Physician

Albert Victorio Vargas, M.D.

According to 2025 Medicare claims, Albert Vargas, M.D. (NPI: 1861466864) practices general surgery in the Sandusky, OH market, with the plurality of this provider's patient population coming from Erie, OH. This provider's primary affiliated billing organization is NORTHERN OHIO MEDICAL SPECIALISTS LLC (NPI: 1225085855; TIN: 341933718) and primary practice location at 44870-3323. Vargas is affiliated with the Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under the REACH model.

Vargas' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 239 traditional Medicare patients, billed 614 HCPCS/CPT codes, and received $79,357 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 254 prescription claims across 132 beneficiaries totaling $2,083 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). 2023 DME data shows 11 claims. Open Payments data shows 8 records totaling $575. 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 started with an early spike, then settled into a lower baseline, moving from $3,808 to $2,083. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $22,595 and ending at $17,332.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	336	913	$108,910
2016	334	908	$105,164
2017	326	905	$113,359
2018	300	794	$105,567
2019	283	708	$82,887
2020	227	559	$75,882
2021	213	559	$81,954
2022	233	646	$92,819
2023	253	750	$104,498
2024	239	614	$79,357

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	111	257	$3,808
2016	95	233	$5,928
2017	101	194	$2,142
2018	96	196	$1,646
2019	100	165	$3,247
2020	88	137	$1,254
2021	102	162	$2,161
2022	103	195	$1,638
2023	134	220	$3,651
2024	132	254	$2,083

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	58	$17,044
2016	N/R	91	$7,411
2017	N/R	11	$80
2018	N/R	62	$13,398
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	11	$10,614
2023	N/R	11	$2,986
2024	N/R	N/R	N/R

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	51	$135
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$109
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	44	$94
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$82
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	89	192	$59

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	116	707	$387
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	42	273	$152
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	12	104	$92
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	11	85	$44

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.	8	$575	BIOTISSUE HOLDINGS 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 Albert Victorio Vargas, M.D.?

Tedicare shows public-source Medicare data for Albert Victorio Vargas, M.D. (NPI 1861466864), 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 Albert Victorio Vargas, M.D. have ACO affiliation data?

Albert Victorio Vargas, M.D. is shown with ACO affiliation data for Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Albert Victorio Vargas, M.D.?

Albert Victorio Vargas, M.D. is linked to NORTHERN OHIO MEDICAL SPECIALISTS LLC (billing NPI 1225085855) in the available physician profile data.

Does Albert Victorio Vargas, M.D. have Open Payments data?

Albert Victorio Vargas, M.D. has 8 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.