NP / PA
Mcclure, Derek
Mcclure, Derek was paid $602K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.
33Billing provider infoMCCLURE, DEREK
WEST JEFFERSON, NC 28694
WEST JEFFERSON, NC 28694
33aNPI1184738338assigned 08/17/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$602K
24GClaims13,979
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in North Carolina
Rank by total paid#16 of 147
Median peer was paid$12K
This provider vs. median52×
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 | 1,554 | $79K | |
| 2019 | 1,102 | $53K | |
| 2020 | 993 | $54K | |
| 2021 | 1,250 | $71K | |
| 2022 | 1,898 | $95K | |
| 2023 | 2,577 | $93K | |
| 2024incomplete | 4,605 | $158K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 77% | 7,166 | 5,381 | $464K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,425 | 1,006 | $65K |
| 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 | 2.8% | 158 | 147 | $17K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 231 | 188 | $17K |
| 99199 | Unlisted special service, procedure or report | 2.0% | 3,257 | 3,244 | $12K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.4% | 68 | 63 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 330 | 276 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 283 | 113 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 97 | 69 | $4K |
| 99205 | Prolong outpt/office vis | <1% | 17 | 17 | $2K |
| 99490 | Ccm add 20min | <1% | 277 | 277 | $2K |
| 90756 | <1% | 70 | 70 | $929.30 |
8 more codes
| 81001 | <1% | 306 | $816.04 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 54 | $731.98 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | $373.59 |
| 36415 | Collection of venous blood by venipuncture | <1% | 124 | $275.40 |
| 82962 | <1% | 62 | $109.62 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 13 | $42.70 |
| 96127 | <1% | 12 | $31.02 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 13 | $0.96 |
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.