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Dr. Karomibal Mejia, MD, FACC

Accepting New Patients

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Specializes in: Interventional Cardiology and Adult Cardiology

Autonomous University of Santo Domingo Faculty of Medicine (2011)

Professional interests include: peripheral vascular disease, angina, arterial stenting, and more.

1601 Main Street Suite 301
Richmond, TX 77469

(832) 945-3181

Dr. Karomibal Mejia, MD, FACC is an interventional cardiologist in Richmond, TX specializing in interventional cardiology and adult cardiology. He graduated from Autonomous University of Santo Domingo Faculty of Medicine in 2011 and has 14 years of experience. Dr. Karomibal Mejia, MD, FACC is affiliated with Memorial Hermann Sugar Land Hospital, Oakbend Medical Center and Memorial Hermann.

Office Locations

Memorial Hermann

1601 Main Street Suite 301
Richmond, TX 77469

(832) 945-3181

(281) 781-2489

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Some issues Dr. Karomibal Mejia, MD, FACC can help you with:

Angiogram (Angiography)

Angiography is the use of x-rays to examine blood vessels, especially in order to identify any blocked or misshapen vessels that may cause problems. The test itself is called an angiogram. Some of the disorders that angiograms can be used to diagnose include:

Blockages and narrowing
Weakened walls and bulging, called an aneurysm
Malformations and misshapen blood vessels
Kidney artery conditions
Aorta artery conditions
Vein problems, including deep vein thrombosis (DVT) and blood clots or embolisms

During an angiogram, the doctor inserts a very thin, flexible tube called a catheter into a blood vessel through an opening in the groin or arm. The catheter is threaded through the body to the site of the suspected problem, where a small amount of dye is injected into the bloodstream and x-rays are taken. The dye makes the surrounding blood vessels visible via x-ray.

If necessary, certain procedures can be performed after an angiogram while the catheter is in place. Angioplasty is the use of a catheter to widen narrowed or blocked arteries. Stents are like tiny coiled springs that hold blood vessels open, and they can be placed during a catheterization. Damaged heart valves can also be repaired or replaced.

A typical angiogram takes about an hour to perform, but it may be longer if the catheterization is used to perform procedures on the blood vessels. It may be uncomfortable at times but is usually not painful. Afterwards, patients may be monitored for up to six hours to make sure any bleeding from the insertion site has stopped. They are given fluids to help flush the dye from their body. For a day or two after an angiogram it is important for patients to drink plenty of fluids and keep strenuous activity to a minimum.

Coronary Artery Disease

Coronary artery disease (CAD) is the most common type of heart disease. It happens when the blood vessels carrying blood to the heart, called coronary arteries, narrow and harden. This occurs when cholesterol, a type of fat found in the blood, builds up to form plaque, which sticks to the inner walls of the arteries. As plaque accumulates, less blood can flow through the arteries, which may lead to the following:

Angina, which is chest pain that occurs when the heart does not receive enough blood flow.
Heart attack, which happens if the arteries leading to the heart are completely blocked.
Arrhythmia, or irregular heartbeat, which can develop if the heart does not have enough blood supply.
Heart failure, which may occur if a heart attack damages the heart and it becomes too weak to pump enough blood to the rest of the body.

Certain factors may increase risk for the disease, like smoking, lack of exercise, being overweight, high cholesterol, high blood pressure, and diabetes. CAD tends to develop over decades, so it can go undetected until it has become quite severe. A diagnosis may be established using such tests as:

Electrocardiogram (ECG), which records the heart's electrical activity over a period of time. ECGs can detect whether there is enough blood flow to the heart or if a heart attack has occurred.
Echocardiogram (echo), which creates images of the heart using sound waves. Echos can show whether the heart is able to pump blood normally.
Stress tests, where an ECG or echo is combined with exercise, like riding a stationary bike or walking on a treadmill. This test is done to find out if the heart can function properly while performing a strenuous activity.

Treatments for the disease include medications such as vasodilators, like nitroglycerin, which dilates (widens) the coronary arteries. CAD may also be treated by a procedure called angioplasty with stent placement, where a balloon is inflated inside a diseased artery to flatten the plaque deposits against the artery walls, creating more room for blood to flow.

In some severe cases of the disease, multiple arteries may be blocked, and an open heart surgery called coronary artery bypass surgery may be necessary. This operation transplants a vessel from another part of the body to form a graft that goes past the narrowed arteries, thus enabling blood to flow around those arteries.

