Douglas, Derek

Douglas, Derek was paid $49K by Medicaid between Aug 2021 and Jul 2022, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 64% of everything it billed.

33Billing provider infoDOUGLAS, DEREK
LOUISVILLE, KY 40217

33aNPI1154747657assigned 03/10/2014

33bProvider typeEmergency Medicine Physician

28Total paid$49K

24GClaims658

24DCodes billed3

24AFirst – last monthAug 2021 – Jul 2022

Compared with peers

Next to other Emergency Medicine Physician providers in Kentucky

Rank by total paid#42 of 91

Median peer was paid$34K

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
2021	285	$23K
2022	373	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	64%	350	307	$31K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	29%	214	198	$14K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	7.2%	94	84	$4K

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.