Physician
Thomas, Derek
Thomas, Derek was paid $99K by Medicaid between Nov 2020 and Dec 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.
33Billing provider infoTHOMAS, DEREK
MOON TOWNSHIP, PA 15108
MOON TOWNSHIP, PA 15108
33aNPI1285626788assigned 08/19/2005
33bProvider typeOrthopaedic Surgery Physician
28Total paid$99K
24GClaims3,698
24DCodes billed5
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Pennsylvania
Rank by total paid#24 of 291
Median peer was paid$7K
This provider vs. median13×
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 | 77 | $3K | |
| 2021 | 757 | $23K | |
| 2022 | 904 | $23K | |
| 2023 | 987 | $26K | |
| 2024incomplete | 973 | $25K |
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 | 69% | 1,690 | 1,610 | $68K |
| 20552 | 15% | 690 | 684 | $15K | |
| 72100 | 14% | 545 | 542 | $14K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1.6% | 761 | 756 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12 | 12 | $115.50 |
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.