Noteworthy Medicare Patient Procedures Performed by Dr. Karomibal Mejia, MD, FACC in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Affordability:

hospital care

inpatient care

inpatient hospital care

In 2023, Dr. Karomibal Mejia, MD, FACC had a list price for hospital care, inpatient care, and inpatient hospital care (for patient admitted to hospital) that was lower than the list prices billed to Medicare by 95% of providers in related specialties within Texas. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Affordability:

cardiac imaging

color Doppler echocardiography

Doppler echocardiography

echocardiogram

spectral Doppler echocardiography

In 2013, Dr. Karomibal Mejia, MD, FACC had a list price for cardiac imaging, color Doppler echocardiography, Doppler echocardiography, echocardiogram (echo), and spectral Doppler echocardiography that was lower than the list prices billed to Medicare by 75% of providers in related specialties within Texas. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Karomibal Mejia, MD, FACC treated as an interventional cardiologist in Richmond, TX during 2019 were hospital care, inpatient care, ultrasound (sonogram) and cardiac procedures.

Volume of procedures performed by Dr. Karomibal Mejia, MD, FACC for Medicare patients.

cardiac procedures	47
doctor visit	48
hospital care	104
inpatient care	104
ultrasound (sonogram)	47

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Karomibal Mejia, MD, FACC.

**Gender**
Male	102
Female	145

**Ethnicity**
Non-Hispanic White	121
Black	0
Hispanic	69
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	86
From 75 to 84	60
85 and over	36
Less than 65	65

Conditions of Medicare patients treated by Dr. Karomibal Mejia, MD, FACC in 2019

The most common conditions of Medicare patients that Dr. Karomibal Mejia, MD, FACC treated during 2019 were high cholesterol, hypertension, chronic kidney disease and ischemic heart disease.

Hypertension	75
High Cholesterol	75
Stroke	23
Ischemic Heart Disease	60
Depression	42
Chronic Kidney Disease	61
Asthma	13
Osteoperosis	12
Atrial Fibrilation	17
Heart Failure	55
Chronic Obstructive Pulmonary Disease	26
Diabetes	53
Dementia	33
Cancer	7

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Karomibal Mejia, MD, FACC treated as an interventional cardiologist in Richmond, TX during 2020 were hospital care, inpatient care, cardiac procedures and ultrasound (sonogram).

Volume of procedures performed by Dr. Karomibal Mejia, MD, FACC for Medicare patients.

cardiac procedures	117
catheterization	12
diagnostic procedures	12
doctor visit	87
hospital care	213
inpatient care	213
minimally invasive procedures	12
ultrasound (sonogram)	105
vascular procedures	12

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Karomibal Mejia, MD, FACC.

**Gender**
Male	150
Female	196

**Ethnicity**
Non-Hispanic White	219
Black	0
Hispanic	69
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	133
From 75 to 84	96
85 and over	68
Less than 65	49

Conditions of Medicare patients treated by Dr. Karomibal Mejia, MD, FACC in 2020

The most common conditions of Medicare patients that Dr. Karomibal Mejia, MD, FACC treated during 2020 were high cholesterol, hypertension, ischemic heart disease and chronic kidney disease.

Hypertension	75
High Cholesterol	75
Stroke	18
Ischemic Heart Disease	64
Depression	28
Chronic Kidney Disease	59
Asthma	10
Osteoperosis	8
Atrial Fibrilation	24
Heart Failure	54
Chronic Obstructive Pulmonary Disease	23
Diabetes	49
Dementia	29
Cancer	11

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Karomibal Mejia, MD, FACC treated as an interventional cardiologist in Richmond, TX during 2021 were cardiac procedures, hospital care, inpatient care and ultrasound (sonogram).

Volume of procedures performed by Dr. Karomibal Mejia, MD, FACC for Medicare patients.

cardiac procedures	180
catheterization	18
diagnostic procedures	18
doctor visit	189
hospital care	162
inpatient care	162
minimally invasive procedures	18
nuclear scan	12
stress testing	12
ultrasound (sonogram)	161
vascular procedures	29

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Karomibal Mejia, MD, FACC.

