Melby, Derek

Melby, Derek was paid $15K by Medicaid between Apr 2020 and Oct 2024, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 45% of everything it billed.

33Billing provider infoMELBY, DEREK
SOUTH HOLLAND, IL 60473

33aNPI1033266473assigned 01/05/2007

33bProvider typeHospitalist Physician

28Total paid$15K

24GClaims372

24DCodes billed4

24AFirst – last monthApr 2020 – Oct 2024

Compared with peers

Next to other Hospitalist Physician providers in Illinois

Rank by total paid#288 of 514

Median peer was paid$19K

This provider vs. median0.8×

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	28	$496.66
2021	35	$1K
2023	176	$7K
2024incomplete	133	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	45%	237	111	$7K
99223	Prolong inpt eval add15 m	29%	45	45	$4K
99239	Hospital discharge day management, more than 30 minutes	21%	75	75	$3K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	4.9%	15	13	$725.19

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.