Physician
Kurt G Vernon MD PA
Kurt G Vernon MD PA was paid $567K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 24% of everything it billed.
33Billing provider infoKURT G VERNON MD PA
CARY, NC 27518
CARY, NC 27518
33aNPI1962620997assigned 04/23/2007
33bProvider typeGastroenterology Physician
28Total paid$567K
24GClaims20,241
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in North Carolina
Rank by total paid#9 of 64
Median peer was paid$44K
This provider vs. median13×
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 | 1,045 | $26K | |
| 2019 | 1,642 | $57K | |
| 2020 | 955 | $42K | |
| 2021 | 1,173 | $52K | |
| 2022 | 1,551 | $23K | |
| 2023 | 3,512 | $78K | |
| 2024incomplete | 10,363 | $290K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 24% | 2,056 | 1,437 | $134K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 18% | 2,558 | 1,827 | $104K |
| 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 | 16% | 2,875 | 1,968 | $91K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 13% | 749 | 559 | $74K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 11% | 859 | 656 | $61K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 1,957 | 1,274 | $38K |
| 88312 | 3.6% | 261 | 232 | $21K | |
| 88313 | 2.5% | 217 | 201 | $14K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.1% | 88 | 67 | $12K |
| 43248 | 1.9% | 163 | 130 | $10K | |
| 99406 | <1% | 470 | 386 | $4K | |
| 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% | 137 | 83 | $3K |
22 more codes
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 324 | $599.75 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 65 | $145.95 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 729 | $0.35 |
| 1160F | <1% | 629 | $0.11 | |
| 3074F | <1% | 602 | $0.10 | |
| 1159F | <1% | 362 | $0.10 | |
| 3078F | <1% | 658 | $0.09 | |
| 3079F | <1% | 196 | $0.03 | |
| 3077F | <1% | 172 | $0.03 | |
| 1036F | 0% | 854 | $0.00 | |
| 3017F | 0% | 957 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 180 | $0.00 |
| 1034F | 0% | 116 | $0.00 | |
| 3008F | 0% | 640 | $0.00 | |
| 3075F | 0% | 86 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 148 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 33 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 109 | $0.00 |
| 4004F | 0% | 136 | $0.00 | |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 351 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 491 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 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 officialVERNON, KURT (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Kurt G Vernon MD PA | Fuquay Varina, NC | $145K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.