Physician

Varkey Mathew, MD

According to 2025 Medicare claims, Varkey Mathew, MD (NPI: 1245211481) practices cardiology in the Lexington Park, MD market, with the plurality of this provider's patient population coming from Calvert, MD. This provider's primary affiliated billing organization is PATUXENT CARDIOLOGY ASSOCIATES LLC (NPI: 1881701175; TIN: 521923695) and primary practice location at 20639-3040.

Mathew's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 881 traditional Medicare patients, billed 8,141 HCPCS/CPT codes, and received $833,086 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 5,161 prescription claims across 607 beneficiaries totaling $1,385,856 in drug costs, led by Ozempic (Semaglutide). DME data shows 26 claims. Open Payments data shows 35 records totaling $1,068. 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 sharply higher in recent years, from $169,155 to $1,385,856. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $1,145 to $1,029.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	2,327	11,498	$707,543
2016	2,331	12,129	$705,568
2017	2,225	11,814	$821,917
2018	2,267	11,844	$1,085,505
2019	1,415	11,626	$1,249,863
2020	1,008	9,217	$990,922
2021	1,059	9,859	$1,169,962
2022	1,018	9,523	$1,066,511
2023	938	8,857	$1,008,868
2024	881	8,141	$833,086

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	287	1,941	$169,155
2016	292	1,990	$176,490
2017	320	2,179	$253,935
2018	399	2,623	$302,481
2019	469	3,255	$385,443
2020	393	2,824	$376,624
2021	366	2,702	$395,653
2022	433	3,071	$605,936
2023	494	4,045	$1,009,789
2024	607	5,161	$1,385,856

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	24	$1,002
2017	N/R	N/R	N/R
2018	N/R	11	$278
2019	N/R	150	$7,608
2020	N/R	221	$11,320
2021	N/R	207	$7,920
2022	N/R	42	$1,487
2023	N/R	24	$954
2024	N/R	26	$1,029

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	696	1,155	$131
93970	Ultrasound study of arm or leg veins with compression and maneuvers	490	525	$126
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	609	842	$103
93880	Ultrasound of both sides of head and neck blood flow	539	732	$101
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	742	1,212	$10

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	182	10,148	$312,971
Eliquis	Apixaban	225	13,828	$261,142
Trulicity	Dulaglutide	107	5,962	$191,448
Mounjaro	Tirzepatide	80	4,178	$145,672
Xarelto	Rivaroxaban	71	5,790	$102,824

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	12	$821
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	14	$208

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	35	$1,068	Actelion Pharmaceuticals US, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Varkey Mathew, MD?

Tedicare shows public-source Medicare data for Varkey Mathew, MD (NPI 1245211481), 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 Varkey Mathew, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Varkey Mathew, MD?

Varkey Mathew, MD is linked to PATUXENT CARDIOLOGY ASSOCIATES LLC (billing NPI 1881701175) in the available physician profile data.

Does Varkey Mathew, MD have Open Payments data?

Varkey Mathew, MD has 35 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.