Physician
Verdin Pediatrics, PLLC
Verdin Pediatrics, PLLC was paid $3.70M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoVERDIN PEDIATRICS, PLLC
CALABASH, NC 28467
CALABASH, NC 28467
33aNPI1427281070assigned 08/31/2009
33bProvider typePediatrics Physician
28Total paid$3.70M
24GClaims141,945
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#108 of 433
Median peer was paid$942K
This provider vs. median3.9×
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 | |
|---|---|---|---|
| 2018 | 9,309 | $297K | |
| 2019 | 9,018 | $364K | |
| 2020 | 6,612 | $315K | |
| 2021 | 23,606 | $533K | |
| 2022 | 30,940 | $676K | |
| 2023 | 31,089 | $827K | |
| 2024incomplete | 31,371 | $686K |
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 | 47% | 30,200 | 18,597 | $1.73M |
| 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 | 24% | 8,746 | 6,038 | $883K |
| 99199 | Unlisted special service, procedure or report | 7.0% | 52,208 | 23,003 | $258K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.1% | 2,251 | 1,910 | $188K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 1,896 | 1,587 | $157K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 1,585 | 1,314 | $143K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 1,176 | 989 | $94K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.4% | 1,954 | 1,857 | $52K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 502 | 370 | $35K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,574 | 1,851 | $26K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 13,556 | 9,164 | $22K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,244 | 2,830 | $22K |
23 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,790 | $22K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,233 | $15K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 796 | $14K |
| 80305 | <1% | 1,547 | $13K | |
| 90461 | <1% | 461 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 32 | $5K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12,473 | $3K |
| 85018 | <1% | 1,286 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 73 | $1K |
| 81000 | <1% | 1,021 | $735.47 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 80 | $528.20 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 22 | $122.64 |
| 81003 | <1% | 31 | $58.56 | |
| 90670 | <1% | 485 | $0.09 | |
| 90734 | <1% | 218 | $0.07 | |
| 90656 | <1% | 121 | $0.03 | |
| 90633 | <1% | 131 | $0.01 | |
| 90658 | <1% | 13 | $0.01 | |
| 90680 | 0% | 56 | $0.00 | |
| 90744 | 0% | 93 | $0.00 | |
| 90698 | 0% | 64 | $0.00 | |
| 90649 | 0% | 14 | $0.00 | |
| 90700 | 0% | 13 | $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 officialVERDIN, THOMAS (OWNER)