Physician

Joyce Varughese, MD

According to 2025 Medicare claims, Joyce Varughese, MD (NPI: 1326222589) practices gynecologist/oncologist in the Trenton-Princeton, NJ market, with the plurality of this provider's patient population coming from Mercer, NJ. This provider's primary affiliated billing organization is CAPITAL HEALTH MEDICAL GROUP (NPI: 1437516887; TIN: 810889110) and primary practice location at 08534-2521. Varughese is affiliated with the Capital Health Accountable Care Organization, LLC (ACO ID: A2528), participating under the MSSP model.

Varughese's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 116 traditional Medicare patients, billed 422 HCPCS/CPT codes, and received $50,702 in Medicare payments. The top billing code was 58571 (Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less). Part D data shows 71 prescription claims across 48 beneficiaries totaling $2,878 in drug costs, led by Tramadol Hcl (Tramadol Hcl). Open Payments data shows 2 records totaling $100. 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 moved up and down with repeated peaks and valleys, starting at $53,964 and ending at $50,702. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $4,821 and ending at $2,878. 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.

Year	Patients	Clm Lines	Payment
2015	112	282	$53,964
2016	143	405	$72,295
2017	115	201	$45,354
2018	166	372	$66,083
2019	77	130	$21,274
2020	76	205	$41,302
2021	90	262	$47,282
2022	97	282	$52,533
2023	120	390	$58,776
2024	116	422	$50,702

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	43	98	$4,821
2016	64	164	$5,161
2017	48	102	$6,774
2018	43	86	$3,062
2019	20	40	$521
2020	31	45	$2,470
2021	46	82	$4,158
2022	43	73	$8,246
2023	55	86	$5,054
2024	48	71	$2,878

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
58571	Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less	13	13	$750
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$186
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	71	$100
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	49	70	$70
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	75	122	$14

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Tramadol Hcl	Tramadol Hcl	23	54	$19

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$100	INTUITIVE SURGICAL, 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

Explore More Providers

FAQ

What Medicare data is available for Joyce Varughese, MD?

Tedicare shows public-source Medicare data for Joyce Varughese, MD (NPI 1326222589), 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 Joyce Varughese, MD have ACO affiliation data?

Joyce Varughese, MD is shown with ACO affiliation data for Capital Health Accountable Care Organization, LLC (MSSP, ACO ID A2528).

What billing organization is linked to Joyce Varughese, MD?

Joyce Varughese, MD is linked to CAPITAL HEALTH MEDICAL GROUP (billing NPI 1437516887) in the available physician profile data.

Does Joyce Varughese, MD have Open Payments data?

Joyce Varughese, MD has 2 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.