Karen Louise Wallace, MD
Diagnostic Radiology · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 5
Offices
5 locations · Permanente Medical Group Inc · 10,928 clinicians in this group
Looking this up.
Hospitals listed: Kaiser Foundation Hospital-San Jose. That is not proof they admit you there this week.
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Wallace’s office to ask if they take your plan before you enroll.
Hospitals they work in
1 hospital
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- Kaiser Foundation Hospital-San JoseSan Jose, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Kaiser Permanente, which runs 41 hospitals in 3 statesPatients rate it 3 of 5 · 66% would definitely recommend itOverall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.258, Oct 2024 – Sep 2025
See every measure and the patient survey for Kaiser Foundation Hospital-San Jose
Behind the star rating — Deaths: 0 better, 3 the same, 0 worse of 3 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 2 the same, 0 worse of 2 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Clostridium Difficile (C.Diff)Infections | 0.258 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.3 (0.22 to 2.37) · 181 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.89 (0.43 to 1.34) | No different | Jul 2022 – Jun 2024 |
| Death rate for pneumonia patientsComplications and deaths | 14.2 · 27 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 11.6 · 271 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.8 · 2,952 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.27 (0.04 to 0.5) · 894 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.26 (0.05 to 0.48) · 908 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.19 (0.67 to 5.72) · 176 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.63 (0 to 3.34) · 61 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.23 (0.53 to 3.92) · 168 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 8.11 (0 to 17.58) · 68 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 4.85 (0.67 to 9.03) · 63 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.74 (0.22 to 3.26) · 51 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.43 (0 to 1.53) · 630 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 4 · 48 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 1 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.843 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.88 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.611 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 15 · 171 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.9 · 571 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 147.1 · 28 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 21 · 639 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.6 · 48 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.7 · 157 cases | None | Jul 2023 – Jun 2025 |
What patients said (1,294 patients answered, 21% of those asked)
| Cleanliness | 4 |
| Nurse communication | 2 |
| Doctor communication | 4 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 2 |
| Quietness | 1 |
| Recommend hospital | 3 |
| Room was "always" clean | 71% |
| Nurses "always" communicated well | 70% |
| Doctors "always" communicated well | 79% |
| Staff "always" explained | 54% |
| Yes, staff "did" give patients this information | 85% |
| Yes, staff "did" give patients information about help after discharge | 85% |
| Doctors "always" explained things so they could understand | 71% |
| Doctors "always" listened carefully | 79% |
| Doctors "always" treated them with courtesy and respect | 85% |
| Patients who gave a rating of "9" or "10" (high) | 61% |
| Staff "always" explained new medications | 67% |
| Nurses "always" explained things so they could understand | 67% |
| Nurses "always" listened carefully | 66% |
| Nurses "always" treated them with courtesy and respect | 78% |
| "Always" quiet at night | 37% |
| "YES", patients would definitely recommend the hospital | 66% |
| Staff "always" explained possible side effects | 41% |
| Yes, staff "did" give patients information about possible symptoms | 85% |
Original Medicare doctor bills
$6,836
Medicare paid this office $6,836 for 139 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Screening mammography | 12 | $1,923 | $87 |
| Ct scan head or brain without contrast | 18 | $604 | $34 |
| X-ray of chest, 1 view | 46 | $323 | $7 |
Who their Medicare patients are
139 Original Medicare patients in 2024. Average age 68 · Under 65 28% · 85 and older 11% · Women 59% · Also on Medicaid 56% · Health risk score 2.16. Above the middle of the specialty; the typical diagnostic radiology clinician is at 1.7.
Conditions among them: High blood pressure 75% · Diabetes 54% · Chronic kidney disease 36% · Heart failure 27% · Dementia 23% · Depression 21% · Stroke 21% · Atrial fibrillation 19% · Coronary heart disease 18% · COPD 14% · Cancer 8%.