**Gender**
Male	203
Female	271

**Ethnicity**
Non-Hispanic White	423
Black	0
Hispanic	29
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	195
From 75 to 84	155
85 and over	77
Less than 65	47

Conditions of Medicare patients treated by Dr. Karomibal Mejia, MD, FACC in 2021

The most common conditions of Medicare patients that Dr. Karomibal Mejia, MD, FACC treated during 2021 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	75
High Cholesterol	71
Stroke	10
Ischemic Heart Disease	62
Depression	31
Chronic Kidney Disease	48
Asthma	7
Osteoperosis	11
Atrial Fibrilation	24
Heart Failure	45
Chronic Obstructive Pulmonary Disease	32
Diabetes	42
Dementia	18
Cancer	14

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Karomibal Mejia, MD, FACC treated as an interventional cardiologist in Richmond, TX during 2022 were ultrasound (sonogram), cardiac procedures, vascular procedures and stress testing.

Volume of procedures performed by Dr. Karomibal Mejia, MD, FACC for Medicare patients.

abdominal imaging	12
ambulatory monitoring	18
blood draw	11
cardiac procedures	125
doctor visit	231
nuclear scan	11
pelvic imaging	12
stress testing	22
ultrasound (sonogram)	140
vascular procedures	55

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Karomibal Mejia, MD, FACC.

**Gender**
Male	88
Female	116

**Ethnicity**
Non-Hispanic White	145
Black	0
Hispanic	37
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	83
From 75 to 84	68
85 and over	33
Less than 65	20

Conditions of Medicare patients treated by Dr. Karomibal Mejia, MD, FACC in 2022

The most common conditions of Medicare patients that Dr. Karomibal Mejia, MD, FACC treated during 2022 were high cholesterol, hypertension, diabetes and ischemic heart disease.

Hypertension	75
High Cholesterol	75
Stroke	14
Ischemic Heart Disease	40
Depression	26
Chronic Kidney Disease	30
Asthma	10
Osteoperosis	14
Atrial Fibrilation	32
Heart Failure	38
Chronic Obstructive Pulmonary Disease	26
Diabetes	42
Dementia	15
Cancer	14

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Karomibal Mejia, MD, FACC treated as an interventional cardiologist in Richmond, TX during 2023 were ultrasound (sonogram), cardiac procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Karomibal Mejia, MD, FACC for Medicare patients.

abdominal imaging	18
blood draw	13
cardiac procedures	145
doctor visit	196
hospital care	69
inpatient care	69
nuclear scan	13
pelvic imaging	18
stress testing	26
ultrasound (sonogram)	178
vascular procedures	59

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Karomibal Mejia, MD, FACC.

**Gender**
Male	122
Female	160

**Ethnicity**
Non-Hispanic White	213
Black	12
Hispanic	45
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	113
From 75 to 84	92
85 and over	53
Less than 65	24

Conditions of Medicare patients treated by Dr. Karomibal Mejia, MD, FACC in 2023

The most common conditions of Medicare patients that Dr. Karomibal Mejia, MD, FACC treated during 2023 were high cholesterol, hypertension, ischemic heart disease and diabetes.

Hypertension	75
High Cholesterol	75
Stroke	16
Ischemic Heart Disease	46
Depression	27
Chronic Kidney Disease	35
Asthma	13
Osteoperosis	12
Atrial Fibrilation	28
Heart Failure	37
Chronic Obstructive Pulmonary Disease	29
Diabetes	41
Dementia	17
Cancer	15

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2019 - 2023

Volume of procedures performed by Dr. Karomibal Mejia, MD, FACC for Medicare patients.

The highest averages for the top procedures that Dr. Karomibal Mejia, MD, FACC treated as an interventional cardiologist in Richmond, TX were inpatient care, hospital care, ultrasound (sonogram) and cardiac procedures.

abdominal imaging	15
ambulatory monitoring	18
blood draw	12
cardiac procedures	122
catheterization	15
diagnostic procedures	15
doctor visit	150
hospital care	137
inpatient care	137
minimally invasive procedures	15
nuclear scan	12
pelvic imaging	15
stress testing	20
ultrasound (sonogram)	126
vascular procedures	38

Average Medicare Patient Data From 2019 - 2023

Information about Medicare patients treated by Dr. Karomibal Mejia, MD, FACC.

**Gender**
Male	133
Female	177

**Ethnicity**
Black / African American	2
Asian / Pacific Islander	0
Non-Hispanic White	224
Hispanic	49
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	94
85 and over	53
Less than 65	41
65 to 74	122

Average of Total of Conditions of Medicare patients treated by Dr. Karomibal Mejia, MD, FACC From 2019 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Karomibal Mejia, MD, FACC treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	75
High Cholesterol	74
Stroke	16
Ischemic Heart Disease	54
Depression	30
Chronic Kidney Disease	46
Asthma	10
Osteoporosis	11
Heart Failure	45
Chronic Obstructive Pulmonary Disease	27
Diabetes	45
Atrial Fibrillation	25
Dementia	22
Cancer	12

Education & Training

Dr. Karomibal Mejia, MD, FACC graduated from Autonomous University of Santo Domingo Faculty of Medicine in 2011. He completed residency at BronxCare Health System Residency, Internal Medicine (Chief Resident, 2014-2015). He is certified by the Certification: American Board of Internal Medicine, Cardiovascular Disease and has a state license in Texas.

