Varghese, Sanju

Varghese, Sanju was paid $51K by Medicaid between Jan 2018 and May 2023, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoVARGHESE, SANJU
SPRINGFIELD, OH 45503

33aNPI1780629956assigned 06/19/2006

33bProvider typeNephrology Physician

28Total paid$51K

24GClaims1,304

24DCodes billed6

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other Nephrology Physician providers in Ohio

Rank by total paid#46 of 65

Median peer was paid$117K

This provider vs. median0.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	298	$13K
2019	209	$9K
2020	61	$3K
2021	231	$10K
2022	442	$15K
2023	63	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	497	483	$21K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	27%	346	112	$14K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	21%	363	89	$11K
99222	Initial hospital care, per day, moderate complexity	5.9%	54	47	$3K
99254		3.7%	29	25	$2K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2.0%	15	15	$1K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.