Physician

Sanju Andrew Varghese, MD

According to 2025 Medicare claims, Sanju Varghese, MD (NPI: 1780629956) practices nephrology in the Springfield, OH market, with the plurality of this provider's patient population coming from Clark, OH. This provider's primary affiliated billing organization is ADVANCED NEPHROLOGY & HYPERTENSION (NPI: 1780069567; TIN: 320465385) and primary practice location at 45504-2687. Varghese is affiliated with the Mercy Health Select, LLC (ACO ID: A1215), participating under the MSSP model.

Varghese's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 475 traditional Medicare patients, billed 2,345 HCPCS/CPT codes, and received $173,699 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 4,604 prescription claims across 643 beneficiaries totaling $1,173,660 in drug costs, led by Jynarque (Tolvaptan). DME data shows 11 claims. Open Payments data shows 85 records totaling $6,094. 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 from a lower plateau to a higher plateau, from $418,776 to $1,173,660. In contrast, DME billing represents a smaller volume and moved from a lower plateau to a higher plateau, from $475 to $5,659.