Helen Chang-Deguzman, 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.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Christiana Hospital Hospital · Newark, DE · listed as Christiana Care Hospital
• Union Hospital Of Cecil County Hospital · Elkton, MD
• FKC First State Dialysis facility · New Castle, DE · listed as Bio-Medical Applications of Delaware, Inc
• Fmc - Elkton Dialysis facility · Elkton, MD · listed as Fresenius Medical Care Northern Delaware, LLC

Colleagues at Nephrology Associates PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 54 clinicians in the practice; 12 are shown here.

• Afsheen Afzal, MD Nephrology Physician · Lewes, DE
• Svastijaya Daviratanasilpa, MD Nephrology Physician · Dover, DE
• Laureen Eick-Benson, MSN Nurse Practitioner · Newark, DE
• Ranine Ghamrawi, MD Nephrology Physician · Jacksonville, FL
• Aprile F Harris, MSN Nurse Practitioner · Elkton, MD
• Dr. Sumanth Rao Kacharam, MD Internal Medicine Physician · Dover, DE
• G Jeffrey Milan, MD Nephrology Physician · Dover, DE
• Mrs. Georgette Mirabelle Ondobo, MSN Counselor · Middletown, DE
• Tamika Sales, AGNP Nurse Practitioner · Milford, DE
• Shalini G Sehgal, MD Nephrology Physician · Lewes, DE
• Lindsey M Slater, MD Nephrology Physician · Newark, DE
• James Best Torain, MD Student in an Organized Health Care Education/Training Program · Newark, DE

Other providers in Elkton

• Martin F Gavin, DO

  Individual Nephrology Physician · NPI 1609862150

  137 W High St Ste 1A, Elkton, MD 21921-8604 · (410) 620-9200

• Collette Mehring, DO

  Individual Nephrology Physician · NPI 1326232208

  137 W High St Ste 1A, Elkton, MD 21921-8604 · (410) 620-9200

• Nephrology Associates PA

  Organization Nephrology Physician · NPI 1750185278

  137 W High St Ste 1A, Elkton, MD 21921-8614 · (410) 620-9200