Sandeep Varma, MD
Rheumatology · Norwich, CTNPI 1386751923
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.7% of the total across 174 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 17 manufacturers, the largest accounting for just 20.8% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,268, 3.8 times the $332 reported in 2019.
Across 174 payments — averaging $17.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$630
- Mallinckrodt Hospital Products Inc.$509
- AbbVie$490
- AstraZeneca$293
- GSK$227
- Novartis$152
- plus $724 from 11 others
What the payments were for
- Food & beverage$2,86795%
- Education$1605%
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 |
|---|---|---|
| Amgen | 46 | $630 |
| Mallinckrodt Hospital Products Inc. | 39 | $509 |
| AbbVie | 28 | $490 |
| AstraZeneca(2 entities) | 14 | $293 |
| GSK | 13 | $227 |
| Novartis | 6 | $152 |
| Genentech USA, Inc. | 2 | $123 |
| E.r. Squibb & Sons, L.L.C. | 5 | $112 |
| Aurinia Pharma U.S., Inc. | 5 | $103 |
| Lilly USA, LLC | 3 | $86 |
| Sanofi | 2 | $64 |
| Pfizer | 3 | $55 |
| Johnson & Johnson | 3 | $55 |
| UCB, Inc. | 2 | $51 |
| Actelion Pharmaceuticals US, Inc. | 1 | $30 |
| Sandoz | 1 | $29 |
| ANI Pharmaceuticals, Inc. | 1 | $17 |
How this compares
$3,027 in reported general payments places this provider in the 65th percentile of 118 rheumatology providers in Connecticut.
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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 193 | $1,295,165 |
| Enbrel SureclickEtanercept | 112 | $950,120 |
| EnbrelEtanercept | 41 | $371,516 |
| Orencia ClickjectAbatacept | 49 | $334,571 |
| Cyltezo(Cf) PenAdalimumab-Adbm | 31 | $204,914 |
| TremfyaGuselkumab | 12 | $167,960 |
| Humira(Cf)Adalimumab | 19 | $159,549 |
| Cosentyx Sensoready (2 Pens)Secukinumab | 17 | $154,732 |
| Taltz AutoinjectorIxekizumab | 11 | $74,954 |
| ActemraTocilizumab | 14 | $65,966 |
| Cimzia (2 Pack)Certolizumab Pegol | 13 | $65,755 |
| XeljanzTofacitinib Citrate | 11 | $60,888 |
| OtezlaApremilast | 12 | $59,119 |
| RasuvoMethotrexate/Pf | 31 | $23,352 |
| Atovaquone | 39 | $22,419 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AmgenEnbrel, Otezla | $630 | $430,63453 claims |
| Johnson & JohnsonTremfya | $55 | $167,96012 claims |
| AbbVieHumira(Cf) | $490 | $159,54919 claims |
| UCB, Inc.Cimzia (2 Pack) | $51 | $65,75513 claims |
| PfizerXeljanz | $55 | $60,88811 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 65th percentile of 118 rheumatology providers in Connecticut.
Other rheumatology in Norwich
- Harjinder ChowdharyNorwich$13K
- Jackilyn AnnelliNorwich$3K
- Kenneth MillerDanbury$873K
- Robert SchoenGuilford$638K
- Bret SohnStamford$447K
- Fotios KoumpourasNorth Haven$314K
- James SeiboldFarmington$300K
- Michael SpiegelDanbury$215K
- John MagaldiTorrington$157K
- Archana SharmaBristol$98K
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.