Physician

Varghese Parambi, MD

According to 2025 Medicare claims, Varghese Parambi, MD (NPI: 1386645257) practices nephrology in the Great Falls, MT market, with the plurality of this provider's patient population coming from Cascade, MT. This provider's primary affiliated billing organization is BENEFIS HOSPITALS INC (NPI: 1780968974; TIN: 810232122) and primary practice location at 59405-3473. Parambi is affiliated with the Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Parambi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 351 traditional Medicare patients, billed 1,948 HCPCS/CPT codes, and received $238,285 in Medicare payments. The top billing code was 90961 (Dialysis services, 2-3 physician visits per month (20 years or older)). Part D data shows 1,871 prescription claims across 236 beneficiaries totaling $177,000 in drug costs, led by Jardiance (Empagliflozin). DME data shows 762 claims. No Open Payments records. 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 changed little. Concurrently, Part D prescription costs have moved from a higher plateau to a lower plateau, from $324,347 to $177,000. 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$168K$336K2015 Medicare payment: $307,963 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $300,242 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $279,396 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $275,418 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $282,192 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $302,585 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $335,747 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $282,063 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $249,360 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $238,285 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157323,216$307,963
20167212,980$300,242
20176632,586$279,396
20186222,395$275,418
20194832,449$282,192
20204162,420$302,585
20214482,604$335,747
20223832,306$282,063
20233911,901$249,360
20243511,948$238,285

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$253K$506K2015 Drug cost: $324,347 (USD; Tot_Drug_Cst)2016 Drug cost: $339,904 (USD; Tot_Drug_Cst)2017 Drug cost: $506,154 (USD; Tot_Drug_Cst)2018 Drug cost: $298,613 (USD; Tot_Drug_Cst)2019 Drug cost: $357,044 (USD; Tot_Drug_Cst)2020 Drug cost: $237,671 (USD; Tot_Drug_Cst)2021 Drug cost: $225,065 (USD; Tot_Drug_Cst)2022 Drug cost: $191,857 (USD; Tot_Drug_Cst)2023 Drug cost: $188,692 (USD; Tot_Drug_Cst)2024 Drug cost: $177,000 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153072,957$324,347
20163243,328$339,904
20173223,451$506,154
20183283,188$298,613
20193112,686$357,044
20202302,252$237,671
20212252,042$225,065
20222051,849$191,857
20231871,766$188,692
20242361,871$177,000

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$20K$41K2015 Medicare payment: $31,107 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $27,384 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $20,900 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $40,596 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $37,612 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $26,172 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $33,500 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $22,987 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $13,809 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $17,667 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201563500$31,107
201661653$27,384
201747559$20,900
201877855$40,596
201977902$37,612
202046778$26,172
202169984$33,500
202257872$22,987
202349770$13,809
202467762$17,667

* / # = 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
90961Dialysis services, 2-3 physician visits per month (20 years or older)48156$217
90962Dialysis services, 1 physician visit per month (20 years or older)43191$148
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8489$133
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more192336$72
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes122631$61

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
JardianceEmpagliflozin361,184$22,277
Cinacalcet HclCinacalcet Hcl261,140$20,562
LokelmaSodium Zirconium Cyclosilicate14953$13,404
EliquisApixaban13690$12,749
Sevelamer CarbonateSevelamer Carbonate1003,724$11,969

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
J7527Everolimus, oral, 0.25 mgNN/R11$5,453
Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day periodN17199$3,023
J7518Mycophenolic acid, oral, 180 mgNN/R60$2,813
Q0511Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day periodN21166$2,785
J7507Tacrolimus, immediate release, oral, 1 mgN17169$2,400

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Varghese Parambi, MD?

Tedicare shows public-source Medicare data for Varghese Parambi, MD (NPI 1386645257), 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 Varghese Parambi, MD have ACO affiliation data?

Varghese Parambi, MD is shown with ACO affiliation data for Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Varghese Parambi, MD?

Varghese Parambi, MD is linked to BENEFIS HOSPITALS INC (billing NPI 1780968974) in the available physician profile data.

Does Varghese Parambi, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.