Physician
Gordon, Verley
Gordon, Verley was paid $1.21M by Medicaid between Oct 2020 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoGORDON, VERLEY
MISSION, TX 78574
MISSION, TX 78574
33aNPI1528172665assigned 08/18/2006
33bProvider typePediatrics Physician
28Total paid$1.21M
24GClaims49,196
24DCodes billed43
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#338 of 1,136
Median peer was paid$329K
This provider vs. median3.7×
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 | |
|---|---|---|---|
| 2020 | 1,276 | $30K | |
| 2021 | 11,849 | $289K | |
| 2022 | 13,387 | $318K | |
| 2023 | 12,084 | $300K | |
| 2024incomplete | 10,600 | $270K |
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 | 39% | 13,157 | 10,310 | $472K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 1,277 | 1,226 | $98K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 1,039 | 1,002 | $83K |
| 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 | 6.5% | 1,568 | 1,431 | $78K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.8% | 873 | 810 | $70K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.3% | 5,118 | 1,932 | $52K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.3% | 3,956 | 3,607 | $52K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 707 | 680 | $51K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.0% | 1,156 | 1,059 | $48K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.9% | 1,959 | 1,787 | $47K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 2,568 | 1,174 | $32K |
| 99429 | 2.4% | 1,039 | 988 | $29K |
31 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.0% | 3,930 | $24K |
| 99000 | 1.4% | 1,718 | $17K | |
| 92567 | 1.2% | 1,295 | $15K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 1,781 | $14K |
| S8301 | Infection control supplies, not otherwise specified | <1% | 344 | $8K |
| 87807 | <1% | 578 | $6K | |
| 90461 | <1% | 1,510 | $5K | |
| 99050 | <1% | 282 | $4K | |
| 96160 | <1% | 736 | $1K | |
| 81005 | <1% | 376 | $644.28 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 29 | $386.37 |
| 99354 | <1% | 14 | $237.20 | |
| 85651 | <1% | 63 | $157.96 | |
| 86580 | <1% | 12 | $77.52 | |
| 90658 | <1% | 134 | $61.90 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 29 | $6.12 |
| 96161 | <1% | 20 | $2.25 | |
| 90680 | 0% | 237 | $0.00 | |
| 96127 | 0% | 21 | $0.00 | |
| 90686 | 0% | 29 | $0.00 | |
| 90651 | 0% | 30 | $0.00 | |
| 90716 | 0% | 131 | $0.00 | |
| 90723 | 0% | 44 | $0.00 | |
| 90648 | 0% | 324 | $0.00 | |
| 99188 | 0% | 100 | $0.00 | |
| 90707 | 0% | 129 | $0.00 | |
| 90670 | 0% | 643 | $0.00 | |
| 90633 | 0% | 164 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 90734 | 0% | 49 | $0.00 | |
| 90715 | 0% | 14 | $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.