Pechacek, Derek

Pechacek, Derek was paid $34K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 40% of everything it billed.

33Billing provider infoPECHACEK, DEREK
O FALLON, IL 62269

33aNPI1114356607assigned 11/05/2013

33bProvider typeFamily Nurse Practitioner

28Total paid$34K

24GClaims885

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#1,472 of 3,353

Median peer was paid$25K

This provider vs. median1.4×

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	685	$27K
2020	13	$552.50
2021	16	$392.16
2022	75	$2K
2023	24	$1K
2024incomplete	72	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	40%	352	346	$14K
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	17%	138	134	$6K
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	14%	83	81	$5K
99282	Emergency department visit for the evaluation and management, low to moderate severity	12%	161	134	$4K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	7.3%	39	39	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.2%	88	85	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	2.2%	24	24	$739.66

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.