Vidrine, David

Vidrine, David was paid $41K by Medicaid between Jul 2019 and Sep 2019, across 6 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 50% of everything it billed.

33Billing provider infoVIDRINE, DAVID
LUGOFF, SC 29078

33aNPI1447293121assigned 06/13/2006

33bProvider typePediatric Otolaryngology Physician

28Total paid$41K

24GClaims462

24DCodes billed6

24AFirst – last monthJul 2019 – Sep 2019

Compared with peers

Next to other Pediatric Otolaryngology Physician providers in South Carolina

Rank by total paid#4 of 6

Median peer was paid$41K

This provider vs. median1.0×

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	462	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	50%	89	89	$21K
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	29%	130	127	$12K
99244	Office or other outpatient consultation, moderate to high complexity	12%	31	31	$5K
31231		5.4%	14	14	$2K
95117		3.5%	177	136	$1K
95115		<1%	21	15	$150.78

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.