The office billed $51,344, Medicare allowed $9,553 and paid $6,836; for 433 services of 48 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 139 | 433 | 68 | 2.16 | $51,344 | $6,836 |
| 2023 | 150 | 220 | 70 | 2.10 | $40,163 | $5,417 |
| 2022 | 167 | 289 | 68 | 1.68 | $64,042 | $8,239 |
| 2021 | 121 | 338 | 68 | 1.90 | $39,671 | $5,927 |
| 2020 | 104 | 165 | 67 | 2.46 | $27,494 | $3,920 |
| 2019 | 131 | 218 | 67 | 2.68 | $38,445 | $6,209 |
| 2018 | 138 | 224 | 68 | 2.15 | $49,177 | $6,796 |
| 2017 | 179 | 283 | 70 | 2.14 | $65,941 | $8,385 |
| 2016 | 152 | 217 | 69 | 2.19 | $73,604 | $7,985 |
| 2015 | 123 | 165 | 70 | 2.32 | $54,879 | $5,262 |
| 2014 | 112 | 132 | 70 | 1.88 | $61,619 | $6,181 |
| 2013 | 25 | 43 | 69 | 1.46 | $10,219 | $1,384 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 3 services
| Ct scan of abdomen and pelvis with contrast | 18 | $1,262 | $66 |
| Ct scan head or brain without contrast | 19 | $473 | $25 |
| X-ray of chest, 1 view | 56 | $439 | $7 |
2022: 3 services
| Ct scan of abdomen and pelvis with contrast | 19 | $1,368 | $72 |
| Ct scan head or brain without contrast | 21 | $616 | $29 |
| X-ray of chest, 1 view | 61 | $554 | $7 |
2021: 3 services
| Ct scan of abdomen and pelvis with contrast | 14 | $1,184 | $74 |
| Ct scan head or brain without contrast | 23 | $688 | $30 |
| X-ray of chest, 1 view | 44 | $350 | $7 |
2020: 3 services
| Ct scan of abdomen and pelvis with contrast | 16 | $1,179 | $69 |
| Ct scan head or brain without contrast | 15 | $464 | $31 |
| X-ray of chest, 1 view | 45 | $385 | $7 |
2019: 2 services
| Ct scan head or brain without contrast | 20 | $609 | $29 |
| X-ray of chest, 1 view | 34 | $298 | $8 |
2018: 3 services
| Ct scan of abdomen and pelvis with contrast | 11 | $794 | $72 |
| Ct scan head or brain without contrast | 15 | $439 | $29 |
| X-ray of chest, 1 view | 33 | $295 | $7 |
2017: 4 services
| Ct scan of abdomen and pelvis with contrast | 20 | $1,461 | $73 |
| Ct scan of abdomen and pelvis without contrast | 13 | $824 | $63 |
| Ct scan head or brain without contrast | 26 | $824 | $31 |
| X-ray of chest, 1 view, front | 47 | $366 | $7 |
2016: 4 services
| Ct scan of abdomen and pelvis without contrast | 13 | $999 | $77 |
| Ct scan of abdomen and pelvis with contrast | 11 | $880 | $80 |
| Ct scan head or brain without contrast | 22 | $697 | $32 |
| X-ray of chest, 1 view, front | 35 | $278 | $7 |
2015: 3 services
| Ct scan of abdomen and pelvis with contrast | 14 | $945 | $68 |
| Ct scan head or brain without contrast | 19 | $528 | $28 |
| X-ray of chest, 1 view, front | 27 | $246 | $8 |
2014: 2 services
| Ct scan of abdomen and pelvis with contrast | 24 | $1,760 | $73 |
| Ct scan head or brain without contrast | 33 | $1,294 | $36 |
2013: 2 services
| Ct scan head or brain without contrast | 21 | $686 | $29 |
| Ct scan of upper spine without contrast | 12 | $424 | $33 |
Medicaid work
$32,901 in 2024
Medicaid paid $32,901 for 697 billed services this clinician did in 2024, up to 32 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | 163 | $15,000 |
| CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | 40 | $6,910 |
| Computed tomography, head or brain; without contrast material | 43 | $3,348 |
| Radiologic examination, chest; single view | 225 | $2,838 |
| Radiologic examination, chest; 2 views | 169 | $2,773 |
| ECHO EXAM OF ABDOMEN | 35 | $1,612 |
| SCREENING DIGITAL BREAST TOMOSYNTHESIS BI | 22 | $420 |
| 2024 | 697 | 7 | 32 | $32,901 |
| 2023 | 564 | 5 | 31 | $1,008 |
| 2022 | 416 | 7 | 39 | $854 |
| 2021 | 238 | 3 | 33 | $587 |
| 2020 | 131 | 2 | 32 | $235 |
| 2019 | 57 | 2 | 13 | $47 |
| 2018 | 32 | 2 | 18 | $7 |
See the largest Medicaid services in earlier years
2023
| CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | 70 | $406 |
| Radiologic examination, chest; single view | 251 | $247 |
| Radiologic examination, chest; 2 views | 138 | $241 |
| Computed tomography, head or brain; without contrast material | 40 | $114 |
| Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | 65 | $0 |
2022
| Radiologic examination, chest; single view | 263 | $263 |
| CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL | 12 | $208 |
| CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | 31 | $158 |
| Computed tomography, head or brain; without contrast material | 18 | $117 |
| Radiologic examination, chest; 2 views | 40 | $55 |
| ECHO EXAM OF ABDOMEN | 28 | $53 |
| Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | 24 | $0 |
2021
| Radiologic examination, chest; single view | 193 | $261 |
| CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | 32 | $229 |
| Computed tomography, head or brain; without contrast material | 13 | $98 |
2020
| Radiologic examination, chest; single view | 118 | $156 |
| CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | 13 | $79 |
2019
| Radiologic examination, chest; single view | 26 | $38 |
| Radiologic examination, chest; 2 views | 31 | $8 |
2018
| Radiologic examination, chest; single view | 19 | $7 |
| Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | 13 | $0 |
Professional record
- NPI
- 1245463934
- Licence
- MA 240595
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Diagnostic radiology (2085R0202X)
- Mailing address
- 330 Mount Auburn St, Department of Radiology, Cambridge, MA, 02138
- NPI first listed
- 2009-08-27
- NPI last updated
- 2021-12-15
This is when the NPI record was last certified, not a medical board exam.
This office lists an electronic records connection.