Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Shaun S. Varghese, M.d., PLLC (NPI 1497168546)

Shaun S. Varghese, M.d., PLLC is a neurology with special qualifications in child neurology physician provider located in Shenandoah, Texas. This profile covers 0 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Shaun S. Varghese, M.d., PLLC
Address	920 Medical Plaza Dr
City	Shenandoah
State	TX
ZIP	77380
Taxonomy	Neurology with Special Qualifications in Child Neurology Physician
NPI Enumerated	June 6, 2014

Payer Source	Total Paid
Medicaid	$16.8M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95715	The patient undergoes electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours with intermittent monitoring and maintenance. A video recording is made, and an…	6,650	$1,560	$10.4M
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	5,540	$310	$1.7M
99245	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends…	6,490	$170	$1.1M
93268	In this service, the provider uses electrocardiographic leads and a monitor to assess the occurrence of cardiac events in a patient, even when the patient is at home. He records the data throughout…	5,660	$160	$917.6K
95724	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. The complete study…	3,180	$270	$846.4K
95700	The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…	3,700	$210	$780.9K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	4,850	$110	$518.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	3,720	$80	$304.7K
95709	The patient undergoes an electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours with intermittent monitoring and maintenance. No video recording is made, and…	100	$900	$89.9K
95716	The patient undergoes electroencephalography, a study of the electrical activity of the brain, with continuous, real–time monitoring and maintenance. A video recording is made, and an EEG…	60	$1,310	$77.2K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

Shaun S. Varghese, M.d., PLLC — 5 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95715	The patient undergoes electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours with intermittent monitoring and maintenance. A video recording is made, and an…	3	10	1,260	$840	$2.9M
95716	The patient undergoes electroencephalography, a study of the electrical activity of the brain, with continuous, real–time monitoring and maintenance. A video recording is made, and an EEG…	4	10	150	$1,580	$641.4K
95724	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. The complete study…	1	10	150	$260	$233K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	78	210	260	$120	$221.2K
95700	The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…	2	20	240	$210	$219.1K
93268	In this service, the provider uses electrocardiographic leads and a monitor to assess the occurrence of cardiac events in a patient, even when the patient is at home. He records the data throughout…	1	10	50	$160	$187.3K
95709	The patient undergoes an electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours with intermittent monitoring and maintenance. No video recording is made, and…	2	10	340	$490	$167.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	5,705	5,810	540	$50	$155.5K
99245	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends…	1	50	230	$170	$150K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	4	60	320	$80	$89.8K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Urgent Care PA	TX	Urgent Care Clinic/Center	$0	$25.2M
Maxim Healthcare Services, Inc.	TX	Home Health Agency	$0	$19M
Singleton Associates PA	TX	Diagnostic Radiology Physician	$0	$16.2M
Guy Burrows	TX	Neurology Physician	$11.3M	$0
Trifecta Pharmacy LLC	TX	Community/Retail Pharmacy	$7.9M	$1.3K
Samir Shirodkar	TX	Urology Physician	$3.4M	$0
Randall Johnson	TX	Rheumatology Physician	$2.5M	$0
Wise Diagnostic Systems, LLC	TX	Clinical Medical Laboratory	$2M	$451.8K
Asit Choksi	TX	Medical Oncology Physician	$2.4M	$0
Carolyn Chen	TX	Ophthalmology Physician	$2M	$0

Shaun S. Varghese, M.d., PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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