Physician

Seema Susan Varghees, M.D.

According to 2025 Medicare claims, Seema Varghees, M.D. (NPI: 1568625044) practices psychiatry in the Eagle Pass, TX market, with the plurality of this provider's patient population coming from Maverick, TX. This provider's primary affiliated billing organization is CAMINO REAL COMMUNITY MHMR CENTER (NPI: 1154411262; TIN: 742951754) and primary practice location at 78052-3481. Varghees is affiliated with the Caravan Health ACO 43 LLC (ACO ID: A4974) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Varghees' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 26 traditional Medicare patients, billed 123 HCPCS/CPT codes, and received $4,352 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 896 prescription claims across 77 beneficiaries totaling $113,841 in drug costs, led by Invega Sustenna (Paliperidone Palmitate). 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 moved sharply higher in recent years, from $1,927 to $4,352. Similarly, Part D prescription costs have moved sharply higher in recent years, from $816 to $113,841. 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$2.2K$4.4K2016 Medicare payment: $1,927 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,435 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,392 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $4,350 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,228 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,340 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $4,352 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
20161334$1,927
20171430$1,435
20181826$1,392
20193481$4,350
20201425$1,228
20213657$2,340
2022N/RN/RN/R
2023N/RN/RN/R
202426123$4,352

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$84K$169K2015 Drug cost: $816 (USD; Tot_Drug_Cst)2016 Drug cost: $769 (USD; Tot_Drug_Cst)2017 Drug cost: $1,251 (USD; Tot_Drug_Cst)2018 Drug cost: $2,784 (USD; Tot_Drug_Cst)2019 Drug cost: $654 (USD; Tot_Drug_Cst)2021 Drug cost: $168,623 (USD; Tot_Drug_Cst)2024 Drug cost: $113,841 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151426$816
2016N/R36$769
20171245$1,251
2018N/R22$2,784
20191222$654
2020N/RN/RN/R
202166653$168,623
2022N/RN/RN/R
2023N/RN/RN/R
202477896$113,841

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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more2251$58
Q3014Telehealth originating site facility fee2557$14

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Invega SustennaPaliperidone Palmitate13368$37,144
AripiprazoleAripiprazole451,388$2,090
Asenapine MaleateAsenapine Maleate14450$1,174
RamelteonRamelteon12360$1,169
Hydroxyzine HclHydroxyzine Hcl602,016$946

Top 5 DME services in 2024

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

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 Seema Susan Varghees, M.D.?

Tedicare shows public-source Medicare data for Seema Susan Varghees, M.D. (NPI 1568625044), 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 Seema Susan Varghees, M.D. have ACO affiliation data?

Seema Susan Varghees, M.D. is shown with ACO affiliation data for Caravan Health ACO 43 LLC (MSSP, ACO ID A4974) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Seema Susan Varghees, M.D.?

Seema Susan Varghees, M.D. is linked to CAMINO REAL COMMUNITY MHMR CENTER (billing NPI 1154411262) in the available physician profile data.

Does Seema Susan Varghees, M.D. 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.