Dr. Ramachandra Rahul Vachan Chemitiganti, MD

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Texas Tech University Health Sciences Center Odessa

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 60 clinicians in the practice; 12 are shown here.

• Marenda D Dent, DO Family Medicine Physician · Austin, TX
• Mrs. Graciela Corrales Flores, FNP Nurse Practitioner · Odessa, TX
• Anna Marie Tungol Francisco, MD Family Medicine Physician · Odessa, TX
• Mrs. Racheal Renee Godoy, MSN, RN, FNP-C Family Nurse Practitioner · Midland, TX
• Kathryn Nichole Hutton, DO Obstetrics & Gynecology Physician · Odessa, TX
• Kristina D McAuliffe, MD Obstetrics & Gynecology Physician · Midland, TX
• Dr. Lee David Moore, MD Obstetrics & Gynecology Physician · Bryan, TX
• Ikemefuna Charles Okwuwa, MD Family Medicine Physician · Odessa, TX
• Hina Tariq, MD Internal Medicine Physician · Odessa, TX
• Dr. Shelton Viney, MD Surgery Physician · Midland, TX
• Cristina Marie Wallace Huff, MD Obstetrics & Gynecology Physician · Odessa, TX
• Lloyd Austin Wilson, MA, LPC Professional Counselor · Odessa, TX

Other providers in Odessa

• Varuna Nargunan, MD

  Individual Endocrinology, Diabetes & Metabolism Physician · NPI 1386807089

  315 Golder Ave, Odessa, TX 79761-5043 · (432) 640-3052

• Dr. Jeffrey Perlman, MD

  Individual Endocrinology, Diabetes & Metabolism Physician · NPI 1225063209

  318 N Alleghaney Ave Ste 201, Odessa, TX 79761-5052 · (432) 332-1144

• Ivania Claudeth Salinas, MD

  Individual Endocrinology, Diabetes & Metabolism Physician · NPI 1144857871

  701 W 5th St Ste 1229, Odessa, TX 79763-4206 · (432) 703-5375

• Priya Darshini Velumani, MD

  Individual Endocrinology, Diabetes & Metabolism Physician · NPI 1972112852

  8050 Hwy 191 Ste 213 Dept OF Endocrinology, Odessa, TX 79765 · (432) 703-5379