Physician

Dharmendra Verma, M.D.

According to 2025 Medicare claims, Dharmendra Verma, M.D. (NPI: 1225142623) practices gastroenterology in the Victoria, TX market, with the plurality of this provider's patient population coming from Victoria, TX. This provider's primary affiliated billing organization is HEALTH AND WELLNESS SOLUTIONS PA (NPI: 1922302124; TIN: 260406833) and primary practice location at 77494-5480. Verma is affiliated with the The Rural Advantage LLC (ACO ID: A5257), Main Street Rural Health Hickory ACO LLC (ACO ID: A5334), Main Street Rural Health Magnolia ACO LLC (ACO ID: A5400), Main Street Rural Health Cottonwood ACO LLC (ACO ID: A5439), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Verma's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 847 traditional Medicare patients, billed 5,721 HCPCS/CPT codes, and received $344,019 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 5,976 prescription claims across 1,544 beneficiaries totaling $871,062 in drug costs, led by Creon (Lipase/Protease/Amylase). Open Payments data shows 111 records totaling $134,566. 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 has declined steadily, from $437,417 to $344,019. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $5,249,851 to $871,062. 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$238K$477K2015 Medicare payment: $437,417 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $445,122 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $476,574 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $404,506 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $336,489 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $285,789 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $267,201 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $305,539 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $286,703 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $344,019 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,2114,048$437,417
20161,3274,370$445,122
20171,3704,800$476,574
20181,2993,998$404,506
20191,1773,461$336,489
20209032,880$285,789
20218042,537$267,201
20228914,200$305,539
20238486,597$286,703
20248475,721$344,019

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$2.6M$5.2M2015 Drug cost: $5,249,851 (USD; Tot_Drug_Cst)2016 Drug cost: $2,514,238 (USD; Tot_Drug_Cst)2017 Drug cost: $3,614,964 (USD; Tot_Drug_Cst)2018 Drug cost: $1,905,137 (USD; Tot_Drug_Cst)2019 Drug cost: $1,048,612 (USD; Tot_Drug_Cst)2020 Drug cost: $817,895 (USD; Tot_Drug_Cst)2021 Drug cost: $1,192,988 (USD; Tot_Drug_Cst)2022 Drug cost: $853,643 (USD; Tot_Drug_Cst)2023 Drug cost: $992,338 (USD; Tot_Drug_Cst)2024 Drug cost: $871,062 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20158893,552$5,249,851
20168493,482$2,514,238
20171,0574,111$3,614,964
20181,0483,473$1,905,137
20199962,951$1,048,612
20209403,157$817,895
20211,0373,321$1,192,988
20228742,866$853,643
20231,2374,507$992,338
20241,5445,976$871,062

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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more208208$113
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more506950$90
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope208217$77
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more244304$63
88305Pathology examination of tissue using a microscope, intermediate complexity2331,063$26

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CreonLipase/Protease/Amylase712,197$130,807
SutabSod Sulf/Pot Chloride/Mag Sulf6391,281$103,772
LinzessLinaclotide1415,490$97,642
ZenpepLipase/Protease/Amylase12422$48,705
XifaxanRifaximin11202$26,278

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.48$1,002ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.63$133,564ABBVIE INC.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

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FAQ

What Medicare data is available for Dharmendra Verma, M.D.?

Tedicare shows public-source Medicare data for Dharmendra Verma, M.D. (NPI 1225142623), 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 Dharmendra Verma, M.D. have ACO affiliation data?

Dharmendra Verma, M.D. is shown with ACO affiliation data for The Rural Advantage LLC (MSSP, ACO ID A5257), Main Street Rural Health Hickory ACO LLC (MSSP, ACO ID A5334), Main Street Rural Health Magnolia ACO LLC (MSSP, ACO ID A5400), Main Street Rural Health Cottonwood ACO LLC (MSSP, ACO ID A5439), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Dharmendra Verma, M.D.?

Dharmendra Verma, M.D. is linked to HEALTH AND WELLNESS SOLUTIONS PA (billing NPI 1922302124) in the available physician profile data.

Does Dharmendra Verma, M.D. have Open Payments data?

Dharmendra Verma, M.D. has 111 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.