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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Freemu Varghese
⚕️
MDIndividual

Freemu Varghese, M.D.

NPI: 1467438614
Houston, TX
10 years of data
Nephrology
$4.8M
Total Payments
24.1K
Beneficiaries
64.6K
Services
3.38x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$4.8M
Specialty median$185.2K

📋 Key Findings

1Billed $4.8M over 10 years
23.38x markup ratio (above median)
398th percentile in Nephrology by payments
4Payments surged 51% in 2023
516 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $4.8M in total Medicare payments ranks in the 98th percentile of Nephrology providers nationally.

This provider's billing patterns fall within normal ranges for their specialty.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 51% in 2023

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$200.13$76.022.63x$124.11$420.2K8.0K2.9K
2015$366.27$123.132.97x$243.14$509.1K6.7K2.8K
2016$352.10$109.373.22x$242.73$576.6K9.1K3.5K
2017$402.53$112.213.59x$290.32$594.3K8.7K3.5K
2018$266.20$70.103.80x$196.10$547.9K10.5K3.5K
2019$303.09$86.393.51x$216.70$498.3K7.5K3.0K
2020$530.34$149.313.55x$381.03$481.4K4.9K1.8K
2021$582.77$168.833.45x$413.94$448.7K4.1K1.4K
2022$599.56$169.013.55x$430.55$279.6K2.2K831
2023$634.30$179.703.53x$454.60$423.2K2.9K830

Top Procedures (20)

J2507Injection, pegloticase, 1 mg⚠ 3.3x markup
$529.1K
221 services$2.4K/svc3.34x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 3.3x markup
$334.4K
4.3K services$77.65/svc3.30x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers⚠ 3.3x markup
$272.0K
1.9K services$146.53/svc3.26x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 3.8x markup
$246.9K
1.6K services$156.16/svc3.75x markup
76536Ultrasound of head and neck⚠ 3.4x markup
$242.9K
2.6K services$91.86/svc3.40x markup
76700Ultrasound of abdomen⚠ 3.7x markup
$217.0K
2.3K services$96.43/svc3.74x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck⚠ 3.2x markup
$200.3K
1.3K services$152.80/svc3.21x markup
93975Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow⚠ 3.6x markup
$194.0K
999 services$194.21/svc3.63x markup
95923Testing of autonomic (sympathetic) nervous system function⚠ 4.7x markup
$172.6K
1.6K services$110.44/svc4.69x markup
76856Ultrasound of pelvis⚠ 4.0x markup
$140.9K
1.8K services$79.29/svc4.00x markup
11044Removal of skin and bone first 20 sq cm or less
$137.2K
569 services$241.05/svc2.29x markup
93923Ultrasound study of arteries of both arms and legs⚠ 4.1x markup
$130.7K
1.4K services$92.82/svc4.14x markup
90960Dialysis services (4 or more physician visits per month), patient 20 years of age and older
$122.3K
557 services$219.60/svc2.93x markup
96374Injection of drug or substance into a vein for therapy, diagnosis, or prevention⚠ 3.9x markup
$106.2K
2.9K services$36.39/svc3.92x markup
90966Home dialysis services per month, patient 20 years of age or older
$104.2K
586 services$177.86/svc2.25x markup
76872Ultrasound of rectum
$97.8K
1.1K services$87.09/svc2.73x markup
76604Ultrasound of chest⚠ 3.9x markup
$97.1K
1.7K services$57.93/svc3.93x markup
36147Insertion of needle and/or catheter for dialysis⚠ 3.3x markup
$92.1K
142 services$648.82/svc3.30x markup
95921Testing of autonomic (sympathetic) nervous system function⚠ 3.3x markup
$87.8K
1.3K services$68.93/svc3.31x markup
36558Insertion of central venous catheter for infusion, patient 5 years or older⚠ 3.3x markup
$81.3K
132 services$615.96/svc3.30x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
J2507Injection, pegloticase, 1 mg221$529.1K$2.4K3.34x
99214Established patient office or other outpatient, visit typically 25 minutes4.3K$334.4K$77.653.30x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers1.9K$272.0K$146.533.26x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function1.6K$246.9K$156.163.75x
76536Ultrasound of head and neck2.6K$242.9K$91.863.40x
76700Ultrasound of abdomen2.3K$217.0K$96.433.74x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck1.3K$200.3K$152.803.21x
93975Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow999$194.0K$194.213.63x
95923Testing of autonomic (sympathetic) nervous system function1.6K$172.6K$110.444.69x
76856Ultrasound of pelvis1.8K$140.9K$79.294.00x
11044Removal of skin and bone first 20 sq cm or less569$137.2K$241.052.29x
93923Ultrasound study of arteries of both arms and legs1.4K$130.7K$92.824.14x
90960Dialysis services (4 or more physician visits per month), patient 20 years of age and older557$122.3K$219.602.93x
96374Injection of drug or substance into a vein for therapy, diagnosis, or prevention2.9K$106.2K$36.393.92x
90966Home dialysis services per month, patient 20 years of age or older586$104.2K$177.862.25x
76872Ultrasound of rectum1.1K$97.8K$87.092.73x
76604Ultrasound of chest1.7K$97.1K$57.933.93x
36147Insertion of needle and/or catheter for dialysis142$92.1K$648.823.30x
95921Testing of autonomic (sympathetic) nervous system function1.3K$87.8K$68.933.31x
36558Insertion of central venous catheter for infusion, patient 5 years or older132$81.3K$615.963.30x

Markup Analysis

Charge-to-Payment Ratio

3.38x

This provider submits charges 3.38 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.38x means for every $100 Medicare pays, this provider initially charges $338. This is higher than the national average.

Location

Houston, TX

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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