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Karen W Hand, MD

Anesthesiology · Portland

NPI 1831135839

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
3
Since medical school
32 years
Graduated 1994

Offices

3 locations · University Anesthesiology Associates LLC · 239 clinicians in this group

Looking this up.

Hospitals listed: OHSU Hospital and Clinics. 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. Hand’s office at (503) 494-7641 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.

  • OHSU Hospital and ClinicsPortland, ORAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of Oregon Health and Science University, which runs 2 hospitalsHome of Knight Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 3 of 5 · 76% would definitely recommend it
    Overall rating: 3 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.31 (1.1 to 1.51), Jul 2022 – Jun 2024Worse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 6.83 (5.37 to 8.29) · 3,784 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.733, Oct 2024 – Sep 2025
See every measure and the patient survey for OHSU Hospital and Clinics

Behind the star rating — Deaths: 0 better, 7 the same, 0 worse of 7 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 1 better, 8 the same, 1 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at OHSU Hospital and Clinics
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.31 (1.1 to 1.51)WorseJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths6.83 (5.37 to 8.29) · 3,784 casesWorseJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.733BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.38 (0.61 to 2.14) · 2,275 casesNo differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths150.45 (118.94 to 181.96) · 340 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3 · 44 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.3 · 98 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.6 · 197 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.7 · 145 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.7 · 273 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.4 · 3,434 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.25 (0.07 to 0.43) · 7,501 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.24 (0.06 to 0.42) · 7,980 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.42 (1.27 to 3.57) · 2,337 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.27 (1.24 to 3.31) · 3,615 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.99 (7.55 to 14.42) · 2,153 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.35 (5.23 to 9.48) · 2,355 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.98 (0.69 to 3.27) · 1,001 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.66 (0.18 to 1.14) · 6,661 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.2 · 56 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.838No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.8No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.936No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections1.381No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.174No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.7 · 180 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.3 · 320 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits11.9 · 120 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits7.9 · 223 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits24.5 · 142 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.6 · 204 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5 (3.9 to 6.3) · 952 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.5 (8 to 11.4) · 952 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.8 · 47 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.4 · 88 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 49 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.8 (9.1 to 15.4) · 1,483 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.1) · 1,425 casesNo differentJan 2024 – Dec 2024

What patients said (812 patients answered, 24% of those asked)

Patient survey stars by topic at OHSU Hospital and Clinics
Cleanliness2
Nurse communication4
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness3
Recommend hospital4
Share of patients giving the best answer at OHSU Hospital and Clinics
Room was "always" clean64%
Nurses "always" communicated well80%
Doctors "always" communicated well78%
Staff "always" explained62%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand72%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand76%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night51%
"YES", patients would definitely recommend the hospital76%
Staff "always" explained possible side effects49%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$20,575

Medicare paid this office $20,575 for 128 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Anesthesia for lens surgery11$616$56

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Insertion of artery tube for blood sampling or infusion through skin12––1117–

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

128 Original Medicare patients in 2024. Average age 72 · Women 59% · Also on Medicaid 13% · Health risk score 1.58. Above the middle of the specialty; the typical anesthesiology clinician is at 1.54.

Conditions among them: High blood pressure 75% · Coronary heart disease 31% · Diabetes 30% · Depression 27% · Heart failure 26% · Atrial fibrillation 24% · Cancer 23% · Chronic kidney disease 22% · COPD 17%.

The office billed $149,600, Medicare allowed $26,037 and paid $20,575; for 135 services of 53 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

Original Medicare by year
2024128135721.58$149,600$20,575
2023168191711.65$162,711$24,154
2022145159711.57$132,126$20,685
2021124139662.22$115,503$18,533
202085100691.42$80,042$14,020
2019120135691.68$124,483$21,814
2018132146681.57$142,028$24,908
2017135160671.48$135,091$24,007
2016134160661.73$135,997$24,491
2015105119691.35$102,231$18,281
201496123681.77$107,484$20,208
2013136162661.68$132,277$24,499

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

Original Medicare services billed in 2023
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope23$1,695$74
Anesthesia for lens surgery15$827$55
Insertion of artery tube for blood sampling or infusion through skin17$604$36

2022: 3 services

Original Medicare services billed in 2022
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope19$1,340$71
Anesthesia for other procedure on large bowel using an endoscope16$1,176$74
Insertion of artery tube for blood sampling or infusion through skin11$391$36

2021: 3 services

Original Medicare services billed in 2021
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope27$2,245$77
Anesthesia for procedure on small and large bowel using an endoscope11$976$89
Anesthesia for other procedure on skin of arms, legs, and front body11$804$73

2020: 1 service

Original Medicare services billed in 2020
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope14$1,072$77

2019: 1 service

Original Medicare services billed in 2019
Insertion of artery tube for blood sampling or infusion through skin12$435$36

2018: 2 services

Original Medicare services billed in 2018
Anesthesia for other procedure on neck area (1 year or older)12$2,632$219
Insertion of artery tube for blood sampling or infusion through skin11$395$36

2017: 3 services

Original Medicare services billed in 2017
Anesthesia for procedure on eyelid17$1,367$80
Anesthesia for procedure on gastrointestinal tract using an endoscope12$890$74
Insertion of artery tube for blood sampling or infusion through skin16$660$41

2016: 1 service

Original Medicare services billed in 2016
Anesthesia for procedure on gastrointestinal tract using an endoscope11$1,257$114

2015: 1 service

Original Medicare services billed in 2015
Anesthesia for lens surgery11$629$57

2014: 1 service

Original Medicare services billed in 2014
Insertion of artery tube for blood sampling or infusion through skin13$530$41

2013: 1 service

Original Medicare services billed in 2013
Anesthesia for other procedure on skin of arms, legs, and front body18$2,192$115

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
84.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1831135839
Licence
OR MD153302
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207L00000X (207L00000X)
Mailing address
3181 Sw Sam Jackson Park Rd, Uhs-2, Portland, OR, 97239
NPI first listed
2006-06-20
NPI last updated
2011-10-11

This is when the NPI record was last certified, not a medical board exam.