Medical School: Autonomous University of Santo Domingo Faculty of Medicine (2011)

Residency: BronxCare Health System Residency, Internal Medicine (Chief Resident, 2014-2015) (2015)

Board Certification: Certification: American Board of Internal Medicine, Cardiovascular Disease

Licensed In: Texas

Affiliations & Hospitals

Dr. Karomibal Mejia, MD, FACC is associated with these hospitals and organizations:

Memorial Hermann Sugar Land Hospital

Oakbend Medical Center

Memorial Hermann

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Karomibal Mejia, MD, FACC appears to accept the following insurance providers: Cigna, Medicare Advantage, United Healthcare, WellPoint, Aetna Medicare, Memorial Hermann Advantage HMO, Aetna Most Benefit Plans, Memorial Hermann Solutions, WorkLink Worker's Comp, Community Health Choice Marketplace QHP and Aetna Memorial Hermann.

Insurance Accepted by Provider includes:

According to our sources, Dr. Karomibal Mejia, MD, FACC accepts the following insurance providers:

Cigna

Medicare Advantage

United Healthcare

WellPoint

Aetna Medicare

Memorial Hermann Advantage HMO

Aetna Most Benefit Plans

Memorial Hermann Solutions

WorkLink Worker's Comp

Community Health Choice Marketplace QHP

Aetna Memorial Hermann

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General Payments

These charts describe general payments received by Dr. Karomibal Mejia, MD, FACC. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Boston Scientific Corporation	$2,675 GENERAL STRUCTURAL HEART $1,968	WATCHMAN $297	GENERAL STENTS $145	LUX-Dx Insertable Cardiac Monitor $38	GENERAL - BRADY $26	Other $202
Medtronic Vascular, Inc.	$1,541 Resolute $1,362	Amplia MRI $102	HawkOne $27	Reveal LINQ $26	SEEQ $24
Abbott Laboratories	$704 Confirm Rx $309	Xience V coronary stent system $224	CardioMEMS HF System $62	Diamondback Peripheral $61	Xience Sierra Coronary Stent $25	Other $24
AstraZeneca Pharmaceuticals LP	$316 BRILINTA $159	FARXIGA $157
Novartis Pharmaceuticals Corporation	$216 ENTRESTO $146	LEQVIO $70
Other	$1,308 Repatha $179	SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER $161	ELIQUIS $156	Definity $150	Trilogy 100 $147	Other $514

**Types of Payments**
Food and Beverage	$4,471
Travel and Lodging	$2,288
Education	$1

Biography

Dr. Karomibal Mejia is a specialist in adult cardiology and interventional cardiology. He attended medical school at Autonomous University of Santo Domingo Faculty of Medicine. Clinical interests for Dr. Mejia include heart valve disease, angina, and coronary angioplasty (PTCA). Dr. Mejia can accept WellPoint, Aetna Medicare, and Cigna, as well as other insurance carriers. He is conversant in Spanish. Dr. Mejia is affiliated with Memorial Hermann Sugar Land Hospital. According to Memorial Hermann, he is currently accepting new patients at his office in Richmond, TX.

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Dr. Karomibal Mejia, MD, FACC

Office Locations

Some issues Dr. Karomibal Mejia, MD, FACC can help you with:

Noteworthy Medicare Patient Procedures Performed by Dr. Karomibal Mejia, MD, FACC in 2023

By Affordability:

By Affordability:

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Karomibal Mejia, MD, FACC in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Karomibal Mejia, MD, FACC in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

2021 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Karomibal Mejia, MD, FACC in 2021

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

2022 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Karomibal Mejia, MD, FACC in 2022

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

2023 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Karomibal Mejia, MD, FACC in 2023

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2019 - 2023

Average Medicare Patient Data From 2019 - 2023

Average of Total of Conditions of Medicare patients treated by Dr. Karomibal Mejia, MD, FACC From 2019 - 2023

Education & Training

Affiliations & Hospitals

Insurance Information

Ratings & Reviews

General Payments

Biography

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