Lince Varughese, MD
Family Medicine · Rockwall, TXNPI 1699193276
Payments from drug & device makers
Across 163 payments — averaging $36.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Musculoskeletal Transplant Foundation Inc.$1K
- Smith+Nephew$1K
- Organogenesis Inc.$594
- Paratek Pharmaceuticals, Inc.$393
- KCI USA, Inc.$362
- Vaporox, Inc.$356
- plus $2K from 27 others
What the payments were for
- Speaking & faculty fees$1202%
- Travel & lodging$1,28122%
- Food & beverage$4,49976%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Musculoskeletal Transplant Foundation Inc. | 8 | $1,439 |
| Smith+Nephew | 59 | $1,127 |
| Organogenesis Inc. | 29 | $594 |
| Paratek Pharmaceuticals, Inc. | 17 | $393 |
| KCI USA, Inc. | 6 | $362 |
| Vaporox, Inc. | 2 | $356 |
| Abiomed | 3 | $218 |
| Misonix Inc | 3 | $202 |
| Biowound Solutions, Inc. | 3 | $178 |
| Merz North America, Inc. | 2 | $173 |
| Kerecis Limited | 2 | $160 |
| Medtronic | 1 | $100 |
| Convatec Inc. | 4 | $95 |
| OVIK Health, LLC | 2 | $60 |
| Apria Healthcare LLC | 2 | $44 |
| Tactile Systems Technology Inc | 1 | $29 |
| Inari Medical, Inc. | 1 | $28 |
| Osiris Therapeutics Inc. | 2 | $27 |
| Solventum Corporation | 1 | $27 |
| Hill-rom Company, Inc | 1 | $27 |
| Urgo Medical North America, LLC | 1 | $26 |
| Novo Nordisk | 1 | $25 |
| Cashflow Solutions, LLC | 1 | $25 |
| Reprise Biomedical, Inc. | 1 | $24 |
| AbbVie | 1 | $23 |
| Cardiovascular Systems Inc. | 1 | $23 |
| Integra Lifesciences Corporation | 1 | $23 |
| Medline Industries LP | 1 | $19 |
| Medela LLC | 2 | $19 |
| Polarityte, Inc. | 1 | $15 |
| Revance Therapeutics, Inc. | 1 | $13 |
| Pylant Medical | 1 | $13 |
| Resmed Corp | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Santyl$244
- Kerecis Omega3 Wound$146
- SNAP$122
- ADAPTIC$122
- KERRACONTACT AG (US)$122
- KERRAMAX CARE GENTLE BORDER$122
- KERRAMAX CARE$122
- KERRAFOAM GENTLE BORDER$122
- REGRANEX$121
- Oasis$121
- Allevyn Life$121
- VERSAJET II$121
- NUZYRA$120
- TheraSkin$120
- bio-ConneKt$107
- VenaSeal$100
How this compares
$5,900 in reported general payments places this provider in the 85th percentile of 8,760 family medicine providers in Texas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| JardianceEmpagliflozin | 12 | $7,764 |
| Linezolid | 23 | $2,073 |
| Gentamicin Sulfate | 42 | $1,585 |
| Potassium Chloride | 60 | $837 |
| Levothyroxine Sodium | 72 | $766 |
| Pantoprazole Sodium | 38 | $663 |
| Carbidopa-LevodopaCarbidopa/Levodopa | 15 | $650 |
| Amiodarone Hcl | 20 | $474 |
| Tamsulosin Hcl | 16 | $463 |
| Furosemide | 66 | $448 |
| Tizanidine Hcl | 13 | $393 |
| Omeprazole | 22 | $366 |
| Levofloxacin | 31 | $305 |
| Metolazone | 13 | $305 |
| Doxycycline Hyclate | 39 | $282 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Rockwall
- Douglas DenhamSan Antonio$68.5M
- Vicki MillerPasadena$58.3M
- Hareshkumar BogharaDesoto$30.3M
- Earl MartinTomball$30.1M
- Lisa HollowayHouston$30.1M
- William SegerFort Worth$27.5M
- Veronica FragosoHouston$24.5M
- Joel SolisMcAllen$21.1M
- George AtieeSan Antonio$19.9M
- Bonnie ColvilleHouston$19.6M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.