Physician
Verdugo Medical Care, INC
Verdugo Medical Care, INC was paid $98K by Medicaid between Mar 2019 and Nov 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoVERDUGO MEDICAL CARE, INC
BURBANK, CA 91506
BURBANK, CA 91506
33aNPI1316426695assigned 08/08/2018
33bProvider typeFamily Medicine Physician
28Total paid$98K
24GClaims6,867
24DCodes billed23
24AFirst – last monthMar 2019 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#634 of 2,511
Median peer was paid$13K
This provider vs. median7.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 405 | $9K | |
| 2020 | 572 | $17K | |
| 2021 | 425 | $15K | |
| 2022 | 847 | $16K | |
| 2023 | 1,772 | $16K | |
| 2024incomplete | 2,846 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 1,225 | 1,206 | $23K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 21% | 846 | 834 | $20K |
| 76881 | 13% | 1,084 | 951 | $12K | |
| 93970 | 8.6% | 328 | 326 | $8K | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 7.0% | 555 | 553 | $7K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.4% | 134 | 132 | $6K |
| 93976 | 5.1% | 175 | 173 | $5K | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 3.8% | 456 | 455 | $4K |
| 94060 | 2.7% | 293 | 291 | $3K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.5% | 52 | 51 | $2K |
| 95924 | 1.8% | 179 | 177 | $2K | |
| 93880 | 1.0% | 151 | 149 | $1K |
11 more codes
| 93925 | <1% | 314 | $895.84 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 99 | $529.60 |
| 93922 | <1% | 296 | $508.57 | |
| 93923 | <1% | 175 | $504.06 | |
| 95923 | <1% | 29 | $497.80 | |
| 93040 | <1% | 182 | $420.00 | |
| 69210 | <1% | 164 | $243.82 | |
| 76536 | <1% | 24 | $236.56 | |
| 93886 | <1% | 12 | $36.00 | |
| 93000 | <1% | 12 | $35.88 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 82 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialFLANIGAN, GEORGE (PHYSICIAN OWNER)
| Provider | Location | Paid |
|---|---|---|
| Vanowen Medical Group, INC | Lake Balboa, CA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.