beneficiaries

—

Total drug cost

$701

Distinct drugs

Brand share

100.0%

Top prescribed drugs

Hydrocodone/Acetaminophen110 claims

Oxycodone Hcl/Acetaminophen20 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$444

Payment records

By payment type

Food and Beverage$444

Top paying entities

Food and Beverage$444

REFERRAL NETWORK

Where Karl Michalko's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 2 inbound referrers · 4 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ROCHESTER GENERAL HOSPITAL	21	103
UNIVERSITY OF ROCHESTER	11	45

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
ROCHESTER GENERAL HOSPITAL	20	95
NICHOLAS H. NOYES MEMORIAL HOSPITAL	18	47
Grhs, Llc Ambulatory Surgical Center · Rochester, NY	17	66
UNIVERSITY OF ROCHESTER	13	33

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history