Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JOSE J. DERDOY, MD, LLC

NPI: 1003383258 · CREVE COEUR, MO 63141 · Pediatric Gastroenterology Physician · NPI assigned 10/25/2018

$41K
Total Medicaid Paid
725
Total Claims
686
Beneficiaries
4
Codes Billed
2020-06
First Month
2024-09
Last Month

Provider Details

Authorized OfficialDERDOY, JOSE (OWNER/PRESIDENT)
NPI Enumeration Date10/25/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 119 $5K
2021 178 $6K
2022 209 $14K
2023 115 $9K
2024 104 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 402 384 $18K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 248 227 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 63 63 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12 12 $4K