Physician

Houman Vaghefi, MD, PHD

According to 2025 Medicare claims, Houman Vaghefi, MD, PHD (NPI: 1174713127) practices radiation oncology in the Elkhart-Goshen, IN market, with the plurality of this provider's patient population coming from Elkhart, IN. This provider's primary affiliated billing organization is GOSHEN HEALTH SYSTEM INC (NPI: 1194772293; TIN: 35-1974765) and primary practice location at 46526-4810. Vaghefi is affiliated with the Indiana Lakes ACO (ACO ID: A1494), participating under the MSSP model.

Vaghefi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 188 traditional Medicare patients, billed 2,015 HCPCS/CPT codes, and received $151,788 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 107 prescription claims across 49 beneficiaries totaling $1,308 in drug costs, led by Tamsulosin Hcl (Tamsulosin Hcl). Open Payments data shows 14 records totaling $747. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $2,034 and ending at $1,308. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$94K$187K2015 Medicare payment: $95,921 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $161,091 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $141,383 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $187,438 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $128,012 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $151,306 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $148,237 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $170,443 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $157,537 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $151,788 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151321,152$95,921
20161882,336$161,091
20172112,046$141,383
20182112,774$187,438
20191561,679$128,012
20201682,014$151,306
20211681,918$148,237
20221752,365$170,443
20231572,098$157,537
20241882,015$151,788

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.6K$3.3K2015 Drug cost: $2,034 (USD; Tot_Drug_Cst)2016 Drug cost: $3,285 (USD; Tot_Drug_Cst)2017 Drug cost: $1,947 (USD; Tot_Drug_Cst)2018 Drug cost: $1,661 (USD; Tot_Drug_Cst)2019 Drug cost: $594 (USD; Tot_Drug_Cst)2020 Drug cost: $803 (USD; Tot_Drug_Cst)2021 Drug cost: $412 (USD; Tot_Drug_Cst)2022 Drug cost: $3,066 (USD; Tot_Drug_Cst)2023 Drug cost: $1,875 (USD; Tot_Drug_Cst)2024 Drug cost: $1,308 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154389$2,034
201661149$3,285
201759119$1,947
20183674$1,661
20192025$594
20202033$803
20212227$412
20224699$3,066
202350119$1,875
202449107$1,308

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more6868$133
77263Complex radiation therapy planning7077$124
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more87116$61
77334Design and construction of complex radiation treatment device66223$45
77300Calculation of radiation therapy dose61313$24

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Tamsulosin HclTamsulosin Hcl451,540$389

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.14$747E.R. Squibb & Sons, L.L.C.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Houman Vaghefi, MD, PHD?

Tedicare shows public-source Medicare data for Houman Vaghefi, MD, PHD (NPI 1174713127), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Houman Vaghefi, MD, PHD have ACO affiliation data?

Houman Vaghefi, MD, PHD is shown with ACO affiliation data for Indiana Lakes ACO (MSSP, ACO ID A1494).

What billing organization is linked to Houman Vaghefi, MD, PHD?

Houman Vaghefi, MD, PHD is linked to GOSHEN HEALTH SYSTEM INC (billing NPI 1194772293) in the available physician profile data.

Does Houman Vaghefi, MD, PHD have Open Payments data?

Houman Vaghefi, MD, PHD has 14 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.